Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery

Binkley, Jill; Stratford, Paul W.; Kirkpatrick, Stephanie; Farley, Clara R.; Okoli, Joel; Gabram, Sheryl

doi:10.1016/j.clbc.2018.02.008

Cited by 21 publications

(17 citation statements)

References 34 publications

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“…To the best of our knowledge, no prior studies have reported a correlation between the UEFI and the SGRQ activity domain. On the other hand, the UEFI has been found to correlate with other measures of activity limitation in patients with upper extremity musculoskeletal disorders [13][14][15]17,20,[37][38][39] and in women who have undergone breast cancer surgery [18]. The pattern of correlation of the UEFI with the other measures of activity limitation in these studies is similar to the pattern of correlation between the UEFI and the SGRQ activity domain observed in the current study in patients with COPD.…”

Section: Discussionsupporting

confidence: 84%

“…The SEM of the UEFI in patients with upper extremity-related musculoskeletal disorders has been reported to range from 4.1 to 5.5 points, while the MDC 90 has been reported to range from 9.4 to 17.6 points [13,14,20,37]. In women who have undergone breast cancer surgery, the UEFI was reported to have an SEM of 4.8 points and an MDC 90 of 11.1 points [18]. The magnitude of measurement error reported in these studies is similar to the magnitude of the measurement error reported in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…The upper extremity functional index (UEFI) is a region-specific PROM that quantifies upper extremity-related activity limitations [13]. The UEFI has been reported to have good measurement properties in patients with upper extremity musculoskeletal disorders [14][15][16][17] and in women who have undergone breast cancer surgery [18]. The UEFI includes 20 upper extremity daily activities that are known to be relevant and important to patients with COPD [5].…”

Section: Introductionmentioning

confidence: 99%

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The Upper Extremity Functional Index: Reliability and Validity in Patients with Chronic Obstructive Pulmonary Disease

Alnahdi

Albarrati

2021

IJERPH

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The aim of the current study was to examine the psychometric properties of the upper extremity functional index (UEFI) in patients with chronic obstructive pulmonary disease (COPD). Seventy patients with stable COPD completed the UEFI and St. George Respiratory Questionnaire (SGRQ) and performed lung function tests in the first testing session. They completed the UEFI and the Global Rating of Change Scale in the second session, which was within ten days of the first session. The UEFI floor and ceiling effects, internal consistency, test–retest reliability, measurement error, and construct validity were examined. The UEFI was found to have no floor and ceiling effects. The UEFI was also found to have an excellent internal consistency (Cronbach’s alpha = 0.955) and an excellent test–retest reliability (ICC2,1 = 0.91). Totals of 4.85 points and 11.32 points represent the scale’s standard error of measurement, and a minimal detectable change at 90% confidence was used. The UEFI scores showed a significant correlation with the SGRQ activity domain (r = −0.66, p < 0.001) and differed significantly between participants with severe disease and those with mild disease (p = 0.03). The UEFI had no floor or ceiling issues, an excellent internal consistency, a good test–retest reliability, and an acceptable measurement error. The UEFI also demonstrated evidence supporting its construct validity as a measure of upper extremity-related activity limitations in patients with COPD.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Upper Extremity Functional Index: Reliability and Validity in Patients with Chronic Obstructive Pulmonary Disease

Alnahdi

Albarrati

2021

IJERPH

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“…Using the UEFI, it was observed that the patient had an improvement in her UE function and ADLs since beginning physical therapy (Table 1). This change was found to be greater than the minimal detectable change of 7.9 scale points as cited by Binkley et al [12].…”

Section: Case Presentationmentioning

confidence: 47%

Clinical Outcomes After Physical Therapy Treatment for Secondary Lymphedema After Breast Cancer

Tan

Wilson

2019

Cureus

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Breast cancer is the most commonly diagnosed cancer in women and approximately 33% of survivors will develop lymphedema. Untreated lymphedema may be limb threatening or cause substantial functional limitations. The purpose of this case report is to detail the physical therapy (PT) management and outcomes for a patient with right upper extremity and breast lymphedema. The goal of this case report is to provide rehabilitation clinicians with an example of effective treatment management and the underlying treatment rationale. A 64-year-old female with stage 2A breast cancer underwent neoadjuvant chemotherapy, a lumpectomy with 18 lymph nodes removed, and radiation therapy. She subsequently developed secondary lymphedema of the right breast and upper extremity. Physical therapy interventions included instruction on a complete decongestive therapy program, which consists of manual lymphatic drainage and compression bandaging and exercises to improve shoulder range of motion (ROM), posture, and strength. As a result of PT, her right shoulder ROM and anthropometric measurements improved and the patient achieved independence with self-lymphatic massage and compression bandaging techniques to maintain these gains. This case report is unique as it details the clinical decision making required during a complex course of cancer care that necessitated adjustments to the PT plan of care for sustainable outcomes.

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“…A lower score indicates that the person is reporting increased difficulty with the activities as a result of their upper limb condition. UEFI shows the good validity and reliability for assessing upper extremity disability 25 .…”

Section:  Upper Extremity Disabilitymentioning

confidence: 95%

Correlation between Shoulder Range of Motion, Upper Extremity Disability and Quality of Life in Female Breast Cancer Survivors Post Modified Radical Mastectomy: A Pilot Study

Priya¹,

K²,

Kulkarni

2021

Int J Sci Healthcare Res

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Background: Many complications may occur after modified radical mastectomy (MRM) such as restricted shoulder mobility, wound infection, seroma formation, pain and lymph edema. Purpose: To find the correlation between shoulder flexion and abduction range of motion (ROM) with upper extremity disability and quality of life in female post MRM. Methodology: A cross section observation study was conducted in a tertiary care hospital. A total of 20 breast cancer survivors who underwent MRM before 6 months or more were included. Their affected side shoulder flexion and abduction ROM was measured using universal goniometer, upper extremity disability was assessed using Upper Extremity Functional Index (UEFI) and Quality of Life was assessed using WHOQoL-BREF questionnaire. Results: Karl Pearson’s correlation coefficient was used to find the correlation. Strong positive correlation was found between shoulder flexion ROM and UEFI score, physical, psychological and environmental domains, whereas moderate positive correlation was found between shoulder flexion ROM and overall QoL, these were statistically significant (p<0.001). But there was weak positive correlation found between shoulder flexion ROM and social domain of WHOQoL-BREF which was statistically not significant (p>0.001). Further strong positive correlation was found between shoulder abduction ROM and UEFI score, overall Qol, physical and psychological domain and moderate positive correlation was found between shoulder abduction ROM and environmental domain whereas again weak positive correlation found with social domain which was statistically not significant (p>0.001). Conclusion: Decreased shoulder ROM can increase upper extremity disability and affect overall QoL in breast cancer survivors post MRM. Keywords: Breast cancer survivors, Modified Radical Mastectomy, Quality of Life, Shoulder ROM, Upper extremity disability.

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Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery

Cited by 21 publications

References 34 publications

The Upper Extremity Functional Index: Reliability and Validity in Patients with Chronic Obstructive Pulmonary Disease

The Upper Extremity Functional Index: Reliability and Validity in Patients with Chronic Obstructive Pulmonary Disease

Clinical Outcomes After Physical Therapy Treatment for Secondary Lymphedema After Breast Cancer

Correlation between Shoulder Range of Motion, Upper Extremity Disability and Quality of Life in Female Breast Cancer Survivors Post Modified Radical Mastectomy: A Pilot Study

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