Measuring Upper Limb Capacity in Patients After Stroke: Reliability and Validity of the Stroke Upper Limb Capacity Scale
Abstract Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: reliability and validity of the Stroke Upper Limb Capacity Scale. Objective To investigate the interrater reliability and construct validity of the Stroke Upper Limb Capacity Scale...
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Published in | Archives of physical medicine and rehabilitation Vol. 92; no. 9; pp. 1418 - 1422 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.09.2011
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Abstract | Abstract Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: reliability and validity of the Stroke Upper Limb Capacity Scale. Objective To investigate the interrater reliability and construct validity of the Stroke Upper Limb Capacity Scale (SULCS). Design Cohort study. Setting Inpatient department of a rehabilitation center. Participants Patients after stroke (N=21; mean age ± SD, 61.7±7.9y; 57% men), undergoing inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures The SULCS was administered by occupational therapists (OTs) within 6 weeks after stroke (t1), 3 months after t1 by the same OT (t2), and within 1 week after t2 by another OT (t3). Interrater reliability, the repeatability between different raters, was assessed by calculating the intraclass correlation coefficient (ICC) based on the scores at t2 and t3. Construct validity, indicating agreement with hypotheses concerning the construct that is being measured, was assessed with Spearman rank correlation coefficient ( ρ ). The SULCS scores were cross-sectionally correlated with those of the Action Research Arm Test (ARAT) and the Rivermead Motor Assessment (RMA) at t1, and longitudinally with the respective change scores between t1 and t2. Results The SULCS (range, 0–10) had a high ICC (.94; 95% confidence interval, .86–.97) and strong cross-sectional correlation with both the ARAT and the RMA ( ρ =.91 and ρ =.85, respectively), while the respective change scores showed a strong correlation with the ARAT ( ρ =.71) and a moderate correlation with the RMA ( ρ =.48). Conclusions The SULCS has good interrater reliability and construct validity. |
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AbstractList | Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: reliability and validity of the Stroke Upper Limb Capacity Scale.
To investigate the interrater reliability and construct validity of the Stroke Upper Limb Capacity Scale (SULCS).
Cohort study.
Inpatient department of a rehabilitation center.
Patients after stroke (N=21; mean age ± SD, 61.7±7.9y; 57% men), undergoing inpatient rehabilitation.
Not applicable.
The SULCS was administered by occupational therapists (OTs) within 6 weeks after stroke (t1), 3 months after t1 by the same OT (t2), and within 1 week after t2 by another OT (t3). Interrater reliability, the repeatability between different raters, was assessed by calculating the intraclass correlation coefficient (ICC) based on the scores at t2 and t3. Construct validity, indicating agreement with hypotheses concerning the construct that is being measured, was assessed with Spearman rank correlation coefficient (
ρ). The SULCS scores were cross-sectionally correlated with those of the Action Research Arm Test (ARAT) and the Rivermead Motor Assessment (RMA) at t1, and longitudinally with the respective change scores between t1 and t2.
The SULCS (range, 0–10) had a high ICC (.94; 95% confidence interval, .86–.97) and strong cross-sectional correlation with both the ARAT and the RMA (
ρ=.91 and
ρ=.85, respectively), while the respective change scores showed a strong correlation with the ARAT (
ρ=.71) and a moderate correlation with the RMA (
ρ=.48).
