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俄亥俄改良手臂运动能力测试(OMAAT):偏瘫性卒中上肢功能受限的优化测量方法

Ohio Modified Arm-Motor Ability Test (OMAAT): An Optimized Measure of Upper Extremity Functional Limitation in Hemiparetic Stroke.

作者信息

Persch Andrew C, Wagner Alexis, Fleming Mallory, Gugiu P Cristian, Page Stephen J

机构信息

Andrew C. Persch, PhD, OTR/L, BCP, is Assistant Professor, Division of Occupational Therapy, The Ohio State University, Columbus;

Alexis Wagner, MOT, OTR/L, is Student Research Assistant, Division of Occupational Therapy, The Ohio State University, Columbus.

出版信息

Am J Occup Ther. 2018 Jul/Aug;72(4):7204205030p1-7204205030p6. doi: 10.5014/ajot.2018.025445.

DOI:10.5014/ajot.2018.025445
PMID:29953837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8722480/
Abstract

This secondary analysis quantified the psychometric properties of the Ohio Modified Arm-Motor Ability Test (OMAAT) in a sample of neurologically stable chronic stroke survivors (n = 67, 40 men; mean age 59.8 yr, standard deviation = 12.8; 42 White, 23 Black, 2 other; 92.5% right-sided lesion; 44 ischemic stroke). Findings indicate high OMAAT internal consistency (Cronbach's α = .97, ordinal α = .98, Gugiu's bootstrap reliability = .97), unidimensionality, and strong positive factor loadings for all 20 OMAAT items. Convergent validity between OMAAT and Action Research Arm Test total scores was strong (r = .90, p < .0001). The OMAAT is the first short measure of upper extremity functional limitation available to clinicians and researchers that includes an administration manual and that has been examined using nonparametric psychometrics. A detailed administration manual is provided as a supplement to this article.

摘要

这项二次分析对俄亥俄改良手臂运动能力测试(OMAAT)在神经功能稳定的慢性卒中幸存者样本(n = 67,40名男性;平均年龄59.8岁,标准差 = 12.8;42名白人,23名黑人,2名其他种族;92.5%为右侧病变;44例缺血性卒中)中的心理测量学特性进行了量化。研究结果表明OMAAT具有较高的内部一致性(克朗巴哈α系数 = 0.97,序数α系数 = 0.98,古吉乌自助法可靠性 = 0.97)、单维度性,并且OMAAT的所有20个项目都具有很强的正向因子载荷。OMAAT与动作研究手臂测试总分之间的收敛效度很强(r = 0.90,p < 0.0001)。OMAAT是临床医生和研究人员可获得的首个用于评估上肢功能受限的简短测量工具,它包含一份施测手册,并且已使用非参数心理测量学方法进行了检验。本文提供了一份详细的施测手册作为补充内容。

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本文引用的文献

1
Clinically Important Difference of the Arm Motor Ability Test in Stroke Survivors.中风幸存者手臂运动能力测试的临床重要差异
Neurorehabil Neural Repair. 2017 Mar;31(3):272-279. doi: 10.1177/1545968316680486. Epub 2016 Nov 24.
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Epidural Electrical Stimulation for Stroke Rehabilitation: Results of the Prospective, Multicenter, Randomized, Single-Blinded Everest Trial.硬膜外电刺激用于中风康复:前瞻性、多中心、随机、单盲珠穆朗玛峰试验的结果
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The effect of EMG triggered electrical stimulation plus task practice on arm function in chronic stroke patients with moderate-severe arm deficits.肌电图触发电刺激联合任务练习对中重度上肢运动功能障碍的慢性脑卒中患者上肢功能的影响。
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Recruitment, retention, and blinding in clinical trials.临床试验中的招募、保留和盲法。
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A new look at Horn's parallel analysis with ordinal variables.探讨有序变量的 Horn 平行分析的新方法。
Psychol Methods. 2013 Dec;18(4):454-74. doi: 10.1037/a0030005. Epub 2012 Oct 8.
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Longer versus shorter daily durations of electrical stimulation during task-specific practice in moderately impaired stroke.在中等程度受损的中风患者中,特定任务练习期间的电刺激每日时长较长与较短的比较。
Arch Phys Med Rehabil. 2012 Feb;93(2):200-6. doi: 10.1016/j.apmr.2011.09.016.
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Dimensionality assessment of ordered polytomous items with parallel analysis.采用平行分析对有序多项条目进行维度评估。
Psychol Methods. 2011 Jun;16(2):209-20. doi: 10.1037/a0023353.
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Clinical implications of using the arm motor ability test in stroke rehabilitation.使用手臂运动能力测试在脑卒中康复中的临床意义。
Arch Phys Med Rehabil. 2011 May;92(5):830-6. doi: 10.1016/j.apmr.2010.09.020. Epub 2011 Mar 23.
10
Multiple imputation using chained equations: Issues and guidance for practice.使用链式方程进行多重插补:实践中的问题和指导。
Stat Med. 2011 Feb 20;30(4):377-99. doi: 10.1002/sim.4067. Epub 2010 Nov 30.