Reliability of the Modified Frenchay Scale for the Assessment of Upper Limb Function in Adults With Hemiparesis.
Arch Phys Med Rehabil
; 104(10): 1596-1605, 2023 10.
Article
in En
| MEDLINE
| ID: mdl-37121532
ABSTRACT
OBJECTIVES:
To investigate the reliability of the Modified Frenchay Scale (MFS) in adults with hemiparesis.DESIGN:
Prospective analysis of videos.SETTING:
Study conducted in a Neurorehabilitation Unit of a University Hospital.PARTICIPANTS:
Fifty-one patients (17 women [33%], age 46±15, time since injury 5.2±6.7 years) with hemiparesis secondary to stroke (N=47), tumor (N=3), or spinal cord injury (N=1) were enrolled. INTERVENTION The MFS measures active upper limb function in spastic hemiparesis based on a video recording of 10 daily living tasks, each rated from 0 to 10. Six tasks are bimanual and 4 are unimanual with the paretic hand. MFS videos performed in routine care of patients with hemiparesis between 2015 and 2021 were collected. After a 3-hour group training session, each MFS video was assessed twice, 1 week apart by 4 rehabilitation professionals with various levels of experience in using the scale. MAIN OUTCOMEMEASURES:
Internal consistency was determined using Cronbach's alpha. Intra- and inter-rater reliability was measured using intraclass correlation coefficients (ICC, mean [95% CI]), mean differences between ratings and minimal detectable change (MDC). Bland-Altman plots were also performed for inter-rater assessments.RESULTS:
The mean overall MFS score was 4.95±1.20 with no floor or ceiling effect. Cronbach's α was 0.97. For the overall MFS score, intra- and inter-rater ICCs were 0.99[0.99;1.00] and 0.97[0.95;0.98], respectively; mean intra- and inter-rater differences were 0.10±0.04 and 0.24±0.12, respectively; and MDC were 0.17 and 0.37, respectively.CONCLUSIONS:
The MFS is an internally consistent and reliable scale to assess upper limb function in adults with hemiparesis.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stroke
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Upper Extremity
Limits:
Adult
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Female
/
Humans
/
Middle aged
Language:
En
Journal:
Arch Phys Med Rehabil
Year:
2023
Document type:
Article