Hong Ickpyo, Bonilha Heather S
aDivision of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch at Galveston, Galveston, Texas bDepartment of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, South Carolina, USA.
Int J Rehabil Res. 2017 Mar;40(1):1-10. doi: 10.1097/MRR.0000000000000202.
The aim of this study was to provide a systematic review of psychometric studies of upper extremity (UE) outcome measures validated by Rasch analysis and assess the extent to which their measurement areas cover the domains of the International Classification of Functioning, Disability and Health model. A literature search from 1966 to 2014 was performed using PubMed, CINAHL, Scopus, PsycINFO, Ovid/MEDLINE, ERIC, and Cochrane library. Fourteen keywords indicating 'upper extremity', 'psychometric properties', and 'outcome measures' were used. From a total of 1039 studies, 17 UE impairment outcome measures that fulfilled the inclusion criteria were selected and reviewed. The instruments targeted adults with various neurological or orthopedic conditions (i.e. stroke, upper and lower extremity impairments, and back pain). Twelve instruments targeted the body structure/function domain and 11 instruments targeted the activity domain of the International Classification of Functioning, Disability and Health model. Only two instruments targeted the participation domain. All outcome measures showed reasonably sound psychometric properties, including construct validity (good fit statistic), moderate to high reliability (r=0.86-0.99), and sound dimensionality (unidimensional). The reviewed psychometric properties of UE outcome measures are useful for clinicians in deciding which measures to use to assess patients' UE impairments.
本研究旨在对经拉施分析验证的上肢（UE）结局指标的心理测量学研究进行系统综述，并评估其测量领域覆盖《国际功能、残疾和健康分类》模型各领域的程度。使用PubMed、CINAHL、Scopus、PsycINFO、Ovid/MEDLINE、ERIC和Cochrane图书馆对1966年至2014年的文献进行检索。使用了14个表示“上肢”“心理测量学特性”和“结局指标”的关键词。从总共1039项研究中，选择并综述了17项符合纳入标准的上肢损伤结局指标。这些工具针对患有各种神经或骨科疾病的成年人（即中风、上肢和下肢损伤以及背痛）。12种工具针对《国际功能、残疾和健康分类》模型的身体结构/功能领域，11种工具针对活动领域。只有两种工具针对参与领域。所有结局指标均显示出合理可靠的心理测量学特性，包括结构效度（良好的拟合统计量）、中度至高度可靠性（r=0.86-0.99）和良好的维度性（单维度）。上肢结局指标的综述心理测量学特性有助于临床医生决定使用哪些指标来评估患者的上肢损伤。
