The Suitcase Packing Activity: A Novel Outcome Measure for Individuals With Upper Limb Loss.
Importance: Poor prosthetic satisfaction in individuals with upper limb loss has been linked to delayed or nonspecific rehabilitation. The Suitcase Packing Activity (SPA) is a functional outcome measure which has been validated in healthy individuals and assesses bimanual and unilateral upper limb f...
| Publicado en: | American Journal of Occupational Therapy Vol. 80; no. 5; pp. 795 - 804 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
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American Occupational Therapy Association
Sep/Oct2026
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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=196784767&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196784767 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Sep/Oct2026 vid: 80 iid: 5 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 196784767 196784767 196784767 10.1177/19437676261464069 196784767 ppf: 795 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Suitcase Packing Activity: A Novel Outcome Measure for Individuals With Upper Limb Loss. aug: au: Paulus, Paige Childers, W. Lee Pontillo, Marisa affil: Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA sug: subj: Amputation Rehabilitation Amputees Psychosocial Factors Upper Extremity Physiopathology Limb Prosthesis Task Performance and Analysis Patient-Reported Outcomes Validity Community Living Outcome Assessment Human Female Male Adult Middle Age Cross Sectional Studies Descriptive Statistics Validation Studies Prospective Studies Questionnaires Patient Satisfaction Activities of Daily Living Ambulatory Care Facilities Health Facilities Pearson's Correlation Coefficient Age Factors Time Productivity Linear Regression Data Analysis Software Correlational Studies Confidence Intervals Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Importance: Poor prosthetic satisfaction in individuals with upper limb loss has been linked to delayed or nonspecific rehabilitation. The Suitcase Packing Activity (SPA) is a functional outcome measure which has been validated in healthy individuals and assesses bimanual and unilateral upper limb function through a goal-directed task. Objective: To validate the SPA by investigating the relationship between SPA scores and patient-reported outcomes (PROs). Design: Cross-sectional cohort study. Setting: Military treatment facilities, community events, and prosthetic clinics. Participants: Individuals over the age of 18 with major upper limb loss or limb difference who could speak/read English. Outcomes and Measures: Participants completed the SPA and questionnaires on patient characteristics, Patient-Reported Outcomes Measurement Information System (PROMIS®), and Disabilities of the Arm, Shoulder and Hand (DASH). SPA categories are time, accuracy, and efficiency. Pearson correlations evaluated relationships between SPA subscales and continuous variables. Linear regression determined if DASH score and age could predict SPA scores. Commonality analyses determined the unique, common, and total variance of SPA subscales explained by predictor variables. Results: Twenty-nine individuals with upper limb loss and limb difference (18 M, age:37.8 ± 12.0, time since amputation:15.7 ± 14.7years) participated in this study. Age, PROMIS® Social Subscale, and DASH were associated with SPA scores. Age and DASH predicted SPA Time and Efficiency. Conclusions and Relevance: SPA scores align with better PRO scores and demonstrate that the SPA has sufficient concurrent validity to evaluate function in patients with limb loss. Further investigation is warranted to use this measure to compare baseline function or changes over time. Plain Language Summary: Individuals with upper limb loss and limb difference often need to adapt and use creative strategies to perform activities of daily living. The findings from this study indicate that the SPA may be a useful tool for occupational therapists to evaluate their patients' abilities to perform salient tasks, such as packing a suitcase, even if they are using unique strategies to perform that task. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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