Development of the Chedoke Arm and Hand Activity Inventory: Theoretical Constructs, Item Generation, and Selection

Barreca, Susan; Gowland, Carolyn; Stratford, Paul W.; Huijbregts, Maria; Griffiths, Jeremy; Torresin, Wendy D; Dunkley, Magen; Miller, Patricia A.; Masters, Lisa M.

doi:10.1310/ju8p-uvk6-68vw-cf3w

Cited by 139 publications

(132 citation statements)

References 26 publications

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“…The evaluator was blind to the group allocation of each individual. Because there is no single measure available to capture the full scope of impairment and functionality, a number of standard clinical evaluation scales were used to assess different abilities: Barthel Index 20,21 for overall independence in activities of daily living, Motricity Index 22 (upper extremities) for muscle strength, Modified Ashworth Scale 23 for spasticity, Fugl-Meyer Assessment test 24 (upper extremities) for synergistic motor patterns, Chedoke Arm and Hand Activity Inventory (CAHAI) 25 for the functional assessment of the recovering arm and hand, Nine Hole Peg Test 26 for finger dexterity (only included as baseline assessment because the number of patients that were able to complete the task was insufficient for further analysis), and Box and Block Test 27 for manual dexterity.…”

Section: Outcome Measuresmentioning

confidence: 99%

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

Cameirão

Badia²,

Duarte³

et al. 2012

Stroke

160

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Background and Purpose-Although there is strong evidence on the beneficial effects of virtual reality (VR)-based rehabilitation, it is not yet well understood how the different aspects of these systems affect recovery. Consequently, we do not exactly know what features of VR neurorehabilitation systems are decisive in conveying their beneficial effects. Methods-To specifically address this issue, we developed 3 different configurations of the same VR-based rehabilitation system, the Rehabilitation Gaming System, using 3 different interface technologies: vision-based tracking, haptics, and a passive exoskeleton. Forty-four patients with chronic stroke were randomly allocated to one of the configurations and used the system for 35 minutes a day for 5 days a week during 4 weeks. Results-Our results revealed significant within-subject improvements at most of the standard clinical evaluation scales for all groups. Specifically we observe that the beneficial effects of VR-based training are modulated by the use/nonuse of compensatory movement strategies and the specific sensorimotor contingencies presented to the user, that is, visual feedback versus combined visual haptic feedback. Conclusions-Our findings suggest that the beneficial effects of VR-based neurorehabilitation systems such as the Rehabilitation Gaming System for the treatment of chronic stroke depend on the specific interface systems used. These results have strong implications for the design of future VR rehabilitation strategies that aim at maximizing functional outcomes and their retention. Clinical Trial Registration-This trial was not registered because it is a small clinical study that evaluates the feasibility of prototype devices.

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Section: Outcome Measuresmentioning

confidence: 99%

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

Cameirão

Badia²,

Duarte³

et al. 2012

Stroke

160

View full text Add to dashboard Cite

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“…The CAHAI detects clinically important change in the affected upper extremity's progression from stabilizer to manipulator when performing tasks of daily living (Barreca et al, 2004;Barreca, Stratford, Dobell, & O'Flaherty, 2001).…”

Section: Methodsmentioning

confidence: 99%

Modified Constraint-Induced Movement Therapy for Elderly Clients With Subacute Stroke

McCall

McEwen

Colantonio

et al. 2011

The American Journal of Occupational Therapy

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A growing body of research, including evidence from numerous randomized controlled trials, suggests that constraint-induced movement therapy (CIMT) reduces impairment. The mean age of participants in most studies has been <65 yr, even though most stroke survivors are older than that. We investigated the efficacy of a modified CIMT protocol on participation, activity, and impairment in a population of older adults experiencing subacute stroke. Using an interrupted time series design, 4 older adults (mean age 5 82) were assessed before and after intervention. Although none of the participants adhered to the 6-hr per day self-practice aspect of the CIMT protocol, considerable improvements were noted in participation, as measured using the Canadian Occupational Performance Measure. Some improvements were also noted at the level of impairment and activity. This work accords with previous literature on CIMT and has important implications for the evolution of stroke rehabilitation in elderly people.

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“…26 Bimanual UE function was evaluated using the Chedoke Arm and Hand Activity Inventory (CAHAI-9) test. 27 This evaluation rates the degree of independence in performing nine bimanual activities of daily living (opening a jar of coffee, calling 911, drawing a line with a ruler, pouring a glass of water, wringing out a washcloth, doing up five buttons, drying the back with a towel, putting toothpaste on a toothbrush, and cutting medium-resistance putty) and has a maximum score of 81 signifying complete independence.…”

Section: Methodsmentioning

confidence: 99%

A Rehabilitation First—Tournament Between Teams of Nursing Home Residents with Chronic Stroke

House

Burdea

Polistico

et al. 2016

Games for Health Journal

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Purpose: This study describes the BrightArmÔ Duo virtual reality system (Bright Cloud International Corp., Highland Park, NJ) and determines its clinical benefit for maintenance of upper extremity function in nursing home residents who are chronic poststroke. Materials and Methods: Participants sat at a low-friction robotic table with tilt and lift capability and interacted with serious games through computerized supports that measured forearm movement and grasp. The rehabilitation simulations were designed to improve arm and hand function, increase range of motion, and improve emotional well-being and cognition (attention, memory, and executive functioning). After 8 weeks of initial intensive therapy, there were three booster periods at 8-week intervals, each consisting of four sessions over 2 weeks. The last booster was a tournament competition, where pairs of residents played games collaboratively from remote nursing homes. Participants were evaluated before and after each booster period using standardized clinical measures. Results: Range of motion improved for 18 out of 23 upper extremity movement variables (P = 0.01) between pre-and post-tournament assessment, and the residents self-reported that they enjoyed playing with a partner (score of 4.7 out of 5.0). Participants were able to reduce game completion time through cooperative play (teamwork), and the times improved with successive sessions of the tournament. Affected hand and arm function and depression levels were maintained (no decline) after the tournament. Conclusions: A rehabilitation tournament using virtual reality between teams of nursing home residents chronic poststroke is the first of its kind in clinical practice. This study demonstrates its effectiveness in improving range of motion of the upper extremity while engaging residents in the maintenance program at their nursing home.

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Development of the Chedoke Arm and Hand Activity Inventory: Theoretical Constructs, Item Generation, and Selection

Cited by 139 publications

References 26 publications

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

The Combined Impact of Virtual Reality Neurorehabilitation and Its Interfaces on Upper Extremity Functional Recovery in Patients With Chronic Stroke

Modified Constraint-Induced Movement Therapy for Elderly Clients With Subacute Stroke

A Rehabilitation First—Tournament Between Teams of Nursing Home Residents with Chronic Stroke

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