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    The hemiplegic arm: Interrater reliability and concurrent validity of passive range of motion measurements

    Access Status
    Fulltext not available
    Authors
    De Jong, Lex
    Nieuwboer, A.
    Aufdemkampe, G.
    Date
    2007
    Type
    Journal Article
    
    Metadata
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    Citation
    De Jong, L.D. and Nieuwboer, A. and Aufdemkampe, G. 2007. The hemiplegic arm: Interrater reliability and concurrent validity of passive range of motion measurements. Disability and Rehabilitation. 29 (18): pp. 1442-1448.
    Source Title
    Disability and Rehabilitation
    DOI
    10.1080/09638280601056145
    ISSN
    0963-8288
    Faculty
    Faculty of Health Sciences
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/79492
    Collection
    • Curtin Research Publications
    Abstract

    Purpose. To assess whether our measurement protocol using two raters simultaneously yielded reliable passive range of motion measurements of the hemiplegic arm. Additionally, motion ranges were correlated to several factors to examine the concurrent validity of these measurements. Method. Two raters simultaneously assessed five arm motions at baseline, after five and ten weeks in respectively 18, 13 and 12 stroke patients. One tester made the passive movement and the other read the hydrogoniometer. Raters then switched roles. Results. Intraclass correlation coefficients revealed high agreement between the raters with intraclass correlation coefficients (ICCs) ranging between 0.84 and 0.99. Standard errors of measurement and smallest detectable differences were large for shoulder abduction. Significant correlations were found between shoulder external rotation and flexion. All arm motions correlated negatively to pain at the end range of these motions. Shoulder external rotation and flexion were significantly correlated to the time post stroke. Concurrent validity with Ashworth Scale, Fugl-Meyer Assessment and Barthel Index was limited. Conclusions. The current measurement protocol yielded high reliability indices and seems useful for further use. However, standard error of measurement and smallest detectable difference for shoulder abduction were high, implying the neccesity to include a large sample size in future studies. Correlations revealed that restricted range of arm motions relate to the time post-stroke and coincide with pain.

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