TY - JOUR
T1 - U-Rate-UE; Measuring Perceived Recovery of the Affected Upper Extremity in Adults Post-stroke
AU - Rand, Debbie
AU - Assadi Khalil, Samar
AU - Schaham, Inbar
AU - Doron, Noa
AU - Peri, Shelly
AU - Zeilig, Gabriel
AU - Dudkiewicz, Israel
AU - Gross-Nevo, Revital Feige
AU - Barel, Haim
N1 - Publisher Copyright: © 2024 American Congress of Rehabilitation Medicine
PY - 2024/6
Y1 - 2024/6
N2 - Objective: To establish initial validity of “U-Rate-UE”, a single-question scale regarding perceived recovery of the stroke affected upper extremity (UE). Design: A retrospective longitudinal study of data collected at rehabilitation admission, 6 weeks, and 6 months since stroke. Setting: Stroke rehabilitation and community-based. Participants: A convenience sample of 87 individuals, median (interquartile range) age 71.5 (65-80) years, 15.0 (12-20) days post-stroke. Interventions: Not applicable. Main Outcome Measures: The affected UE was assessed using the Fugl-Meyer Motor Assessment, grip strength, Action Research Arm Test, the Box and Block Test (BBT), and The Rating of Everyday Arm-Use in the Community and Home. Participants also rated how much they perceive that their affected UE recovered from the stroke using U-Rate-UE; 0-100 (no to full recovery). Longitudinal changes in U-Rate-UE ratings were assessed. In addition, at 6 weeks and 6 months post-stroke, the change in BBT was calculated and participants were grouped into achieved/did not achieve the minimal detectable change (MDC). Correlations between U-Rate-UE to the other UE assessments were assessed at all 3 timepoints. Results: Significant changes in U-Rate-UE were seen over time (P<.05). At 6 weeks and 6 months, participants who achieved BBT-MDC rated their recovery significantly higher than participants who did not. U-Rate-UE was moderately-strongly significantly correlated to UE assessments (rho=.61-.85, P<.001). Conclusions: The U-Rate-UE is supported for use with UE assessments contributing to comprehensive clinical understanding of the recovery of the affected UE in adults post-stroke.
AB - Objective: To establish initial validity of “U-Rate-UE”, a single-question scale regarding perceived recovery of the stroke affected upper extremity (UE). Design: A retrospective longitudinal study of data collected at rehabilitation admission, 6 weeks, and 6 months since stroke. Setting: Stroke rehabilitation and community-based. Participants: A convenience sample of 87 individuals, median (interquartile range) age 71.5 (65-80) years, 15.0 (12-20) days post-stroke. Interventions: Not applicable. Main Outcome Measures: The affected UE was assessed using the Fugl-Meyer Motor Assessment, grip strength, Action Research Arm Test, the Box and Block Test (BBT), and The Rating of Everyday Arm-Use in the Community and Home. Participants also rated how much they perceive that their affected UE recovered from the stroke using U-Rate-UE; 0-100 (no to full recovery). Longitudinal changes in U-Rate-UE ratings were assessed. In addition, at 6 weeks and 6 months post-stroke, the change in BBT was calculated and participants were grouped into achieved/did not achieve the minimal detectable change (MDC). Correlations between U-Rate-UE to the other UE assessments were assessed at all 3 timepoints. Results: Significant changes in U-Rate-UE were seen over time (P<.05). At 6 weeks and 6 months, participants who achieved BBT-MDC rated their recovery significantly higher than participants who did not. U-Rate-UE was moderately-strongly significantly correlated to UE assessments (rho=.61-.85, P<.001). Conclusions: The U-Rate-UE is supported for use with UE assessments contributing to comprehensive clinical understanding of the recovery of the affected UE in adults post-stroke.
KW - Box and Block Test
KW - Function
KW - Patient reported outcome measures
KW - Stroke rehabilitation
KW - Upper extremity
UR - http://www.scopus.com/inward/record.url?scp=85187655718&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.apmr.2024.02.715
DO - https://doi.org/10.1016/j.apmr.2024.02.715
M3 - مقالة
C2 - 38412898
SN - 0003-9993
VL - 105
SP - 1151
EP - 1157
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 6
ER -