Article

The objective of this study was to evaluate the responsiveness of the revised Capabilities of
Upper Extremity-Questionnaire (CUE-Q), in which the item responses were reduced
from seven to five levels, relative to the upper extremity motor score (UEMS) and
to the self-care subscale of Functional Independence Measure (FIMsc). METHODS: A
total of 46 subjects with acute traumatic tetraplegia, 19 motor complete, 27
motor incomplete, completed the revised CUE-Q, UEMS and FIMsc at admission and
discharge from rehabilitation. RESULTS: Subjects were mostly male (n=42) and
Caucasian (n=27). The mean age was 44+/-21 years. Predominant etiologies were
falls (n=18) and motor vehicle accidents (n=17). During rehabilitation, mean
CUE-Q scores increased from 49.8+/-30.8 to 73.7+/-36.3, UEMS increased from
19.6+/-11.9 to 26.3+/-13.4, and FIMsc increased from 9.8+/-5.1 to 21.5+/-9.7. At
admission and discharge, CUE scores had excellent to good Spearman correlations
(rs) with UEMS (rs=0.89, 0.70) and FIMsc (rs=0.73, 0.80), but change scores had
little to moderate correlations (CUE-UEMS, rs=0.07; CUE-FIMsc, rs=0.51),
suggesting that the CUE, UEMS and FIM measure related but different constructs.
Effect size of the change score was 0.92 for CUE-Q, 0.87 for UEMS and 1.38 for
FIMsc. This compares to an effect size of 0.73 for the original 7-level response
CUE-Q. CONCLUSION: The simplified response set of the CUE-Q maintains the
responsiveness of the original version, whereas it increases the ease of use for
the patient.

Langue : ANGLAIS