Development and determination of reliability, validity, and responsiveness. Upper extremity functional scale uefs the uefs is an 8item regionspecific prom of ue function. Nevertheless there is no spanish version of the lefs, so the aim of this study was the translation and. Upper extremity rehabilitation program using inertial sensors and virtual reality for patients with upper extremity hemiplegia due to disorders after stroke jenam kim1, munho ryu2,3, yoonseok yang2,3 and taekoon kim4 1department of healthcare engineering, chonbuk national university, 567 baekjedaero, deokjingu, jeonjusi, jeollabukdo 561756, republic of korea 2division of biomedical. Upper extremity functional scale sports therapy and rehabilitation. Please rate your progress with functional activities from start of therapy to this point in time. Lower extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb. Each body part is adjusted separately eg, hand, wrist, elbow, shoulder. Lower extremity functional scale rehabmeasures database. Upper extremity functional scale uefs patient name. Association between upper extremity dysfunction and sleep. We chose the uefs because it was the comparator used in the original uefi study. The license, which includes the quest manual and assessment form, can be purchased from the canchild estore. Each item is scored from 1 no problem to 10 major problem, for a total score ranging from 8 best state to 80 worst state.
There is a need for effective upper extremity ue poststroke rehabilitation approaches. You can read more about the scale and the original study in the text below the calculator. High construct validity of the lower extremity functional scale was demonstrated using rasch analysis. Assessment of upper extremity role functioning in students. Jan 21, 2020 the results revealed the unique role of sleep problems as immediate drivers of pain and depression and as longrange influences on functional disability and depressed mood. Upper extremity functional index uefi page 2 we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Scale development, measurement properties, and clinical application. Survey of upperextremity prosthesis users in sweden and the united kingdom. The lefs can be used by clinicians as a measure of patients initial function, ongoing progress and outcome, as well as to set functional goals.
The purpose of the questionnaire is to inquire about the clients current upper extremity functional status in a variety of activities. Assessment of upper extremity role functioning in students article in american journal of industrial medicine 411. Pdf current upper limb regional selfreport outcome measures are criticized for poor clinical utility, including length, ease, and time to. The aim of this preliminary study was to develop the tool and determine its content validity and interrater reliability. Many of the to principles were supported in the literature. Assessment of upper extremity function sciencedirect. Lower extremity functional scal stony brook southampton. Upper extremity functional index msu rehabilitation. Scale of 0 db 100 db is used below 0 and above 100 are taken as minimum 0 and maximum 100. Innovative methods to assess upper limb strength and function in nonambulant duchenne patients. Nov 01, 20 musculoskeletal upper extremity disorders are clinically important conditions. An outcome measure is the result of a test that is used to objectively determine the baseline function of a patient at the beginning of treatment. This upper extremity functional index uefi calculator evaluates the degree of impairment to day to day life activities like housekeeping due to upper limb disability and pain. Quantification of upper extremity function and range of.
The occupational therapy taskoriented to approach was described early in. The upper extremity impairment evaluation record, on pages 436437, also includes instruction. Research on these disorders requires psychometrically sound. The potential for functional recovery of upper extremity. The potential for functional recovery of upper extremity function following cervical spinal cord injury without major bone injury skip to main content thank you for visiting. These outcome measures covered gross motor movements and a.
An example using fuglmeyer assessmentupper extremity with patients following stroke craig a. Upper extremity rehabilitation program using inertial. To receive notifications of new articles from occupational therapy cafe, please subscribe below at the bottom of the page or send us an email. Watson, pt, ocs 1, micah propps, pt 2, jennifer ratner, pt 3, david l. Upper extremity orthotics in performing artists request pdf. Upper extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Assessment of upper extremity function either before or after surgical treatment has been a rapidly evolving field.
