| Autor: |
Miller, K. J., Phillips, B. A., Martin, C. L., Wheat, H. E., Goodwin, A. W., Galea, M. P. |
| Předmět: |
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| Zdroj: |
Clinical Rehabilitation; Dec2009, Vol. 23 Issue 12, p1104-1115, 12p, 1 Color Photograph, 5 Charts, 4 Graphs |
| Abstrakt: |
Objectives: To investigate the clinimetric properties and clinical utility of the AsTex® , a new clinical tool for evaluation of hand sensation following stroke. Design: The AsTex® was administered on two occasions separated by a week to appraise test--retest reliability, and by three assessors on single occasion to establish inter-rater reliability. Pilot normative values were collected in an age-stratified sample. Clinical utility was evaluated based on ease of administration, ceiling and floor effects, and responsiveness to sensory recovery. Participants: Test--retest (n=31) and inter-rater (n=31) reliability and normative values (n=95) for the AsTex® were established in neurologically normal participants aged 18-85 years. Test--retest reliability was investigated in 22 individuals a mean of 46 months (range 12-125) post stroke and clinical utility was evaluated in an additional 24 subacute stroke participants a mean of 29.4 days (range 12-41) post stroke. Main measure: The AsTex® . Results: The AsTex® demonstrated excellent test--retest (intraclass correlation coefficient (ICC=0.98, 95% confidence interval (95% CI=0.97-0.99) and inter-rater reliability (ICC=0.81, 95% CI=0.73-0.87) in neurologically normal participants. Test--retest reliability of the AsTex® in individuals following stroke was excellent (ICC=0.86, 95% CI=0.68-0.94). The AsTex® was simple to administer, demonstrated small standard error of measurement (0.14mm), minimal floor and ceiling effects (12.5% and 8.3%) and excellent responsiveness (standardized response mean=0.57) in subacute stroke participants. Conclusion: The AsTex® is a reliable, clinically useful and responsive tool for evaluating hand sensation following stroke. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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