An overview of systematic reviews on upper extremity outcome measures after stroke

BMC Neurology

Table 4 Summary of psychometric properties and clinical utility of the outcome measures of activity limitation that met the standards or criteria set for the psychometric properties by the authors of the reviews

	BBT		ARAT		CAHAI		WMFT	ABILHAND		FAT		MAS		NHPT
References	[31]	[14]	[31,32]	[14,35,38]	[21,23]	[14]	[14,38,35]	[21,22]	[14,35]	[37]	[14]	[32]	[14]	[32]	[14]
Psychometric properties
Content validity					+			+							NA
Internal consistency				***	+		***	+							NA
Construct validity		***	+	**	+	***	***	+	**		NR	+	***	+	***
Concurrent validity	+		+		+		***	+		+		+		+
Floor/ceiling effect		NR		*		NR	*		*		*		NR		NR
Intra-rater/test-retest reliability	+	***	+	***	+	NR	***	+		+	***		***	+
Inter-rater reliability	+	***	+	***	+	***	***	+	***		***	+	***	+	***
Responsiveness		NR		**	+	***	**	+	**	*			NR		NR
MCID, points, seconds		6 blocks		6p		6.3p	12p		0.26-0.35 logits^a,d				NR		32.8 s
MCID, points, seconds		6 blocks		12-17p^c		6.3p	0.14-1.2p^a,b,c		0.26-0.35 logits^a,d				NR		32.8 s
MDC/SDD/SRD	+		+							1.3p					32.8 s
Clinical utility
Time to administer, minutes		2		10		25	10-12		≥10	5-10			20-30		2
Administration burden		***		**		**	**		**		***		**		***

+Met the criteria set by the authors of the reviews (not graded); ***high/excellent/very good; **moderate/good/adequate; *low/poor; ^aequal to effect size 0.2, ^bclinical scale anchor, ^cglobal rating, ^dpercentage of recovery (Simpson [35]); empty space, not covered by the reviews; Administration burden includes: administration, scoring, interpretation and cost. Abbreviations: NA Not applicable, NR not reported, MCID minimal clinically important difference, MDC minimal detectable change, SDD smallest detectable difference, SRD smallest real difference, BBT Box and Block Test, ARAT Action Research Arm Test, CAHAI Chedoke Arm Hand Activity Inventory, WMFT Wolf Motor Function Test, FAT Frenchay Arm Test, MAS Motor Assessment Scale, NHPT Nine Hole Peg Test, BBT, ARAT, CAHAI, WMFT, ABILHAND demonstrated a high level of measurement quality and clinical utility.

ISSN: 1471-2377