This page categorises all pages related to outcome measures. For california wc, we do not use regional impairment. Today, do you or would you have any difficulty with. The purpose of this paper is to describe the development of a clinical tool entitled selective control of the upper extremity scale. Jrrd volume 51, number 3, 2014 pages 3562 selfreported and performancebased outcomes using deka arm linda resnik, pt. Patients from nine australian outpatient settings completed the ulfi and two established scales, the disabilities of the arm, shoulder, and hand dash n 214 and the upper extremity functional scale uefs n 64 concurrently to enable construct and criterion validity to be assessed. The uefi is addressed to patients diagnosed with orthopaedic conditions that affect the upper limb shoulder, elbow, wrist or hand. Lower extremity functional scale cpr physical therapy in. Rasch analysis allowed us to improve the upper extremity functional status by rescoring to reduce the response categories from 5 to 4, and identifying 19 of 23 items that are useful to measure. Evaluates functional status in patients diagnosed with disorders of the lower extremity, based on 20 activities. Below the form there is more information on the items in the scale and how its scored. Pain functional scale pdf western ontario rotator cuff worc index. The lower extremity functional scale is used in the assessment of patients diagnosed with lower extremity disorders and disabilities.
Upper extremity function scale for upper extremity disorders. Effects of occupational therapy taskoriented approach in. Nov 19, 2008 the house functional classification system was designed to provide functional categories for patients with thumb. The lower extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. A reproducible, accurate, and valid assessment tool provides the ability to compare surgical interventions, evaluate physical therapy regimens, and assess novel assistive and restorative technologies. The occupational therapy taskoriented to approach was described early in the nineties of the past century. Association between upper extremity dysfunction and sleep disturbance in an elderly general population. The quality of upper extremity skills test is an outcome measure designed to evaluate movement patterns and hand function in children with cerebral palsy. Uefs upperextremity functional scale, unb university of new brunswick test of prosthetic function for unilateral amputees, va department of veterans affairs. Upper extremity functional index uefi page 1 source. In order to obtain reliable and sensitive outcome measures for upper limb strength, function and fatigue in nonambulant patients, we developed speci. The upper extremity functional index uefi is a selfadministered questionnaire which measures disability. Reliability and responsiveness of the lower extremity.
Today, do you or would you have any difficulty at all with. Nov 27, 20 concurrent validity of the lower extremity functional scale was excellent compared with the olerud mo lander ankle score at the short and mediumterm followups r 0. The upper extremity functional index evaluates the impairment the subject perceives they encounter when performing 20 types of activities of daily living. We are interested in knowing whether you are having any difficulty with the activities listed below because of your upper limb. Figure 161b, section ii, instructs to combine regional impairment of the upper extremity. Reliability and validity of two versions of the upper. Scale development, measurement properties, and clinical application, physical therapy, 1999, 79, 43783, with permission of the american physical therapy association. Translating measurement findings into rehabilitation.
Once treatment has commenced, the same instrument can be used to determine progress and treatment efficacy. Activities extreme difficulty or unable to perform activity. Quality of upper extremity skills test quest canchild. The upper extremity functional scale we are interested in knowing whether you are having any difficulty at all with the activities listed b elow because of your lower limb problem for which y ou are currently seeking attention. Development and initial validation of the upper extremity functional index. Conclusion the psfs is a valid, reliable, and responsive outcome measure for patients with upper extremity problems. Scale development measurement properties and clinical application. To examine the reliability, validity, and sensitivity to change of the 20item version and the rascined 15item version of the upper extremity functional index uefi20 and uefi15, respectively and to determine the impact of arm dominance on the positive minimal clinically important difference pmcid. It is the responsibility of every occupational therapist to protect our unique contribution of integrating occupational, taskoriented treatment in upper extremity impairment mitigation. Functional stability of transfemoral amputee gait using the 3r80 and total knee 2000 prosthetic knee units. To brace or not to bracea picture is worth 1770 words. We are interested in knowing whether you are having any difficulty at all with the activities listed below. The ability to determine the relationship between selective motor control and upper extremity function in children with unilateral cerebral palsy cp, and to measure the functional outcome and efficacy of interventions designed to improve selective motor control, has been limited by the lack of an objective, validated tool.
