Task and ecologically based assessment of upper-limb passive function before and after botulinum injections in adults with stroke using the Upper-Limb Performance Assessment: French cross-cultural adaptation and feasibility pilot study.
To test feasibility of a French translation and cross-cultural adaptation of the Upper-Limb Performance Assessment (ULPA) for task and ecologically based assessment of individualized passive function of upper-limb (UL) performance in adults treated with botulinum toxin-A. A case series with seven ad...
| Publicado en: | Disability & Rehabilitation Vol. 45; no. 6; pp. 1087 - 1097 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162144417&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162144417 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Mar2023 vid: 45 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 162144417 157437072 162144417 162144417 10.1080/09638288.2022.2055164 162144417 ppf: 1087 ppct: 10 formats: tig: atl: Task and ecologically based assessment of upper-limb passive function before and after botulinum injections in adults with stroke using the Upper-Limb Performance Assessment: French cross-cultural adaptation and feasibility pilot study. aug: au: Villepinte, Claire Cormier, Camille Couderc, Mathilde Lebely, Claire Chih, HuiJun de Boissezon, Xavier Ranka, Judy Gasq, David affil: ToNIC, NeuroImaging Center, Université de Toulouse, Inserm, UPS, France sug: subj: Upper Extremity Physiology Task Performance and Analysis Botulinum Toxins Therapeutic Use Stroke Patients Instrument Adaptation Individualized Medicine Instrument Validation Stroke Rehabilitation Human Pretest-Posttest Design Pilot Studies Clinical Assessment Tools Case Studies Adult Middle Age Aged Hygiene Descriptive Statistics Wilcoxon Rank Sum Test Data Analysis Software Scales Confidence Intervals Treatment Outcomes Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: To test feasibility of a French translation and cross-cultural adaptation of the Upper-Limb Performance Assessment (ULPA) for task and ecologically based assessment of individualized passive function of upper-limb (UL) performance in adults treated with botulinum toxin-A. A case series with seven adults with stroke (29–74 years) for spastic hypertonia management with passive use objectives (hygiene or positioning) established through Goal Attainment Scaling (GAS). Scores on ULPA Task Performance Mastery (TPM) were obtained through clinical and home-based performances before and after treatment. Time administration per task ranged from 5-10 min. Median (range) ULPA, Task Performance Mastery (ULPA-TPM) scores pre-intervention of 58 mastery (35–71) improved to 75 (58–88). Tau-U demonstrated significant large effect sizes (≥.65) for five participants. Complementary measures demonstrated improvement of passive performance for five participants and improvements in GAS for six participants. Testing indicates excellent intra-rater (ICC = 0.90) and moderate inter-rater (ICC = 0.64) reliability, with SDC of 10.16 and 18.23%, respectively. French use of ULPA is a promising standardized, objective and ecologically based assessment of passive performance in adults with stroke. Preliminary findings after TCCA support feasibility for measurement of individualized goals for UL passive use. Future studies may explore other tasks and environments. ULPA is a performance-based, criterion-referenced and ecological measure of individualized goals based on task-analysis of upper-limb (UL) performance in real-life situations providing an interest for individualized assessment of activity and participation. The measure provides a standardized and quantitative approach, applicable to passive use of UL across environments, promoting ecological validity of assessment. Preliminary data will support clinical interpretation of change before and after botulinum injections of UL passive performance. Access to a transculturally validated French version of ULPA complements standardized assessment of UL impairment, perceived performance and goal attainment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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