Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]

Background Numerous tools are available for evaluation of upper limb (UL) functions among stroke survivors. Despite the excellent psychometric properties, many require considerable amount of time, are resource-intensive, and often impractical for bedside evaluation. Objectives To develop and concurr...

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Main Authors: Sampath Kumar Amaravadi, Vijayakumar Palaniswamy, Akshatha Nayak, Dhaval Pawani, Prasanna Mithra, Ashish John Prabhakar, Abraham M. Joshua
Format: Article
Language:English
Published: F1000 Research Ltd 2024-06-01
Series:F1000Research
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Online Access:https://f1000research.com/articles/13-565/v1
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author Sampath Kumar Amaravadi
Vijayakumar Palaniswamy
Akshatha Nayak
Dhaval Pawani
Prasanna Mithra
Ashish John Prabhakar
Abraham M. Joshua
author_facet Sampath Kumar Amaravadi
Vijayakumar Palaniswamy
Akshatha Nayak
Dhaval Pawani
Prasanna Mithra
Ashish John Prabhakar
Abraham M. Joshua
author_sort Sampath Kumar Amaravadi
collection DOAJ
description Background Numerous tools are available for evaluation of upper limb (UL) functions among stroke survivors. Despite the excellent psychometric properties, many require considerable amount of time, are resource-intensive, and often impractical for bedside evaluation. Objectives To develop and concurrently validate a simple, resource-efficient, and time-efficient bedside tool for evaluating UL function in stroke survivors. Methods Relevant literature review was carried out to conceptualize and define the theoretical framework of day-to-day UL movement tasks. Subsequently, an item pool of 18 UL movements was developed. A mini-Delphi method was employed to verify content validity. During the iterative rounds, 18-items were revised and refined to a 12-items scale. The final bedside upper limb evaluation tool (BUFET) scale underwent concurrent validation by correlating the scores with Wolf Motor Function Test (WMFT) scores using Spearman’s correlation coefficient. Internal consistency was evaluated through Cronbach’s alpha. Results Concurrent validity and internal consistency of the scale were supported by a high correlation coefficient (r = 0.937; p<0.001) with WMFT and high Cronbach’s alpha (0.948). Conclusions Newly developed BUFET was found to be a valid and reliable bedside tool in the evaluation of upper limb functions and can be administered in a resource and time-efficient manner.
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spelling doaj-art-ad59525fb1104c09800c8d0b6bd6e3312025-01-03T01:00:02ZengF1000 Research LtdF1000Research2046-14022024-06-0113164449Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]Sampath Kumar Amaravadi0Vijayakumar Palaniswamy1https://orcid.org/0009-0002-0628-5505Akshatha Nayak2Dhaval Pawani3Prasanna Mithra4https://orcid.org/0000-0002-7153-411XAshish John Prabhakar5Abraham M. Joshua6https://orcid.org/0000-0001-8492-0661Physiotherapy, School of Sport, Exercise, and Rehabilitation, University of Birmingham School, Birmingham, England, B15 2TT, UKPhysiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, IndiaPhysiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, IndiaPhysiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, IndiaCommunity Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, IndiaPhysiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, IndiaPhysiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, IndiaBackground Numerous tools are available for evaluation of upper limb (UL) functions among stroke survivors. Despite the excellent psychometric properties, many require considerable amount of time, are resource-intensive, and often impractical for bedside evaluation. Objectives To develop and concurrently validate a simple, resource-efficient, and time-efficient bedside tool for evaluating UL function in stroke survivors. Methods Relevant literature review was carried out to conceptualize and define the theoretical framework of day-to-day UL movement tasks. Subsequently, an item pool of 18 UL movements was developed. A mini-Delphi method was employed to verify content validity. During the iterative rounds, 18-items were revised and refined to a 12-items scale. The final bedside upper limb evaluation tool (BUFET) scale underwent concurrent validation by correlating the scores with Wolf Motor Function Test (WMFT) scores using Spearman’s correlation coefficient. Internal consistency was evaluated through Cronbach’s alpha. Results Concurrent validity and internal consistency of the scale were supported by a high correlation coefficient (r = 0.937; p<0.001) with WMFT and high Cronbach’s alpha (0.948). Conclusions Newly developed BUFET was found to be a valid and reliable bedside tool in the evaluation of upper limb functions and can be administered in a resource and time-efficient manner.https://f1000research.com/articles/13-565/v1Stroke Upper limb Outcome measures Bedside assessment Evaluation tool.eng
spellingShingle Sampath Kumar Amaravadi
Vijayakumar Palaniswamy
Akshatha Nayak
Dhaval Pawani
Prasanna Mithra
Ashish John Prabhakar
Abraham M. Joshua
Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]
F1000Research
Stroke
Upper limb
Outcome measures
Bedside assessment
Evaluation tool.
eng
title Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]
title_full Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]
title_fullStr Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]
title_full_unstemmed Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]
title_short Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study. [version 1; peer review: 2 approved]
title_sort development and validation of a bedside scale for assessing upper limb function following stroke a methodological study version 1 peer review 2 approved
topic Stroke
Upper limb
Outcome measures
Bedside assessment
Evaluation tool.
eng
url https://f1000research.com/articles/13-565/v1
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