Validity and reliability of modified box and block test and targeted box and block test in patients with stroke.

IF 1.5 4区心理学 Q4 CLINICAL NEUROLOGY

Applied Neuropsychology-Adult Pub Date : 2025-08-11 DOI:10.1080/23279095.2025.2545543

Lütfiye Akkurt, Cihan Caner Aksoy, Fatıma Yaman

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引用次数: 0

Abstract

Introduction: The Box and Block Test (BBT) is commonly used to evaluate unilateral manual dexterity in patients with stroke. While the BBT is quick and simple to use, it causes large measurement variability because the administration is not standardized. In this study, we evaluated the validity and reliability of the modified BBT (mBBT) and a targeted BBT (tBBT) in patients with stroke.

Method: Our participants were 50 patients with stroke. We evaluated the criterion validity of the mBBT and tBBT through its correlations with scores on the 9-Hole Peg Test (9-HPT), the Fugl-Meyer Assessment-Upper Extremity test (FMA-UE) and BBT. We analyzed the reliability with test-retest reliability.

Results: The mBBT was strongly and positively correlated with the 9 HPT (r = 0.823), and strongly negatively correlated the BBT (r = -0.870) for the more-affected hand (p < 0.001). The tBBT was also strongly positively correlated with the 9 HPT (r = 0.913), and the BBT (r = -0.889) for the more-affected hand (p < 0.001). The mBBT was moderately positively correlated with the FMA-UE (r = -0.574), and the tBBT was moderately correlated with (r = -0.604) for the more-affected hand (p < 0.001). The ICCs for the mBBT and the tBBT ranged from 0.86 to 0.97 for the more-affected hand.

Conclusion: In this sample, the mBBT and tBBT appeared to be valid and reliable for patients with stroke.

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改良盒块试验和针对性盒块试验在脑卒中患者中的效度和信度。

盒块试验（BBT）通常用于评估脑卒中患者的单侧手灵巧性。虽然BBT使用快捷简单，但由于管理不标准化，导致测量结果存在很大的可变性。在这项研究中，我们评估了改良BBT （mBBT）和靶向BBT （tBBT）在脑卒中患者中的有效性和可靠性。方法：研究对象为50例脑卒中患者。我们通过mBBT和tBBT与9孔Peg测试（9-HPT）、Fugl-Meyer评估-上肢测试（FMA-UE）和BBT得分的相关性来评估其标准效度。我们用重测信度来分析信度。结果：mBBT与9 HPT呈强正相关（r = 0.823），重病手BBT呈强负相关（r = -0.870）（p r = 0.913），重病手BBT呈强负相关（r = -0.889）（p r = -0.574），重病手tBBT与中度相关（r = -0.604） (p结论：本组样本中，mBBT与tBBT对脑卒中患者有效可靠。

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

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.