The Unilateral Below Elbow Test: a function test for children with unilateral congenital below elbow deficiency
| Autor: | Michelle A. James, Fred Molitor, Anita Bagley, Lisa V. Wagner, Wendy Tomhave |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Adolescent medicine.medical_treatment Interclass correlation Elbow Artificial Limbs Prosthesis Sensitivity and Specificity Task (project management) Disability Evaluation Developmental Neuroscience Activities of Daily Living medicine Humans Child Motor skill Observer Variation Reproducibility of Results Disabled Children Test (assessment) Forearm medicine.anatomical_structure Motor Skills Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female Neurology (clinical) Psychology Kappa |
| Zdroj: | Developmental medicine and child neurology. 48(7) |
| ISSN: | 0012-1622 |
| Popis: | The Unilateral Below Elbow Test (UBET) was developed to evaluate function in bimanual activities for both the prosthesis wearer and non-wearer. Nine tasks were chosen for each of four age-specific categories defined by development stages of hand function (2-4y, 5-7y, 8-10y, and 11-21y). Two scales, Completion of Task and Method of Use, were designed to rate performance. To measure reliability, four occupational therapists scored samples of videotaped UBET performances. For Completion of Task, an interval scale, agreement in scoring was measured with interclass correlation coefficients (ICC; n=9; five females, four males). For Method of Use, a nominal scale, chance-adjusted association was calculated with Cohen's kappa coefficients (interobserver n=198; 111 females, 87 males; intraobserver n=93; 56 females, 37 males). For Completion of Task, the average ICC was 0.87 for the prosthesis-on condition, and 0.85 for the prosthesis-off condition. ICCs exceeded 0.80 for eight out of nine tasks for the two older age groups, but for only five out of nine tasks in the younger age groups. Higher inter- and intraobserver kappa coefficients for Method of Use resulted when scoring children with their prostheses on versus off. The oldest age group had lower kappa values than the other three groups. The UBET is recommended for the functional evaluation of Completion of Task in children with unilateral congenital below elbow deficiency with and without their prostheses. Method of Use scoring can evaluate individuals for directed therapy interventions or prosthetic training. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text