TY - JOUR
T1 - Psychometric Properties of the Chinese (Cantonese) Version of the Upper Extremity Functional Index in People with Chronic Stroke
AU - Pan, Hong
AU - Ng, Sheung Mei Shamay
AU - Liu, Tai Wa
AU - Tsoh, Joshua
AU - Wong, Wai Lung
N1 - Funding Information:
This study was supported by the Health and Medical Research Fund (17182001), Food and Health Bureau, Hong Kong SAR Government, awarded to SN and her team.
Publisher Copyright:
Copyright © 2023 Pan, Ng, Liu, Tsoh and Wong.
PY - 2023/2/24
Y1 - 2023/2/24
N2 - Objective: To culturally adapt and examine the psychometric properties of the Chinese (Cantonese) version of the Upper Extremity Functional Index (C-UEFI) in people with chronic stroke. Design: Cross-sectional study. Settings: University-affiliated neurorehabilitation research laboratory. Participants: The participants (N = 151) were people with chronic stroke (N = 101) and healthy controls (n = 50). Main outcome measures: We assessed the C-UEFI, Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT), Six-Minute Walk Test (6MWT), Motor Activity Log (MAL), Activity-Specific Balance Confidence (ABC) scale, Lawton Instrumental Activities of Daily Living (IADL) scale, Survey of Activities and Fear of Falling in the Elderly (SAFFE), Stroke Impact Scale (SIS) and Community Integration Measure (CIM) as outcome measures. Results: The C-UEFI items demonstrated good test–retest reliability (intraclass correlation coefficient [ICC]
3, 1 = 0.872) and excellent internal consistency (Cronbach's α = 0.922). People with chronic stroke had poorer C-UEFI scores than the healthy controls. The overall C-UEFI mean score of 101 people with stroke was significantly correlated with the mean scores of the FMA-UE, WMFT, MAL, ABC scale, IADL scale, SAFFE, SIS and CIM and the distance covered in the 6MWT. The C-UEFI cut-off score to distinguish between people with chronic stroke and healthy older adults according to upper extremity function was 57.5 out of 59 (sensitivity: 88.1%; specificity: 84%). The C-UEFI had good content validity, with an acceptable fit to the two-factor structure model. Conclusions: The C-UEFI is reliable and valid for assessing functional recovery of upper extremity activity in Chinese people with chronic stroke.
AB - Objective: To culturally adapt and examine the psychometric properties of the Chinese (Cantonese) version of the Upper Extremity Functional Index (C-UEFI) in people with chronic stroke. Design: Cross-sectional study. Settings: University-affiliated neurorehabilitation research laboratory. Participants: The participants (N = 151) were people with chronic stroke (N = 101) and healthy controls (n = 50). Main outcome measures: We assessed the C-UEFI, Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT), Six-Minute Walk Test (6MWT), Motor Activity Log (MAL), Activity-Specific Balance Confidence (ABC) scale, Lawton Instrumental Activities of Daily Living (IADL) scale, Survey of Activities and Fear of Falling in the Elderly (SAFFE), Stroke Impact Scale (SIS) and Community Integration Measure (CIM) as outcome measures. Results: The C-UEFI items demonstrated good test–retest reliability (intraclass correlation coefficient [ICC]
3, 1 = 0.872) and excellent internal consistency (Cronbach's α = 0.922). People with chronic stroke had poorer C-UEFI scores than the healthy controls. The overall C-UEFI mean score of 101 people with stroke was significantly correlated with the mean scores of the FMA-UE, WMFT, MAL, ABC scale, IADL scale, SAFFE, SIS and CIM and the distance covered in the 6MWT. The C-UEFI cut-off score to distinguish between people with chronic stroke and healthy older adults according to upper extremity function was 57.5 out of 59 (sensitivity: 88.1%; specificity: 84%). The C-UEFI had good content validity, with an acceptable fit to the two-factor structure model. Conclusions: The C-UEFI is reliable and valid for assessing functional recovery of upper extremity activity in Chinese people with chronic stroke.
KW - Upper Extremity Functional Index
KW - psychometrics
KW - rehabilitation
KW - stroke
KW - upper extremity
UR - http://www.scopus.com/inward/record.url?scp=85149837581&partnerID=8YFLogxK
U2 - 10.3389/fneur.2023.989403
DO - 10.3389/fneur.2023.989403
M3 - Journal article
SN - 1664-2295
VL - 14
SP - 1
EP - 13
JO - Frontiers in Neurology
JF - Frontiers in Neurology
M1 - 989403
ER -