Reliability and Validity of the Upper-body Dressing Scale in Japanese Patients with Vascular Dementia with Hemiparesis

Abstract

The purpose of this study was to examine the reliability and validity of the Upper-body Dressing Scale (UBDS) for buttoned shirt dressing, which evaluates the learning process of new component actions of upper-body dressing in patients diagnosed with dementia and hemiparesis. This was a preliminary correlational study of concurrent validity and reliability in which 10 vascular dementia patients with hemiparesis were enrolled and assessed repeatedly by six occupational therapists by means of the UBDS and the dressing item of the Functional Independence Measure (FIM). Intraclass correlation coefficient was 0.97 for intra-rater reliability and 0.99 for inter-rater reliability. The level of correlation between UBDS score and FIM dressing item scores was -0.93. UBDS scores for paralytic hand passed into the sleeve and sleeve pulled up beyond the shoulder joint were worse than the scores for the other components of the task. The UBDS has good reliability and validity for vascular dementia patients with hemiparesis. Further research is needed to investigate the relation between UBDS score and the effect of intervention and to clarify sensitivity or responsiveness of the scale to clinical change.

Psychometric properties of Upper-body Dressing Scale in people with stroke

“…Higher UBDS scores and longer UBDS time indicate poorer upper-body dressing performance. Excellent inter-rater (ICC = 0.999), intra-rater (ICC = 0.971), and test-retest (ICC = 0.87) reliabilities have been demonstrated for UBDS score in vascular dementia and stroke patients (7,8).…”

“…As excellent inter-rater (ICC = 0.971) reliability has been reported for UBDS score for patients with vascular dementia and stroke (7), the ICC for chronic stroke patients was assumed to be 0.9. As no previous study has evaluated correlations between UBDS and stroke-specific outcome measures for chronic stroke patients, a medium correlation was assumed (ρ = 0.30).…”

“…Nottingham Stroke Dressing Assessment assesses both upper-and lower-body dressing performances (6), but does not include standardized instructions for the level of assistance provided by assessors, and is time-consuming, as more than 36 stages are assessed. This may reduce its clinical practicality (7).…”

“…UBDS scores range from 7 points (no cues, indicating least severe disability) to 35 points (highest level of cues, indicating most severe disability). UBDS score has demonstrated good to excellent inter-rater, intra-rater and test-retest reliabilities (intraclass correlation coefficient (ICC) = 0.87-0.999) in vascular dementia and stroke patients, and has shown a significant negative correlation with FIM (r = -0.72 to -0.93) in hemiparesis patients (7,8).…”

The Effect of Rotator Cuff Repair on the Clinical and Psychological Meaningful Improvement in Patients with Rotator Cuff Tear and Insomnia.

“…However, in recent years, epidemiological studies suggested that the incidence of rotator cuff tear was almost 17-41% in the mid and old aged, and was still rising [1].This was related to the aging and the popularity of national tness in China. With the development of health care, arthroscopic rotator cuff repair has become the "golden standard" for the treatment of rotator cuff tear, which had the advantage of slight injury and few complications [2].…”