A RELIABLE AND VALID ASSESSMENT OF UPPER LIMB MOVEMENT QUALITY AFTER STROKE: THE OBSERVATIONAL DRINKING TASK ASSESSMENT.

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, t...

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Published in:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 56; pp. 1 - 11
Main Authors: JOSE, Minnu, MUNOZ-NOVOA, Maria, ALT MURPHY, Margit
Format: pictorial research tables/charts Journal Article
Published: Medical Journals Sweden AB 2024
Online Access:View this record in EBSCOhost
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        16501977
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      dt: 2024
      vid: 56
      pid: 59195
      pub: Medical Journals Sweden AB
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        10.2340/jrm.v56.40362
        182282899
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        atl: A RELIABLE AND VALID ASSESSMENT OF UPPER LIMB MOVEMENT QUALITY AFTER STROKE: THE OBSERVATIONAL DRINKING TASK ASSESSMENT.
      aug:
        au:
          JOSE, Minnu
          MUNOZ-NOVOA, Maria
          ALT MURPHY, Margit
        affil: University of Gothenburg, Institute of Neuroscience and Physiology, Clinical Neuroscience, Gothenburg, Sweden
      sug:
        subj:
          Instrument Construction
          Instrument Validation
          Reliability and Validity Evaluation
          Upper Extremity Physiology
          Movement Evaluation
          Kinematics Evaluation
          Task Performance and Analysis
          Stroke Patients
          Human
          Funding Source
          Validation Studies
          Scales
          Intraclass Correlation Coefficient
          Descriptive Statistics
          Motion Capture
          Interrater Reliability
          Intrarater Reliability
          Construct Validity
          Hemiplegia
          Sweden
          Cross Sectional Studies
          Convenience Sample
          Stroke Rehabilitation
          Data Analysis Software
          Confidence Intervals
          Spearman's Rank Correlation Coefficient
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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