0. No symptoms at all. 1. No significant disability, despite symptoms; able to carry out all usual duties and activities. 2. Slight disability; unable to carry out all. Four short, simple measures of arm function, suitable for use with patients recovering from acute stroke, are described. These tests are: the Frenchay Arm Test. Arm training using an Upper Limb Robot-Assisted Therapy Device can improve Frenchay Arm Test – The Frenchay Arm Test (FAT) is a measure of upper.

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Several other review articles, not specific to stroke rehabilitation, have considered hand and arm function tests. An instrument evaluation framework: They also considered the amount of published research available and then made recommendations for the use of standardized assessment tools. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. In his review, he indicated whether the degree of validity, reliability, and sensitivity of tests was known; which test domains were covered eg, impairment or specific [focal] disability ; and whether the test was composed of a battery of tasks.

They reported using the Motor Club Assessment to establish grip force as a predictive measure of outcome at 6 months following a stroke, but a secondary finding also was reported when they used the Motor Club Assessment to predict performance on the Frenchay Arm Test.

They described instruments that measure hand function in terms of range of motion, edema, performance, sensation, dexterity, and physical capacity evaluation. Nine tests met the inclusion criteria of having psychometric properties reported in the literature. Sackett’s levels of evidence are most readily applied to areas of research with large numbers of studies and with trials of interventions.

Measures of disability and overall motor function were included in these tables, but measures specific to upper-extremity motor function were not included. Therefore, we believe this evidence could not be considered definitive for testing psychometric properties in groups of people with the diagnosis of stroke. Good interobserver and test-retest reliability was demonstrated for all tests, and the Frenchay Arm Test was shown to be valid.

Heller etal, 13 This investigation was performed: Linear correlation coefficients often can overestimate the reliability of data obtained with a test because the relationship between true variance and observed variance may be overlooked.


To establish psychometric properties of interrater reliability of disability and impairment scales, to determineconstruct and concurrent validity and responsiveness of data obtained with a test. To establish validity and reliability among 3 tests: Parker etal, 18 This section describes the tests according to the levels to which they were assigned, from the highest level most psychometric support or level I to the lowest level least psychometric support or level III.

Although tests including bilateral activity may be closely related to activities at home and may be appropriate measures of function, their use, in our opinion, would not allow them to reflect unilateral motor recovery.

No evidence, other than that reported by Collin and Wade, was found to establish the Rivermead Motor Assessment as having validity or reliability for patients following a stroke.

A form of measurement validity in which an instrument is used to predict some future performance. Please review our privacy policy. Therefore, the group that developed the guide characterized available rrenchay designs as either randomized controlled trials or quasi-experimental designs. Limited support would indicate inadequacies in the research design of studies conducted.

Arm function after stroke: measurement and recovery over the first three months.

Close mobile search navigation Article navigation. Sanford et al, 20 Duncan et al, 11 Abstract Four short, simple measures of arm function, suitable for use with patients recovering from acute drenchay, are described. Sign In or Create an Account.

The analysis and interpretation of method comparison studies in rehabilitation research. Selection was based on article inclusion criteria of being published in a peer-reviewed journal and having at least one of several design objectives related to upper-extremity motor function tests.

The amount of error that is acceptable will depend on the purpose and specific clinical circumstances surrounding test use, and authors should report reliability relative to these issues. The test must be designed for performance-based upper-extremity motor function and include tasks frnchay require only unilateral activity and require the subject to move the hand through space ensuring use of proximal and distal musculature and take an fest or less to administer and measure the following rehabilitation domains: I agree to the terms and conditions.

Motor assessment scale for stroke patients: Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident.


Scientific evidence should be the basis for recommendations to use specific tests. Bear-Lehman and Abreu, 3 indemonstrated the continued need to provide estimates of the validity and reliability of instruments used to measure hand function.

Motricity Index able to correctly identify those subjects who would score above zero on the Frenchay Arm Test. The difference in frsnchay degree of relationships between. Upper-extremity motor function tests examined for this review were assigned to ordinal categories levels I, II, and III according to ffrenchay many psychometric properties had demonstrable published results for those tests within a group of patients with strokes.

Frenchay Arm test (FAT) – Allie: Abbreviation / Long Form Info.

Nine tests that qualified are described in Table 3. Gowland et al, 12 We have made no attempt to argue for a value system to differentiate the statistics used.

Frencchay have attempted to describe the psychometric properties and supportive statistical tests reported in the literature with minimum bias.

However, there are data in this article about the psychometric properties of the Motricity Index. Loewen and Anderson, 16 Among 9 tests evaluated, 5 studies 1012141720 describing frnechay properties for upper-extremity motor function tests used for people following a stroke were published since Wade, 1 inencouraged investigations of psychometric properties of tests that were already published.

Results were obtained by examining scores obtained for the following components vrenchay the upper-extremity subscale of the test: It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Inter-rater reliability and validity of the Action Research Arm Test in stroke patients.

Only the Nine-Hole Peg Test was supported by 3 out of 4 properties. No test had evidence for all 4 psychometric properties.

This article was retrieved because of our broad article inclusion criteria. Predictive validity could have been examined to predict placement after discharge, use of assistive device, functional independence during inpatient stay, and so frwnchay. Of this original group, articles were selected to receive more detailed examination. Associated Data Supplementary Materials.