Women with PCOS, particularly those with a high BMI, should be reviewed regularly with respect to IGT or NIDDM, as the frequency of impaired glycaemic control is high, and that the rate of conversion from normal glucose tolerance to IGT or NIDDM, or from IGT to NIDDM is substantial.

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The Chedoke Arm and Hand Activity Inventory (CAHAI) was developed to address the need for a valid, clinically relevant, responsive functional assessment of the recovering paretic upper limb. The purpose of this article is to describe the development of the measure including its theoretical constructs, item generation, and item selection. From the literature, survivors of stroke, and their caregivers, 751 items were generated. Using factor analyses stem leaf plots, clinical judgment, and pilot testing on individuals with stroke, the list was reduced to 13 bilateral, real-life items. Research continues to provide evidence of the CAHAI's test-retest and interrater reliability as well as construct, concurrent, and longitudinal validity.

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Purpose: To estimate the reliability and validity of three shortened versions of the Chedoke Arm and Hand Activity Inventory (CAHAI). Method: The study sample consisted of 39 individuals who had had a stroke. Twenty-four individuals were classified as acute and 15 as chronic. The CAHAI-13 was administered three times: an initial assessment, a second assessment within 36 hours, and a final assessment two to six weeks after the initial assessment. The Action Research Arm Test (ARAT) and the Chedoke-McMaster Stroke Assessment were administered at the first and third time points. Based on the clinical judgment of four therapists, seven-, eight-, and nine-item versions of the CAHAI were produced. Test–retest reliability and cross-sectional and longitudinal validity (sensitivity to change) were evaluated. Results: Test–retest reliability varied from 0.96 for the CAHAI-7 to 0.97 for the CAHAI-8 and CAHAI-9. Cross-sectional validity for the ARAT was 0.95, 0.95, and 0.94, and longitudinal validity was 0.97, 0.93, and 0.94 for the seven-, eight-, and nine-item versions of the CAHAI, respectively. Conclusions: All shortened versions maintained the same high degree of reliability and construct and longitudinal validity as the original CAHAI-13. Therapists and researchers may select from three valid, shorter versions of a new upper limb functional measure to facilitate effective standardized assessment within limited time and resources.