A Preliminary Comparison of the Katrak Hand Movement Scale With the Upper Extremity Fugl Meyer Assessment Shows a Strong Correlation After Stroke

IF 1.9 Q2 REHABILITATION Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI:10.1016/j.arrct.2023.100317

Ann Winkler MBBS (FAFRM) , Paul Sunderland PhD , Brendan Major PhD , Natasha A. Lannin PhD

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Abstract

Objective

To investigate the concurrent validity of the KHMS with the FMA-UE.

Design

The FMA-UE and the KHMS were administered to 50 adults with stroke to evaluate their concurrent validity.

Setting

Three tertiary rehabilitation hospitals.

Participants

Participants were aged ≥18 years, receiving stroke or rehabilitation services from a participating hospital, and had a confirmed diagnosis of stroke (ischemic or hemorrhagic) with upper limb involvement. Fifty patients were recruited to the study (20 women, 30 men, N=50) with a mean age of 71 (SD 13.4, range 35-90) years. Time since stroke varied from 2 days to 187 months, with a median of 0.8 months.

Interventions

Not applicable.

Main Outcome Measures

Concurrent validity of the KHMS with the FMA-UE.

Results

A correlation of r=0.948 was found between the 2 scales (P=.0001). Moderate floor effects were noted in our sample (16%); however, significant ceiling effects were recorded (44%).

Conclusion

The KHMS demonstrated a statistically strong correlation with the FMA-UE and holds promise for use, particularly in the clinical setting, to evaluate upper limb motor impairment after stroke.

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卡特拉克手部运动量表与上肢 Fugl Meyer 评估的初步比较显示，两者在中风后有很强的相关性。

目的研究 KHMS 与 FMA-UE 的并发有效性.设计对 50 名成人卒中患者进行 FMA-UE 和 KHMS 的测试，以评估它们的并发有效性.地点三家三级康复医院.参与者年龄≥18 岁，在参与医院接受卒中或康复服务，确诊为上肢受累的卒中（缺血性或出血性）。研究共招募了 50 名患者（女性 20 人，男性 30 人，N=50），平均年龄 71 岁（SD 13.4，范围 35-90）。干预措施不适用。主要结果测量KHMS与FMA-UE的并发有效性。结果发现两个量表之间的相关性为r=0.948（P=.0001）。结论 KHMS 与 FMA-UE 在统计学上具有很强的相关性，有望用于评估中风后的上肢运动障碍，尤其是在临床环境中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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