Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients
| Autor: | Hung-Chia Wu, Ching-Lin Hsieh, Ching-Fan Sheu, Jau-Hong Lin, Yeh-Tai Chou, Ching-Lin Shih, I-Ping Hsueh, Wen Hsuan Hou |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics Scale (ratio) medicine.medical_treatment Taiwan Physical Therapy Sports Therapy and Rehabilitation Severity of Illness Index Sampling Studies Upper Extremity Disability Evaluation Physical medicine and rehabilitation Severity of illness Task Performance and Analysis medicine Humans Computer Simulation Diagnosis Computer-Assisted Hospitals Teaching Stroke Reliability (statistics) Aged Rehabilitation Stroke Rehabilitation Reproducibility of Results Middle Aged medicine.disease Adaptation Physiological Confidence interval Lower Extremity Motor Skills Physical therapy Female Computerized adaptive testing Psychology |
| Zdroj: | Archives of physical medicine and rehabilitation. 93(6) |
| ISSN: | 1532-821X |
| Popis: | Hou W-H, Shih C-L, Chou Y-T, Sheu C-F, Lin J-H, Wu H-C, Hsueh I-P, Hsieh C-L. Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Objective To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficiently and reliably assess motor function in patients with stroke. Design First, a simulation study was used to develop and examine the psychometric properties of the CAT-FM. Second, a field study was employed to determine the administration efficiency of the CAT-FM. Setting One medical center and 1 teaching hospital. Participants Patients' responses (n=301) were used for the simulation study; 49 patients participated in the field study. Interventions Not applicable. Main Outcome Measures The 2 CAT-FM item banks (upper extremity and lower extremity) include 37 items from the original Fugl-Meyer scale. The reliability, validity, and responsiveness of the CAT-FM were determined by the simulation study. Results Two stopping rules (reliability ≥0.9 or an increase of reliability r ≥.91 for the upper-extremity and lower-extremity subscales and motor scale). The responsiveness was moderate (standardized response mean for the upper extremity=.67, lower extremity=.79, and motor=.77) for the 226 patients who completed both assessments at 14 and 90 days after stroke. The field study found that, on average, the time needed to administer the CAT-FM was 242 seconds with 4.7 items. Conclusions The CAT-FM is an efficient, reliable, valid, and responsive clinical tool for assessing motor function in patients with stroke. |
| Databáze: | OpenAIRE |
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