The SULCS has good interrater reliability and construct validity. To investigate the interrater reliability and construct validity of the Stroke Upper Limb Capacity Scale (SULCS). Cohort study. Inpatient department of a rehabilitation center. Patients after stroke (N=21; mean age ± SD, 61.7 ± 7.9y; 57% men), undergoing inpatient rehabilitation. Not applicable. The SULCS was administered by occupational therapists (OTs) within 6 weeks after stroke (t1), 3 months after t1 by the same OT (t2), and within 1 week after t2 by another OT (t3). Interrater reliability, the repeatability between different raters, was assessed by calculating the intraclass correlation coefficient (ICC) based on the scores at t2 and t3. Construct validity, indicating agreement with hypotheses concerning the construct that is being measured, was assessed with Spearman rank correlation coefficient (ρ). The SULCS scores were cross-sectionally correlated with those of the Action Research Arm Test (ARAT) and the Rivermead Motor Assessment (RMA) at t1, and longitudinally with the respective change scores between t1 and t2. The SULCS (range, 0-10) had a high ICC (.94; 95% confidence interval, .86-.97) and strong cross-sectional correlation with both the ARAT and the RMA (ρ=.91 and ρ=.85, respectively), while the respective change scores showed a strong correlation with the ARAT (ρ=.71) and a moderate correlation with the RMA (ρ=.48). The SULCS has good interrater reliability and construct validity. Abstract Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: reliability and validity of the Stroke Upper Limb Capacity Scale. Objective To investigate the interrater reliability and construct validity of the Stroke Upper Limb Capacity Scale (SULCS). Design Cohort study. Setting Inpatient department of a rehabilitation center. Participants Patients after stroke (N=21; mean age ± SD, 61.7±7.9y; 57% men), undergoing inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures The SULCS was administered by occupational therapists (OTs) within 6 weeks after stroke (t1), 3 months after t1 by the same OT (t2), and within 1 week after t2 by another OT (t3). Interrater reliability, the repeatability between different raters, was assessed by calculating the intraclass correlation coefficient (ICC) based on the scores at t2 and t3. Construct validity, indicating agreement with hypotheses concerning the construct that is being measured, was assessed with Spearman rank correlation coefficient ( ρ ). The SULCS scores were cross-sectionally correlated with those of the Action Research Arm Test (ARAT) and the Rivermead Motor Assessment (RMA) at t1, and longitudinally with the respective change scores between t1 and t2. Results The SULCS (range, 0–10) had a high ICC (.94; 95% confidence interval, .86–.97) and strong cross-sectional correlation with both the ARAT and the RMA ( ρ =.91 and ρ =.85, respectively), while the respective change scores showed a strong correlation with the ARAT ( ρ =.71) and a moderate correlation with the RMA ( ρ =.48). Conclusions The SULCS has good interrater reliability and construct validity. |
Author | Roorda, Leo D., MD, PT, PhD Geurts, Alexander C., MD, PhD Smits, Wendy, OT Molenaar, Ivo W., PhD Houwink, Annemieke, PT, MSc |
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Keywords | Stroke International Classification of Functioning, Disability and Health SULCS occupational therapist OT CI RMA ICC Psychometrics Rivermead Motor Assessment IQR interquartile range Upper extremity ICF Disability evaluation Action Research Arm Test intraclass correlation coefficient ARAT confidence interval Rehabilitation Outcome assessment (health care) Stroke Upper Limb Capacity Scale Human Nervous system diseases Prognosis Cardiovascular disease Care Cerebral disorder Vascular disease Disability Validity Reeducation Orthopedics Central nervous system disease Upper limb Reliability Cerebrovascular disease |
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Snippet | Abstract Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: reliability and validity of the Stroke... Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: reliability and validity of the Stroke Upper... To investigate the interrater reliability and construct validity of the Stroke Upper Limb Capacity Scale (SULCS). Cohort study. Inpatient department of a... |
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SubjectTerms | Aged Aged, 80 and over Biological and medical sciences Cohort Studies Disability evaluation Diseases of the osteoarticular system Female Humans Male Medical sciences Middle Aged Miscellaneous Miscellaneous. Osteoarticular involvement in other diseases Neurology Observer Variation Occupational Therapy - methods Outcome assessment (health care) Physical Medicine and Rehabilitation Psychometrics Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Reproducibility of Results Socioeconomic Factors Stroke Stroke - complications Stroke - physiopathology Stroke Rehabilitation Treatment Outcome Upper extremity Upper Extremity - physiopathology Vascular diseases and vascular malformations of the nervous system |
Title | Measuring Upper Limb Capacity in Patients After Stroke: Reliability and Validity of the Stroke Upper Limb Capacity Scale |
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