Responsiveness of five measures of arm function in acute stroke rehabilitation

Clinical Rehabilitation
Angela Vratsistas-CurtoAnnie McCluskey

Abstract

To determine the responsiveness of five arm function measures in people receiving acute inpatient stroke rehabilitation. Inception cohort study. Comprehensive stroke unit providing early rehabilitation. A total of 64 consecutively admitted stroke survivors with moderately severe disability (Modified Rankin Scale score median (interquartile range (IQR)): 4.0 (1.0)). Responsiveness was analyzed by calculating effect size, standardized response mean and median-based effect size. Floor/ceiling effects were calculated as the percentage of participants scoring the lowest/highest possible scores. Average length of stay and number of therapy days were 34 (SD = 27.9) and 12 (SD = 13.1), respectively. Box and Block Test and Functional Independence Measure-Self-Care showed the highest responsiveness with values in the moderate-large range (effect size = 1.09, standardized response mean = 1.07 and median-based effect size = 0.76; effect size = 0.94, standardized response mean = 1.04 and median-based effect size = 1.0). Responsiveness of Action Research Arm Test and Upper Limb-Motor Assessment Scale were moderate (effect size = 0.58, standardized response mean = 0.69 and median-based effect size = 0.59; effect size = 0.62, standardized resp...Continue Reading

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Citations

Aug 18, 2018·Clinical Rehabilitation·Daniele Piscitelli, Leonardo Pellicciari

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