A Preliminary Comparison of the Katrak Hand Movement Scale With the Upper Extremity Fugl Meyer Assessment Shows a Strong Correlation After Stroke

Ann Winkler, Paul Sunderland, Brendan Major, Natasha A. Lannin

Research output: Contribution to journalArticlepeer-review

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Abstract

Objective: To investigate the concurrent validity of the KHMS with the FMA-UE.

Design: The FMA-UE and the KHMS were administered to 50 adults with stroke to evaluate their concurrent validity.

Setting: Three tertiary rehabilitation hospitals. 

Participants: Participants were aged ≥18 years, receiving stroke or rehabilitation services from a participating hospital, and had a confirmed diagnosis of stroke (ischemic or hemorrhagic) with upper limb involvement. Fifty patients were recruited to the study (20 women, 30 men, N=50) with a mean age of 71 (SD 13.4, range 35-90) years. Time since stroke varied from 2 days to 187 months, with a median of 0.8 months. Interventions: Not applicable. 

Main Outcome Measures: Concurrent validity of the KHMS with the FMA-UE.

Results: A correlation of r=0.948 was found between the 2 scales (P=.0001). Moderate floor effects were noted in our sample (16%); however, significant ceiling effects were recorded (44%). 

Conclusion: The KHMS demonstrated a statistically strong correlation with the FMA-UE and holds promise for use, particularly in the clinical setting, to evaluate upper limb motor impairment after stroke.

Original languageEnglish
Article number100317
Number of pages4
JournalArchives of Rehabilitation Research and Clinical Translation
Volume6
Issue number1
DOIs
Publication statusPublished - Mar 2024
Externally publishedYes

Keywords

  • Disability evaluation
  • Functional status
  • Neuroscience
  • Rehabilitation
  • Stroke, Stroke rehabilitation
  • Upper extremity

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