ABILHAND: A Rasch-built measure of manual ability

Penta, Massimo; Thonnard, Jean Louis; Tesio, Luigi

doi:10.1016/s0003-9993(98)90167-8

Cited by 182 publications

(120 citation statements)

References 14 publications

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“…11 ABILHAND is an inventory of 56 manual activities that the patient was originally asked to judge on a 4-level scale: 0 (impossible), 1 (very difficult), 2 (difficult), and 3 (easy). The test explores both unimanual and bimanual activities done without other human or technical help.…”

Section: Manual Abilitymentioning

confidence: 99%

“…The original questionnaire included both unimanual and bimanual activities of daily life needing manual skills for successful completion. 11 Analysis of the original questionnaire showed that the unimanual activities were too easy to be able to discriminate manual ability in chronic stroke patients; the patients reported they could fulfill the activities using the unaffected limb, whether dominant or nondominant. In contrast, the bimanual (or alternate unimanual) activities were shown to be more demanding and capable of discriminating the patients' manual ability.…”

Section: Patient's Reported Manual Ability In Chronic Strokementioning

confidence: 99%

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The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients

Penta

Tesio

Arnould

et al. 2001

Stroke

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249

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Background and Purpose-Chronic hemiparetic patients often retain the ability to manage activities requiring both hands, either through the use of the affected arm or compensation with the unaffected limb. A measure of this overall ability was developed by adapting and validating the ABILHAND questionnaire through the Rasch measurement model. ABILHAND measures the patient's perceived difficulty in performing everyday manual activities. Methods-One hundred three chronic (Ͼ6 months) stroke outpatients (62% men; mean age, 63 years) were assessed (74 in Belgium, 29 in Italy). They lived at home and walked independently and were screened for the absence of major cognitive deficits (dementia, aphasia, hemineglect). The patients were administered the ABILHAND questionnaire, the Brunnström upper limb motricity test, the box-and-block manual dexterity test, the Semmes-Weinstein tactile sensation test, and the Geriatric Depression Scale. The brain lesion type and site were recorded. ABILHAND results were analyzed with the use of Winsteps Rasch software. Results-The Rasch refinement of ABILHAND led to a change from the original unimanual and bimanual 56-item, 4-level scale to a bimanual 23-item, 3-level scale. The resulting ability scale had sufficient sensitivity to be clinically useful. Rasch reliability was 0.90, and the item-difficulty hierarchy was stable across demographic and clinical subgroups. Grip strength, motricity, dexterity, and depression were significantly correlated with the ABILHAND measures. Key Words: arm Ⅲ disability evaluation Ⅲ rehabilitation Ⅲ stroke P oststroke hemiplegia is one of the most prevalent forms of motor disability, affecting approximately 1% of the population. 1 Although most current stroke survivors achieve an autonomous form of gait, a satisfactory recovery (if any) of the affected upper limb function is much more rare. Conclusions-TheAlthough several tests are available 2-4 for measuring upper limb function in terms of grip strength, dexterity, sensation, and performance in standardized manipulative tasks, the measurements are all made at the focal impairment level. 5 The actual disability, however, is far from linearly related to the underlying impairments. 6 It depends on complex interactions between upper limb function and compensatory behaviors of the person, such as using the unaffected limb or dividing complex movements into simpler ones. Moreover, the learning of new motor processes is influenced by the subject's motivational and emotional status, which is likely to be impaired by stroke. 7 Manual ability may be defined as the capacity to manage daily activities requiring the use of the upper limbs, whatever the strategies involved. Therefore, it should be measured per se and not simply inferred from focal impairments. Since it is a behavior, manual ability belongs to the domain of latent variables concealed within the person, such as pain, depression, and intelligence. The "amount" of manual ability can be inferred from observed activities and/or a patient's perceived difficul...

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Section: Manual Abilitymentioning

confidence: 99%

Section: Patient's Reported Manual Ability In Chronic Strokementioning

confidence: 99%

The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients

Penta

Tesio

Arnould

et al. 2001

Stroke

Self Cite

249

248

View full text Add to dashboard Cite

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“…It was initially developed and validated for persons with rheumatoid arthritis [16] and then for persons with chronic stroke [17] as well as for several other diagnosis [18][19][20][21][22]. The ABILHAND Questionnaire is reliable in a test-retest situation in persons with rheumatoid arthritis and in persons with systemic sclerosis [19,23,24].…”

Section: Introductionmentioning

confidence: 99%

Test‐Retest Reliability of the ABILHAND Questionnaire in Persons With Chronic Stroke

Ekstrand

Lindgren

Lexell

et al. 2013

PM&R

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BackgroundReliable and valid outcome measures are needed to be able to evaluate recovery, effects of rehabilitation interventions, and changes over time. The ABILHAND Questionnaire is a measure of a patient's self‐reported ability to perform complex daily activities involving use of the hand. This instrument is commonly used in stroke rehabilitation settings, but data about the measurement variability are missing.ObjectiveTo assess the test‐retest reliability of the ABILHAND Questionnaire in persons with chronic stroke and to define limits for the smallest change that indicates a real change, both for a group of individuals and for a single individual.DesignA test‐retest reliability study.SettingsUniversity hospital.ParticipantsA convenience sample of 43 persons (11 women and 32 men; mean age 64 years) with mild to moderate impairments of hand function 6‐48 months after sustaining a stroke.InterventionNot applicable.Main Outcome MeasurementsThe ABILHAND Questionnaire is Rasch analyzed, enabling ordinal data to be converted into an interval scale (logits) and the use of parametric statistical analyses. The participants responded to 23 items in the ABILHAND Questionnaire on 2 occasions, 2 weeks apart. Reliability was assessed with the intraclass correlation coefficient (ICC22.1), the mean difference between the test sessions (đ) together with the 95% confidence intervals for đ, the standard error of measurement (SEM and SEM%), the smallest real difference (SRD and SRD%), and a Bland and Altman graph.ResultsFour outliers with high mean logit scores (>4.0) were identified in the sample. The results therefore are presented both for the entire sample (n = 43) and without the 4 outliers (n = 39). The test‐retest agreement was high: ICC2,1 = 0.85 (n = 43) and 0.91 (n = 39). The SEM%, which represents the smallest change that indicates a real improvement for a group of individuals, was 21% (n = 43) and 15% (n = 39). The SRD%, which represents the smallest change that indicates a real clinical improvement for a single individual, was 59% (n = 43) and 42% (n = 39), respectively.ConclusionThe ABILHAND Questionnaire is reliable in persons with chronic stroke and can be recommended to evaluate recovery, rehabilitation interventions, and changes over time in a group of individuals but is less suitable for a single individual.

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“…As important as it is to assay the perceptual properties of artificial sensations using classical psychophysical measures, it is as important to assay their functional utility using standardized tests. Many behavioral tests are designed to provide a quantitative evaluation of sensory motor performance to assess the consequences of injury or disease (Jebsen et al, 1969;Penta et al, 1998). Again, standardized functional tests can draw on decades of data from healthy subjects to provide a baseline index of performance.…”

Section: Neuroprosthetics Research Needs To Generalizementioning

confidence: 99%