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Functional test for the hemiparetic upper extremity.

D J Wilson, L L Baker, J A Craddock

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |March 1, 1984
    PubMed
    Summary
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    A new Functional Test accurately assesses upper extremity function in hemiparetic patients after stroke. This reliable tool integrates objective measures for immediate rehabilitation insights.

    Area of Science:

    • Neurology
    • Rehabilitation Medicine
    • Physical Therapy

    Background:

    • Hemiparetic patients often exhibit impaired upper extremity function post-stroke.
    • Objective assessment of integrated upper extremity function is crucial for effective rehabilitation planning.

    Purpose of the Study:

    • To introduce and validate a novel Functional Test for evaluating adult hemiparetic upper extremity function.
    • To assess the reliability and validity of the Functional Test in a clinical rehabilitation setting.

    Main Methods:

    • Development of the Functional Test to evaluate integrated upper extremity function.
    • Administration of the Functional Test to 82 hemiparetic stroke patients undergoing rehabilitation.
    • Comparison of Functional Test scores with a battery of six objective test measures.

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  • Assessment of interrater reliability through sequential testing by two examiners.

    • Main Results:

    • The Functional Test demonstrated high interrater reliability.
    • The Functional Test score explained 87% of the variance in scores from six objective measures.
    • The test provides an accurate and immediate assessment of upper extremity capabilities.

    Conclusions:

    • The Functional Test is a valid and reliable tool for assessing functional use of the hemiparetic upper extremity.
    • The test integrates information from objective assessments, offering a comprehensive evaluation.
    • The Functional Test is practical for use in various treatment settings, requiring approximately 30 minutes for administration.