TY - JOUR
T1 - Can quality of movement be measured? Rasch analysis and inter-rater reliability of the Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES)
AU - Van de Winckel, Ann
AU - Feys, Hilde
AU - Van Der Knaap, Suzan
AU - Messerli, Ruth
AU - Baronti, Fabio
AU - Lehmann, Ruth
AU - Van Hemelrijk, Bart
AU - Pantè, Franca
AU - Perfetti, Carlo
AU - De Weerdt, Willy
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2006
Y1 - 2006
N2 - Objective: Clinical scales evaluating arm function after stroke are weak at detecting quality of movement. Therefore a new scale, the Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES), was developed, comprising 22 items pertaining to arm and hand performance. The scale was investigated for validity and unidimensionality using the Rasch measurement model, and for inter-rater reliability. Setting: Twelve hospitals and rehabilitation centres in Belgium, Germany and Switzerland. Patients: There were 396 patients (average age 63.38 ± 12.89 years) in the Rasch study and 56 patients (average age 65.68 ± 12.75 years) in the reliability study. Main measures: The scale was examined on its fit to the Rasch model, thereby evaluating the scale's unidimensionality and validity. Differential item functioning was performed to test the stability of item hierarchy on several variables. Inter-rater reliability was examined with kappa values, weighted percentage agreement and intraclass correlation coefficients (ICC). Results: Based on Rasch analysis, five items were removed. The MESUPES was divided in two tests: the MESUPES-arm test (8 items) and MESUPES-hand test (9 items). Both scales fitted the Rasch model. All items were stable among the subgroups of the sample. ICCs were 0.95 (95% confidence interval (CI) 0.91-0.97) and 0.97 (95% CI 0.95-0.98) for the total score on arm and hand test respectively. The scale was also reliable at item level (weighted kappa 0.62-0.79, weighted percentage agreement 85.71-98.21). Conclusion: The MESUPES-arm and MESUPES-hand meet the statistical properties of reliability, validity and unidimensionality. Both tests provide a useful clinical and research tool to qualitatively evaluate arm and hand function during recovery after stroke.
AB - Objective: Clinical scales evaluating arm function after stroke are weak at detecting quality of movement. Therefore a new scale, the Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES), was developed, comprising 22 items pertaining to arm and hand performance. The scale was investigated for validity and unidimensionality using the Rasch measurement model, and for inter-rater reliability. Setting: Twelve hospitals and rehabilitation centres in Belgium, Germany and Switzerland. Patients: There were 396 patients (average age 63.38 ± 12.89 years) in the Rasch study and 56 patients (average age 65.68 ± 12.75 years) in the reliability study. Main measures: The scale was examined on its fit to the Rasch model, thereby evaluating the scale's unidimensionality and validity. Differential item functioning was performed to test the stability of item hierarchy on several variables. Inter-rater reliability was examined with kappa values, weighted percentage agreement and intraclass correlation coefficients (ICC). Results: Based on Rasch analysis, five items were removed. The MESUPES was divided in two tests: the MESUPES-arm test (8 items) and MESUPES-hand test (9 items). Both scales fitted the Rasch model. All items were stable among the subgroups of the sample. ICCs were 0.95 (95% confidence interval (CI) 0.91-0.97) and 0.97 (95% CI 0.95-0.98) for the total score on arm and hand test respectively. The scale was also reliable at item level (weighted kappa 0.62-0.79, weighted percentage agreement 85.71-98.21). Conclusion: The MESUPES-arm and MESUPES-hand meet the statistical properties of reliability, validity and unidimensionality. Both tests provide a useful clinical and research tool to qualitatively evaluate arm and hand function during recovery after stroke.
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U2 - 10.1177/0269215506072181
DO - 10.1177/0269215506072181
M3 - Article
C2 - 17008339
AN - SCOPUS:34250612670
SN - 0269-2155
VL - 20
SP - 871
EP - 884
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
IS - 10
ER -