Updated, detailed scoring of the activities measure for upper limb amputation (AM-ULA)

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2025-07-01 DOI:10.1016/j.jht.2024.07.005

Linda Resnik PT, PhD , Matthew Borgia MA , Christine Cowen OT , Jemy Delikat OT

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引用次数: 0

Abstract

Background

The Activities Measure for Upper Limb Amputation (AM-ULA), an activity measure for prosthesis users, uses a complex grading rubric to assign a single score to task performance which may limit responsiveness.

Purpose

To enhance AM-ULA responsiveness by exploring a scoring that uses multiple grading elements.

Study Design

Cross-sectional study.

Methods

AM-ULAs of 50 participants were videotaped. Two raters evaluated completion of subtasks, speed of performance, movement quality, skillfulness of prosthetic use, and independence. Intraclass correlation coefficients (ICC) assessed intra-rater and inter-rater reliability.

Results

Rater 1 had fair (0.72) to excellent (0.99) intra-rater reliability in all elements except for independence. Rater 2 had excellent reliability (≥0.96) in all elements. Inter-rater reliability ICC ranged from 0.83 (very good) to 0.99 (excellent) for all elements except independence.

Conclusions

Video scoring of the AM-ULA utilizing individual grading elements showed good intra-rater and inter-rater reliability and is recommended to improve responsiveness of the AM-ULA.

查看原文本刊更多论文

更新，详细的上肢截肢活动测量评分（AM-ULA）。

背景：上肢截肢活动测量（AM-ULA）是一种针对义肢使用者的活动测量，它使用复杂的评分标准对任务表现进行单一评分，这可能会限制反应性。目的：通过探索使用多个评分元素的评分来提高AM-ULA的响应性。研究设计：横断面研究。方法：对50例受试者的am - ula进行录像。两名评分员评估子任务的完成情况、表现速度、运动质量、假肢使用的熟练程度和独立性。分类内相关系数（ICC）评估了分类内和分类间的信度。结果：评判者1在除独立性外的所有要素中具有一般（0.72）至优异（0.99）的评判者内信度。评价者2在所有要素上具有极好的信度（≥0.96）。除了独立性外，所有因素的信度ICC范围从0.83（非常好）到0.99（极好）。结论：利用单个评分元素对AM-ULA进行视频评分具有良好的评分者内部和评分者之间的可靠性，建议用于提高AM-ULA的反应性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.