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Clinimetric properties of the action research arm test for the assessment of arm activity in hemiparetic patients after stroke.
- Source :
- Topics in Stroke Rehabilitation; Mar2020, Vol. 27 Issue 2, p127-136, 10p
- Publication Year :
- 2020
-
Abstract
- Background: The Action Research Arm Test (ARAT) has been extensively used for patients with stroke in many countries. However, the ARAT has been reported to have ceiling effects. Employing a time evaluation system could be expected to improve the ceiling effects in the ARAT. Objective: To investigate (1) the psychometric properties of the Japanese version of the ARAT in patients with stroke; (2) the psychometric properties of the performance timescale of the ARAT in patients with stroke. Methods: A prospective, cross-sectional, single-center study involving 30 patients with mild-to-severe hemiparesis was conducted. All patients were recruited from the college hospital in Japan from June 2016 to March 2017. The ARAT and the Fugl-Meyer Assessment, the Box-and-Block Test, and the Motor Activity Log were employed. The simultaneous/non-simultaneous inter-rater reliability/agreement, the internal consistency, the validity, and the floor/ceiling effects were assessed. Results: Regarding the ARAT score, intraclass correlation coefficient (ICC) ranged from 0.974 to 0.990 (P < 0.001) for non-simultaneous evaluation; and from 0.994 to 0.998 (P < 0.001) for simultaneous evaluation. Regarding the ARAT time, ICC was 0.992 (P < 0.001) for non-simultaneous evaluation; and 1.000 (P < 0.001) for simultaneous evaluation. Conclusions: The Japanese version of the ARAT is highly reliable and valid for measuring upper-extremity function in patients with stroke. Adding the performance timescale on the ARAT score scale can partially solve the "ceiling effect problem". [ABSTRACT FROM AUTHOR]
- Subjects :
- ARM
CONFIDENCE intervals
HEMIPLEGIA
LONGITUDINAL method
MOTOR ability
PSYCHOMETRICS
RESEARCH evaluation
RESEARCH funding
STATISTICS
STROKE
DATA analysis
DISABILITIES
STATISTICAL reliability
INTER-observer reliability
CROSS-sectional method
DATA analysis software
FUNCTIONAL assessment
STROKE patients
DESCRIPTIVE statistics
INTRACLASS correlation
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 10749357
- Volume :
- 27
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- Topics in Stroke Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 141750673
- Full Text :
- https://doi.org/10.1080/10749357.2019.1667656