OBJECTIVE: To determine the reliability and validity of the capabilities of upper extremity test (CUE-T), a measure of functional limitations, in patients with chronic tetraplegia. DESIGN: Repeated measures. SETTING: Outpatient rehabilitation center. PARTICIPANTS: Fifty subjects (36 male/14 female) with spinal cord injury (SCI) of ≥1-year duration participated. Subjects were 17-81 years old (mean 48.1 ± 18.2); neurological levels ranged from C2 through T6, American Spinal Injury Association Impairment Scale grades A-D. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Intraclass correlation coefficients (ICC), weighted kappa and repeatability values for CUE-T; Spearman correlations of CUE-T with upper extremity motor scores (UEMS), and self-care and mobility portions of the Spinal Cord Independence Measure, vIII (SCIM III). RESULTS: Score ranges for UEMS were 8-50, CUE-T 7-135, self-care SCIM 0-20, and mobility SCIM 0-40. The ICC values for total, right, and left side scores were excellent (0.97-0.98; 95% confidence interval 0.96-0.99). Item weighted kappa values were ≥0.60 for all but five items, four of which were right and left pronation and supination. Repeatability of total score was 10.8 points, right and left sides 6.3 and 6.1 points. Spearman correlations of the total CUE-T with the UEMS and SCIM self-care and mobility scores were 0.83, 0.70, and 0.55 respectively. CONCLUSIONS: The CUE-T displays excellent test-retest reliability, and good-excellent correlation with impairment and capacity measures in persons with chronic SCI. After revising pronation and supination test procedures, the sensitivity to change should be determined.
OBJECTIVE: To determine the reliability and validity of the capabilities of upper extremity test (CUE-T), a measure of functional limitations, in patients with chronic tetraplegia. DESIGN: Repeated measures. SETTING:Outpatient rehabilitation center. PARTICIPANTS: Fifty subjects (36 male/14 female) with spinal cord injury (SCI) of ≥1-year duration participated. Subjects were 17-81 years old (mean 48.1 ± 18.2); neurological levels ranged from C2 through T6, American Spinal Injury Association Impairment Scale grades A-D. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Intraclass correlation coefficients (ICC), weighted kappa and repeatability values for CUE-T; Spearman correlations of CUE-T with upper extremity motor scores (UEMS), and self-care and mobility portions of the Spinal Cord Independence Measure, vIII (SCIM III). RESULTS: Score ranges for UEMS were 8-50, CUE-T 7-135, self-care SCIM 0-20, and mobility SCIM 0-40. The ICC values for total, right, and left side scores were excellent (0.97-0.98; 95% confidence interval 0.96-0.99). Item weighted kappa values were ≥0.60 for all but five items, four of which were right and left pronation and supination. Repeatability of total score was 10.8 points, right and left sides 6.3 and 6.1 points. Spearman correlations of the total CUE-T with the UEMS and SCIM self-care and mobility scores were 0.83, 0.70, and 0.55 respectively. CONCLUSIONS: The CUE-T displays excellent test-retest reliability, and good-excellent correlation with impairment and capacity measures in persons with chronic SCI. After revising pronation and supination test procedures, the sensitivity to change should be determined.
Entities:
Keywords:
Outcomes assessment; Quadriplegia; Reproducibility of results; Spinal cord injuries
Authors: Sukhvinder Kalsi-Ryan; Dorcas Beaton; Armin Curt; Susan Duff; Milos R Popovic; Claudia Rudhe; Michael G Fehlings; Mary C Verrier Journal: J Neurotrauma Date: 2011-08-12 Impact factor: 5.269
Authors: Ralph J Marino; Stephen Burns; Daniel E Graves; Benjamin E Leiby; Steven Kirshblum; Daniel P Lammertse Journal: Arch Phys Med Rehabil Date: 2011-03 Impact factor: 3.966
Authors: Ralph J Marino; Mary Patrick; Whitney Albright; Benjamin E Leiby; Mj Mulcahey; Mary Schmidt-Read; Stephen B Kern Journal: Am J Phys Med Rehabil Date: 2012-06 Impact factor: 2.159
Authors: J D Steeves; J K Kramer; J W Fawcett; J Cragg; D P Lammertse; A R Blight; R J Marino; J F Ditunno; W P Coleman; F H Geisler; J Guest; L Jones; S Burns; M Schubert; H J A van Hedel; A Curt Journal: Spinal Cord Date: 2010-08-17 Impact factor: 2.772
Authors: Kim Anderson; Sergio Aito; Michal Atkins; Fin Biering-Sørensen; Susan Charlifue; Armin Curt; John Ditunno; Clive Glass; Ralph Marino; Ruth Marshall; Mary Jane Mulcahey; Marcel Post; Gordana Savic; Giorgio Scivoletto; Amiram Catz Journal: J Spinal Cord Med Date: 2008 Impact factor: 1.985
Authors: Andrea L Behrman; Shelley A Trimble; Laura C Argetsinger; MacKenzie T Roberts; M J Mulcahey; Lisa Clayton; Mary E Gregg; Doug Lorenz; Elizabeth M Ardolino Journal: Top Spinal Cord Inj Rehabil Date: 2019
Authors: Ralph J Marino; Rebecca Sinko; Anne Bryden; Deborah Backus; David Chen; Gregory A Nemunaitis; Benjamin E Leiby Journal: Top Spinal Cord Inj Rehabil Date: 2018
Authors: Laura Krisa; Devon M Middleton; Sona Saksena; Scott H Faro; Benjamin E Leiby; Feroze B Mohamed; M J Mulcahey Journal: Top Spinal Cord Inj Rehabil Date: 2022-04-12
Authors: Michael G Fehlings; Kee D Kim; Bizhan Aarabi; Marco Rizzo; Lisa M Bond; Lisa McKerracher; Alexander R Vaccaro; David O Okonkwo Journal: J Neurotrauma Date: 2018-03-01 Impact factor: 5.269
Authors: Candace Tefertiller; Meghan Rozwod; Eric VandeGriend; Patricia Bartelt; Mitch Sevigny; Andrew C Smith Journal: Front Rehabil Sci Date: 2022-01-04