کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3452404 1595799 2006 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Measurement of Upper-Extremity Function Early After Stroke: Properties of the Action Research Arm Test
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Measurement of Upper-Extremity Function Early After Stroke: Properties of the Action Research Arm Test
چکیده انگلیسی

Lang CE, Wagner JM, Dromerick AW, Edwards DF. Measurement of upper-extremity function early after stroke: properties of the Action Research Arm Test.ObjectiveTo examine the responsiveness and validity of the Action Research Arm Test (ARAT) in a population of subjects with mild-to-moderate hemiparesis within the first few months after stroke.DesignData were collected as part of the Very Early Constraint-Induced Therapy for Recovery from Stroke trial, an acute, single-blind randomized controlled trial of constraint-induced movement therapy. Subjects were studied at baseline (day 0), after treatment (day 14), and after 90 days (day 90) poststroke.SettingInpatient rehabilitation hospital; follow-up 3 months poststroke.ParticipantsFifty hemiparetic subjects.InterventionsNot applicable.Main Outcome MeasuresAt each time point, subjects were tested on: (1) the ARAT, (2) clinical measures of sensorimotor impairments, (3) in the kinematics laboratory where they performed reach and grasp movements, and (4) clinical measures of disability. Blinded raters performed all evaluations. Analyses at each time point included calculating effect size as indicators of responsiveness, and correlation and regression analyses to examine relationships between ARAT scores and other measures.ResultsThe ARAT is responsive to change, with effect sizes greater than 1.0 and responsiveness ratios of 7.0 at 3 months poststroke. ARAT scores were related to sensorimotor impairment measures, 3-dimensional kinematic measures of movement performance, and disability measures at all 3 time points.ConclusionsThe ARAT is a responsive and valid measure of upper-extremity functional limitation and therefore may be an appropriate measure for use in acute upper-extremity rehabilitation trials.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 87, Issue 12, December 2006, Pages 1605–1610
نویسندگان
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