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Timed activity performance in persons with upper limb amputation: A preliminary study.

Linda Resnik1, Mathew Borgia2, Frantzy Acluche2

  • 1Providence VA Medical Center, Providence, RI, USA; Health Services, Policy and Practice, Brown University, Providence, RI, USA.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|May 11, 2017
PubMed
Summary
This summary is machine-generated.

The Timed Measure of Activity Performance (T-MAP) shows good reliability for individuals with upper limb amputation. This tool helps assess how long daily tasks take, aiding in understanding participation in life roles.

Keywords:
AmputationDaily activitiesDisability evaluationMeasurementProstheticsUpper limb

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Area of Science:

  • Rehabilitation Science
  • Occupational Therapy
  • Prosthetics and Orthotics

Background:

  • Meaningful measures of activity performance are crucial for individuals with upper limb amputation.
  • The time taken to complete daily activities is a significant indicator of participation in life roles.

Purpose of the Study:

  • To develop and validate the Timed Measure of Activity Performance (T-MAP) for individuals with upper limb amputation.
  • To assess the T-MAP's internal consistency, test-retest reliability, and construct validity.
  • To compare T-MAP scores based on prosthesis use and amputation level.

Main Methods:

  • The T-MAP was administered to 55 subjects with upper limb amputation on two occasions within one week.
  • Internal consistency (Cronbach's alpha = 0.77) and test-retest reliability (ICC = 0.93) were evaluated.
  • Construct validity was examined by comparing scores across different amputation levels and correlating with other measures.

Main Results:

  • The T-MAP demonstrated adequate internal consistency and excellent test-retest reliability.
  • Timed activity performance scores varied significantly by amputation level.
  • Individuals using a prosthesis required more time to complete all tasks compared to non-prosthesis users.

Conclusions:

  • The T-MAP is a reliable and valid measure for assessing timed activity performance in individuals with upper limb amputation.
  • Findings support the T-MAP's utility in outcomes research for this population.
  • The measure can differentiate performance based on amputation level and prosthesis use.