Assessment of the Hemiparetic Upper Extremity

Wilson, Dorothy J.

doi:10.1080/j003v01n02_07

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…Assessments were administered before (preintervention), immediately after (postintervention), and 1 month after the intervention (1-month follow-up). Assessments of movement included the Fugl-Meyer Assessment for the upper extremity (FMA) (Fugl-Meyer, 1980), the Motor Activity log (MAL) (van der lee, Beckerman, Knol, de Vet, & Bouter, 2004), and the Functional Test for the Hemiparetic Upper Extremity (FTHUE) (Wilson, 1984). The participants' perceptions of stroke recovery was assessed with the Stroke Impact scale (SIS) recovery question (Duncan et al, 1999).…”

Section: Methodsmentioning

confidence: 99%

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The Feasibility of Conducting Task-Oriented Training at Home for Patients with Stroke

Rowe¹,

Neville²

2019

The Open Journal of Occupational Therapy

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Background: Task-oriented training for upper extremity hemiparesis following a stroke is an effective intervention with evidence of its application in the clinic setting. However, the home provides an enriched and practical environment to implement this intervention. This report presents the feasibility of implementing task-oriented training at home. Method: Stroke survivors with limitations in upper extremity movement and function were assessed before and after a Task-Oriented Training and Evaluation at Home (TOTE Home) program, and 1 month later. Areas of process, resources, management, and scientific value were analyzed for the feasibility of a larger randomized clinical trial (RCT). Results: The process of this study was acceptable but demonstrated a need for more personnel for a larger trial to accommodate a larger sample over a shorter period. Adjusting the amount of intervention dosing may reduce the amount of resources required to achieve participants' goals. A large RCT examining TOTE Home would require management from multiple professionals. TOTE Home proved to be a safe scientific endeavor with no adverse side effects. Conclusion: The implementation of TOTE Home is a feasible endeavor. A larger clinical trial is justified to determine the generalizability and effectiveness of this intervention in a home-based setting.

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Section: Methodsmentioning

confidence: 99%

“…The FTHUE (Wilson, 1984) was used to evaluate the functional motor capability of the participants in TOTE Home. The use of this assessment seemed better at clinically evaluating the perceived motor capability of function by the occupational therapist and the participant.…”

Section: Managementmentioning

confidence: 99%

The Feasibility of Conducting Task-Oriented Training at Home for Patients with Stroke

Rowe¹,

Neville²

2019

The Open Journal of Occupational Therapy

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“…The FTHUE has shown strong content validity and inter-rater reliability. 6–8 Content validity was established with a stepwise regression 1 and a high correlation between the Fugl-Meyer Assessment and the FTHUE. 6 Interrater reliability was found to be statistically significant.…”

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confidence: 99%

Functional Test of the Hemiparetic Upper Extremity: A Rasch Analysis With Theoretical Implications

Rowe

Winstein

Wolf

et al. 2017

Archives of Physical Medicine and Rehabilitation

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Objective To investigate the measurement properties of the Functional Test of the Hemiparetic Upper Extremity (FTHUE) and examine how its score may or may not inform design of a rehabilitation program. Design The FTHUE was recently used in the Interdisciplinary Comprehensive Arm Rehabilitation Evaluation Stroke (ICARE) Randomized Clinical Trial (RCT). This circumstance provided the opportunity to examine the psychometric properties of the FTHUE as it pertains to contemporary post-stroke rehabilitation and recovery models. Setting Outpatient rehabilitation clinic Participants 109 participants, aged 61.2 ± 13.5 years and 46 ± 20.3 days post-stroke with resultant hemiparesis in the upper extremity Interventions Not applicable Main Outcome Measures Dimensionality was examined with confirmatory factor analysis (CFA) and person and item measures were derived with Rasch item response analysis. Therapists’ notes were also reviewed. Results The CFA results support unidimensionality and 16/17 items fit the Rasch model. The Rasch person separation (2.17) and item separation (4.50) indices, ability strata (3.22), person reliability (0.82) and item reliability (0.95) indicate good measurement properties. Item difficulties ranked from −6.46 to 3.43 logits, however there was a substantial ceiling effect of person measures. Post-hoc examination of therapists’ written observations indicated that the scoring criteria are not sensitive to the movement strategy used for task completion. Conclusions The FTHUE’s item difficulty hierarchy indicated that scores adequately distinguished the ability to perform simple vs complex motor movements of functional tasks. However, the FTHUE scoring method did not allow inclusion of the type of movement strategy used to accomplish task items. Therefore, we suggest modifications to the FTHUE that would allow it to be used for collaborative treatment planning and align well with more contemporary perspectives on treatment theory.

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Revue et analyse d'instruments de mesure de la performance de la main et du membre supérieur

Desrosiersy¹,

Dutil²,

Hébert³

1991

Can J Occup Ther

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Les membres supérieurs jouent un rôle essentiel dans l'accomplissement des activités courantes de tout individu. Une atteinte de leur fonctionnement nécessite une évaluation précise pour guider l'application d'un programme de réadaptation. Afin d'aider le clinicien ou le chercheur à choisir un outil d'évaluation adapté à ses besoins et à ceux de la clientèle qui le préoccupe, 16 instruments de mesure de la performance de la main et du membre supérieur sont d'abord décrits, puis analysés selon des critères importants en milieu clinique et de recherche.

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Assessment of the Hemiparetic Upper Extremity

Cited by 5 publications

References 2 publications

The Feasibility of Conducting Task-Oriented Training at Home for Patients with Stroke

The Feasibility of Conducting Task-Oriented Training at Home for Patients with Stroke

Functional Test of the Hemiparetic Upper Extremity: A Rasch Analysis With Theoretical Implications

Revue et analyse d'instruments de mesure de la performance de la main et du membre supérieur

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