A reliable and valid assessment of upper limb movement quality after stroke: the observational Drinking Task Assessment.

IF 2.5 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2024-10-09 DOI:10.2340/jrm.v56.40362

Minnu Jose, Maria Munoz-Novoa, Margit Alt Murphy

{"title":"A reliable and valid assessment of upper limb movement quality after stroke: the observational Drinking Task Assessment.","authors":"Minnu Jose, Maria Munoz-Novoa, Margit Alt Murphy","doi":"10.2340/jrm.v56.40362","DOIUrl":null,"url":null,"abstract":"Objective: To develop and evaluate the reliability and validity of a new observational Drinking Task Assessment (DTA) designed to assess quality of movement in task performance after stroke.Design: Reliability and validity.Methods: The DTA measures movement time and movement quality (smoothness, trunk, shoulder, elbow, and grasp movements) on a 4-level ordinal scale. Thirty participants with chronic stroke were assessed independently by 2 therapists. Intra-class correlation (ICC), standard error of measurement (SEM) and minimal real difference (MRD), weighted kappa, percentage of agreement, and Svensson method were used for reliability assessment. Motion capture-based kinematics and established clinical scales were used to evaluate validity.Results: The absolute SEM and MRD for movement time were 0.4 and 1 s (11%), respectively. The ICC (≥ 0.93) and weighted kappa (0.71-1.0) showed good to excellent agreement for intra- and inter-rater reliability. DTA showed strong correlations with Fugl-Meyer Assessment (0.74), Action Research Arm Test (0.93), and kinematic measures of smoothness (0.93), trunk displacement (0.91), elbow extension (0.73), and shoulder movements (0.56), indicating good construct validity.Conclusions: The new DTA proved to be a reliable and valid tool for assessment of movement quality during task performance after stroke.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481465/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rehabilitation Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2340/jrm.v56.40362","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To develop and evaluate the reliability and validity of a new observational Drinking Task Assessment (DTA) designed to assess quality of movement in task performance after stroke.

Design: Reliability and validity.

Methods: The DTA measures movement time and movement quality (smoothness, trunk, shoulder, elbow, and grasp movements) on a 4-level ordinal scale. Thirty participants with chronic stroke were assessed independently by 2 therapists. Intra-class correlation (ICC), standard error of measurement (SEM) and minimal real difference (MRD), weighted kappa, percentage of agreement, and Svensson method were used for reliability assessment. Motion capture-based kinematics and established clinical scales were used to evaluate validity.

Results: The absolute SEM and MRD for movement time were 0.4 and 1 s (11%), respectively. The ICC (≥ 0.93) and weighted kappa (0.71-1.0) showed good to excellent agreement for intra- and inter-rater reliability. DTA showed strong correlations with Fugl-Meyer Assessment (0.74), Action Research Arm Test (0.93), and kinematic measures of smoothness (0.93), trunk displacement (0.91), elbow extension (0.73), and shoulder movements (0.56), indicating good construct validity.

Conclusions: The new DTA proved to be a reliable and valid tool for assessment of movement quality during task performance after stroke.

查看原文本刊更多论文

中风后上肢运动质量的可靠有效评估：饮酒任务评估观察法。

目的开发并评估一种新的观察性饮酒任务评估（DTA）的可靠性和有效性，该评估旨在评估中风后任务执行中的运动质量：设计：可靠性和有效性：DTA 采用 4 级顺序量表测量运动时间和运动质量（平滑度、躯干、肩、肘和抓握动作）。由两名治疗师对 30 名慢性中风患者进行独立评估。采用类内相关（ICC）、测量标准误差（SEM）和最小实际差异（MRD）、加权卡帕（kappa）、一致性百分比和斯文森法进行可靠性评估。基于运动捕捉的运动学和已建立的临床量表用于评估有效性：运动时间的绝对 SEM 和 MRD 分别为 0.4 秒和 1 秒（11%）。ICC（≥ 0.93）和加权卡帕（0.71-1.0）显示评分者内部和评分者之间的可靠性达到良好到极佳的一致性。DTA与Fugl-Meyer评估（0.74）、行动研究手臂测试（0.93）以及平滑度（0.93）、躯干位移（0.91）、肘关节伸展（0.73）和肩关节运动（0.56）的运动学测量结果均有很强的相关性，表明其具有良好的建构效度：新的 DTA 被证明是评估脑卒中后任务执行过程中运动质量的可靠且有效的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.