Hou W.-H.Shih C.-L.Chou Y.-T.Sheu C.-F.Lin J.-H.Wu H.-C.I-PING HSUEHCHING-LIN HSIEH2020-06-242020-06-2420120003-9993https://www.scopus.com/inward/record.uri?eid=2-s2.0-84862784580&doi=10.1016%2fj.apmr.2011.12.005&partnerID=40&md5=7f6cc12f3d2357f4d62cdfdda30a3605https://scholars.lib.ntu.edu.tw/handle/123456789/504364Objective: 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.[SDGs]SDG3adult; 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 Extremityjournal article10.1016/j.apmr.2011.12.005224404812-s2.0-84862784580