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Upper Limb Motor Function in HemiparesisConcurrent Validity of the Arm Motor Ability Test

 

作者: John Chae,   Ihab Labatia,   Guang Yang,  

 

期刊: American Journal of Physical Medicine and Rehabilitation  (OVID Available online 2003)
卷期: Volume 82, issue 1  

页码: 1-8

 

ISSN:0894-9115

 

年代: 2003

 

出版商: OVID

 

关键词: Upper Limb Hemiparesis;Impairment;Activity

 

数据来源: OVID

 

摘要:

Chae J, Labatia I, Yang G: Upper limb motor function in hemiparesis: Concurrent validity of the arm motor ability test.Am J Phys Med Rehabil2003;82:1–8.ObjectiveTo evaluate the concurrent validity of the Arm Motor Ability Test (AMAT) using the Fugl-Meyer Assessment (FMA) as the criterion measure of poststroke upper limb motor impairment.DesignUpper limb motor impairment and arm ability of 30 chronic stroke survivors were assessed with the FMA and AMAT, respectively. Spearman’s correlation coefficients were generated relating the components of FMA and AMAT. Scatterplots were generated to provide qualitative assessments of the relationship between FMA and AMAT. Bar graphs of FMA and AMAT normalized to their maximum scores were generated to compare the levels of motor status measured by each instrument.ResultsAll components of AMAT correlated highly with FMA total (r= 0.92–0.94;P< 0.001). AMAT functional ability and AMAT quality of movement were linearly related with FMA total. However, AMAT time of performance exhibited significant ceiling and floor effects with respect to FMA. Normalized AMAT scores were generally lower than normalized FMA scores (P< 0.001), with the greatest difference in scores observed in subjects with more severe motor impairments.ConclusionThis study demonstrates a high degree of concurrent criterion validity of the AMAT. However, AMAT tends to underestimate the arm motor status of those with more severe motor impairments.

 

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