《手动能力测定-36 量表（MAM-36）的反应性：使用自我报告和临床医生评定评估手部功能的变化》。

Responsiveness of the Manual Ability Measure-36 (MAM-36): changes in hand function using self-reported and clinician-rated assessments.

机构信息

Christine C. Chen, MA, MS, ScD, OTR/L, FAOTA, is Associate Professor, Department of Rehabilitation and Regenerative Medicine (Occupational Therapy), College of Physicians and Surgeons, Columbia University, 710 West 168th Street, Eighth Floor, New York, NY 10032;

Orit Palmon, MS, OTR, is Adjunct Lecturer, Department of Occupational Therapy, University of Haifa, Haifa, Israel, and Occupational Therapist, Linn Medical Center, Clalit Medical Services, Haifa, Israel.

出版信息

Am J Occup Ther. 2014 Mar-Apr;68(2):187-93. doi: 10.5014/ajot.2014.009258.

DOI:10.5014/ajot.2014.009258

PMID:24581405

Abstract

OBJECTIVE. To examine the responsiveness of the Manual Ability Measure-36 (MAM-36) compared with a clinician-administered functional assessment. METHOD. The MAM-36 was administered to 46 patients (Cohort A, n = 20; Cohort B, n = 26) with various upper-extremity conditions. All patients received occupational therapy intervention for 2-37 wk and were retested at discharge. Additionally, the Smith Hand Function Test (SHFT), including task performance speeds and grip strength measurements, was administered to Cohort B at intake and discharge. RESULTS. Manual ability improved significantly at discharge in all patients. Patients also showed significant improvement on the SHFT. The correlation between gain in MAM-36 and gain in grip strength was moderate. The standardized response mean for the MAM-36 was 1.18. CONCLUSION. The MAM-36 was responsive to changes in hand function in patients receiving occupational therapy services. MAM-36 results correlated positively with improvements in task performance speeds and grip strength.

摘要

目的。检验手动能力测量-36 量表（MAM-36）与临床医生管理的功能评估的反应能力。方法。MAM-36 量表被用于 46 名具有不同上肢状况的患者（队列 A，n = 20；队列 B，n = 26）。所有患者接受 2-37 周的职业治疗干预，并在出院时进行再次测试。此外，在队列 B 的入院和出院时，还进行了包括任务表现速度和握力测量的 Smith 手功能测试（SHFT）。结果。所有患者在出院时的手动能力都有显著提高。患者在 SHFT 上也表现出显著的改善。MAM-36 增益与握力增益之间的相关性适中。MAM-36 的标准化反应均值为 1.18。结论。MAM-36 在手接受职业治疗服务的患者的手功能变化方面具有反应能力。MAM-36 的结果与任务表现速度和握力的改善呈正相关。