Literature DB >> 19929121

A behavioral observation system for quantifying arm activity in daily life after stroke.

Gitendra Uswatte1, Laura Hobbs Qadri.   

Abstract

OBJECTIVE: Evaluate psychometric properties of the Functional Arm Activity Behavioral Observation System (FAABOS) for measuring hemiparetic arm use. PARTICIPANTS AND MEASURES: All participants acquired their brain injury > 1 year prior to study entry; most had mild-to-moderate upper-extremity hemiparesis. In Study 1, 9 stroke survivors wore accelerometers and were videotaped for 15 min in the hospital or at home after they were asked to behave as usual. In Study 2, 1 traumatic brain injury and 8 stroke survivors wore accelerometers and were videotaped at home for 3 days with a motion-triggered camera. Observers independently rated 15-min segments of the Study 1 and 2 videotapes in 2-s blocks with a 4-step arm-activity coding scheme.
RESULTS: Interrater reliability was excellent; the mean Cohen's kappa in each study was > or = .84. For data from both studies combined, validity was supported by a strong correlation between amount of hemiparetic arm functional activity, as determined by the observers, and the ratio of hemiparetic to other arm movement, as determined by accelerometry.
CONCLUSION: FAABOS reliably and validly quantifies amount of spontaneous hemiparetic arm activity outside the laboratory.

Entities:  

Mesh:

Year:  2009        PMID: 19929121      PMCID: PMC2799120          DOI: 10.1037/a0017501

Source DB:  PubMed          Journal:  Rehabil Psychol        ISSN: 0090-5550


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