Measurement properties of the short version of the van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury

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Post, M.W.M. and Lieshout, G. van and Seelen, H.A.M. and Snoek, G.J. and IJzerman, M.J. and Pons, C. (2006) Measurement properties of the short version of the van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury. Spinal Cord, 44 (12). pp. 763-771. ISSN 1362-4393

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Abstract:Study design: Two validation studies.

Objectives: To assess the measurement properties of the short version of the Van Lieshout test (VLT-SV), a new test for arm/hand function of persons with tetraplegia after spinal cord injury (SCI).

Setting: Two specialized rehabilitation centres in The Netherlands.

Methods: Study 1 (N=12) – assessment of inter-rater reliability (intraclass correlations (ICC); weighted kappa; Bland–Altman plots). Study 2 (N=55) – assessment of convergent validity by computing Spearman's correlations with the Grasp-Release test (GRT; criterion standard) and with motor level of injury, ASIA impairment scale, international classification for surgery of the hand, and the self-care and transfer scales of the functional independence measure. All statistics were computed separately for the right- and the left-hand scores.

Results: Inter-rater reliability was excellent (ICC 0.98 and 0.99). Agreement was independent of the height of the scores and the limits of agreement were 0.5 points on a 0–5 scale. Convergent validity was very good with a Spearman correlation of 0.87and 0.90 between the VLT-SV and the GRT and correlations between 0.35 and 0.85 with the other indicators of arm/hand function.

Conclusion: The VLT-SV seems a reliable and valid test to assess arm/hand function of persons with tetraplegia after SCI.

Keywords: spinal cord injuries, tetraplegia, reproducibility of results, validation study, upper extremity

Item Type:Article
Copyright:© 2006 Nature Publishing Group
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Management and Governance (SMG)
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Link to this item:http://purl.utwente.nl/publications/63935
Official URL:http://dx.doi.org/10.1038/sj.sc.3101937
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