https://scholars.lib.ntu.edu.tw/handle/123456789/504364
標題: | Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients | 作者: | Hou W.-H. Shih C.-L. Chou Y.-T. Sheu C.-F. Lin J.-H. Wu H.-C. I-PING HSUEH CHING-LIN HSIEH |
公開日期: | 2012 | 卷: | 93 | 期: | 6 | 起(迄)頁: | 1014-1020 | 來源出版物: | Archives of Physical Medicine and Rehabilitation | 摘要: | Objective: To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficiently and reliably assess motor function in patients with stroke. Design: First, a simulation study was used to develop and examine the psychometric properties of the CAT-FM. Second, a field study was employed to determine the administration efficiency of the CAT-FM. Setting: One medical center and 1 teaching hospital. Participants: Patients' responses (n=301) were used for the simulation study; 49 patients participated in the field study. Interventions: Not applicable. Main Outcome Measures: The 2 CAT-FM item banks (upper extremity and lower extremity) include 37 items from the original Fugl-Meyer scale. The reliability, validity, and responsiveness of the CAT-FM were determined by the simulation study. Results: Two stopping rules (reliability <0.9 or an increase of reliability <.01 after testing an item) were used. The simulation study showed that the CAT-FM had high reliability (<.93 for upper-extremity and lower-extremity subscales) and concurrent validity (Pearson r<.91 for the upper-extremity and lower-extremity subscales and motor scale). The responsiveness was moderate (standardized response mean for the upper extremity=.67, lower extremity=.79, and motor=.77) for the 226 patients who completed both assessments at 14 and 90 days after stroke. The field study found that, on average, the time needed to administer the CAT-FM was 242 seconds with 4.7 items. Conclusions: The CAT-FM is an efficient, reliable, valid, and responsive clinical tool for assessing motor function in patients with stroke. ? 2012 American Congress of Rehabilitation Medicine. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862784580&doi=10.1016%2fj.apmr.2011.12.005&partnerID=40&md5=7f6cc12f3d2357f4d62cdfdda30a3605 https://scholars.lib.ntu.edu.tw/handle/123456789/504364 |
ISSN: | 0003-9993 | DOI: | 10.1016/j.apmr.2011.12.005 | SDG/關鍵字: | adult; arm; article; brain hemorrhage; brain infarction; clinical assessment; clinical assessment tool; computerized adaptive testing; concurrent validity; controlled study; female; field study; Fugl-Meyer motor scale; functional assessment; human; leg; major clinical study; male; motor performance; Rasch analysis; reliability; simulation; stroke; stroke patient; teaching hospital; Adaptation, Physiological; Aged; Computer Simulation; Diagnosis, Computer-Assisted; Disability Evaluation; Female; Hospitals, Teaching; Humans; Lower Extremity; Male; Middle Aged; Motor Skills; Psychometrics; Reproducibility of Results; Sampling Studies; Severity of Illness Index; Stroke; Taiwan; Task Performance and Analysis; Upper Extremity |
顯示於: | 職能治療學系 |
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