Clinical interpretation and cutoff scores for manual ability measured by the ABILHAND questionnaire in people with stroke
(2023) In Topics in Stroke Rehabilitation 30(1). p.21-31- Abstract
Background: The ABILHAND questionnaire is recommended to assess perceived manual ability after stroke; however, more knowledge on interpretability is needed to improve the clinical applicability. Objectives: To determine clinically meaningful cutoff scores for different levels of perceived manual ability, assessed by ABILHAND, corresponding to established observed and perceived upper extremity assessments post stroke. Methods: This cross-sectional study, part of the Stroke Arm Longitudinal Study (SALGOT) at the University of Gothenburg, included 80 participants with upper extremity impairments after stroke. The self-reported upper extremity functioning was assessed with ABILHAND and Stroke Impact Scale Hand (SIS Hand), and the observed... (More)
Background: The ABILHAND questionnaire is recommended to assess perceived manual ability after stroke; however, more knowledge on interpretability is needed to improve the clinical applicability. Objectives: To determine clinically meaningful cutoff scores for different levels of perceived manual ability, assessed by ABILHAND, corresponding to established observed and perceived upper extremity assessments post stroke. Methods: This cross-sectional study, part of the Stroke Arm Longitudinal Study (SALGOT) at the University of Gothenburg, included 80 participants with upper extremity impairments after stroke. The self-reported upper extremity functioning was assessed with ABILHAND and Stroke Impact Scale Hand (SIS Hand), and the observed functioning was assessed by Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT) at 3 months after stroke. Receiver operating characteristic curve, sensitivity, and specificity analyses were used to determine the cutoffs. Results: The overall discriminating accuracy was excellent (AUC > 0.90) for most of the cutoffs and sensitivity and specificity values ranged from 0.73 to 1.0. The ABILHAND cutoff score 1.78 discriminated well between low and good functioning resulting in a 95% match with SIS Hand and 87.5% match with ARAT and FMA-UE. Conclusions: The determined cutoff scores of the ABILHAND, validated through established upper extremity assessments, will provide a useful tool to clinicians when interpreting the logit scores and when selecting individualized treatment options. ABILHAND matched well with self-reported SIS Hand, but discrepancies found with observed scales implies that self-perceived assessments should be complemented with observed assessments.
(Less)
- author
- Ekstrand, Elisabeth
LU
; Alt Murphy, Margit and Sunnerhagen, Katharina S.
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Activities of daily living, outcome assessment, self report, stroke, upper extremity
- in
- Topics in Stroke Rehabilitation
- volume
- 30
- issue
- 1
- pages
- 21 - 31
- publisher
- Maney Publishing
- external identifiers
-
- pmid:34590536
- scopus:85116362269
- ISSN
- 1074-9357
- DOI
- 10.1080/10749357.2021.1978631
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2021 Taylor & Francis Group, LLC.
- id
- b91aaac1-54df-440d-870c-e30ed54d91c2
- date added to LUP
- 2021-10-25 15:15:50
- date last changed
- 2024-06-15 19:06:48
@article{b91aaac1-54df-440d-870c-e30ed54d91c2, abstract = {{<p>Background: The ABILHAND questionnaire is recommended to assess perceived manual ability after stroke; however, more knowledge on interpretability is needed to improve the clinical applicability. Objectives: To determine clinically meaningful cutoff scores for different levels of perceived manual ability, assessed by ABILHAND, corresponding to established observed and perceived upper extremity assessments post stroke. Methods: This cross-sectional study, part of the Stroke Arm Longitudinal Study (SALGOT) at the University of Gothenburg, included 80 participants with upper extremity impairments after stroke. The self-reported upper extremity functioning was assessed with ABILHAND and Stroke Impact Scale Hand (SIS Hand), and the observed functioning was assessed by Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT) at 3 months after stroke. Receiver operating characteristic curve, sensitivity, and specificity analyses were used to determine the cutoffs. Results: The overall discriminating accuracy was excellent (AUC > 0.90) for most of the cutoffs and sensitivity and specificity values ranged from 0.73 to 1.0. The ABILHAND cutoff score 1.78 discriminated well between low and good functioning resulting in a 95% match with SIS Hand and 87.5% match with ARAT and FMA-UE. Conclusions: The determined cutoff scores of the ABILHAND, validated through established upper extremity assessments, will provide a useful tool to clinicians when interpreting the logit scores and when selecting individualized treatment options. ABILHAND matched well with self-reported SIS Hand, but discrepancies found with observed scales implies that self-perceived assessments should be complemented with observed assessments.</p>}}, author = {{Ekstrand, Elisabeth and Alt Murphy, Margit and Sunnerhagen, Katharina S.}}, issn = {{1074-9357}}, keywords = {{Activities of daily living; outcome assessment; self report; stroke; upper extremity}}, language = {{eng}}, number = {{1}}, pages = {{21--31}}, publisher = {{Maney Publishing}}, series = {{Topics in Stroke Rehabilitation}}, title = {{Clinical interpretation and cutoff scores for manual ability measured by the ABILHAND questionnaire in people with stroke}}, url = {{http://dx.doi.org/10.1080/10749357.2021.1978631}}, doi = {{10.1080/10749357.2021.1978631}}, volume = {{30}}, year = {{2023}}, }