Jrrd volume 51, number 3, 2014 pages 3562 selfreported and performancebased outcomes using deka arm. Background upper extremity symptoms associated with use of computers and other upper extremity activities are common in students. Reliability and responsiveness of the lower extremity functional scale and the anterior knee pain scale in patients with anterior knee pain. The upper extremity function scale developed by pransky et al is a self. Innovative methods to assess upper limb strength and. The correlation with walking speed and stepping rate on stairs was moderate at the shortterm followup r 0. Development and preliminary reliability of the functional. Purpose the lower extremity functional scale lefs is a widely used questionnaire to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. The functional upper extremity levels fuel is a new classification tool to assess a persons upperextremity functional and physical performance after sustaining a stroke. With the move towards evidence based practice ebp in the health sciences. Jul 29, 2014 the upper extremity functional index uefi is a patientreported outcome measure prom for quantifying ue function 3 that has been used in several studies of people with musculoskeletal ue problems. Zeigler, pt, ms, atc, faaompt 4, patricia horton, pt 5, susan s.
An example using fuglmeyer assessmentupper extremity with patients. Disabilities of the arm, shoulder and hand dash instructions this questionnaire asks about your symptoms as well as your ability to perform certain activities. Regionspecific outcome measures for the entire upper extremity include, in order of frequency of citation, the disability of the arm, shoulder and hand dash and its shorter version, the quick dash, 2, 3, 16 the upper extremity functional scale uefs, 22 the upper extremity functional index uefi, 30 and the upper limb functional index. Please answer every question, based on your condition in the last week. To assess construct validity, the variance in activity limitation explained by the lower extremity functional scale was analyzed using principal components analysis of the residuals generated by the rasch analysis using winsteps software. A reproducible, accurate, and valid assessment tool provides the ability to compare surgical interventions, evaluate physical therapy regimens, and. American physical therapy association 1111 north fairfax street, alexandria, va 223141488 703684apta 2782 8009992782.
Results demonstrated that assessments were feasible in nearly all upper limbs tested for myogrip, myopinch and. It has long been recognized that smc also affects function of the upper extremity in children with cp. The upper extremity functional index uefi we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Bit of difficulty no difficulty the patients score is tallied at the bottom of the page. The upper extremity functional index uefi is a selfreport questionnaire that consists of 20 items that are rated on a 5point likert scale. Upper extremity functional scale we are interested in knowing whether you are having any difficulty with the activities listed below because of your upper limb problem for which you are currently seeking attention. Innovative methods to assess upper limb strength and function. Our results indicate that functional disability of upper extremities might influence the sleep condition of people in our study population. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. Jan 01, 2012 the objective of this study was to overcome recognized deficiencies in existing lowerlimb, regionspecific, patientreported outcome measures through. The upper extremity functional index uefi is a patient report outcome measure.
Pdf on mar 1, 2018, vanitha arumugam and others published upper extremity functional index find, read and cite all the research you. Raschvalidated version of the upper extremity functional. Lower extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Translating measurement findings into rehabilitation practice. Patients completed the psfs, upper extremity functional index uefi, and numeric pain rating scale nprs at baseline and followup, and were categorized as improved, stable, or worsened, using the global rating of change. It also can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. The upper extremity functional index uefi is a patient report outcome measure used to assess functionality in the upper extremities in individuals with upper limb dysfunction of musculoskeletal origin. A raschvalidated version of the upper extremity functional index for intervallevel measurement of upper extremity function. The objective of this study was to overcome recognized deficiencies in existing lowerlimb, regionspecific, patientreported outcome measures through.
357 1386 427 324 412 621 188 1055 874 363 1222 261 79 513 1300 1157 1467 335 1429 159 6 1471 72 936 935 826 644 1476 125 668 785 735 768 248 1205 307 1304 1399 911 113