Article

There is limited research on responsiveness of prosthetic
rehabilitation outcome measures. OBJECTIVES: To examine responsiveness of the Box
and Block test, Jebsen-Taylor Hand Function tests, Upper Extremity Functional
Scale, University of New Brunswick skill and spontaneity tests, Activity Measure
for Upper Limb Amputation, and the Patient-Specific Functional Scale. STUDY DESIGN: This was a quasi-experimental study with repeated measurements in a
convenience sample of upper limb amputees. METHODS: Measures were collected
before, during, and after training with the DEKA Arm. RESULTS: Largest effect
sizes were observed for Patient-Specific Functional Scale (effect size: 1.59,
confidence interval: 1.00, 2.14), Activity Measure for Upper Limb Amputation
(effect size: 1.33, confidence interval: 0.73, 1.90), and University of New
Brunswick skill test (effect size: 1.18, confidence interval: 0.61, 1.73). Other
measures that were responsive to change were Box and Block test, Jebsen-Taylor
Hand Function light and heavy can tests, and University of New Brunswick
spontaneity test. Responsiveness and pattern of responsiveness varied by
prosthetic level. CONCLUSIONS: The Box and Block test, Jebsen-Taylor Hand
Function light and heavy can tests, University of New Brunswick skill and
spontaneity tests, Activities Measure for Upper Limb Amputation, and the
Patient-Specific Functional Scale were responsive to change during prosthetic
training. These findings have implications for choice of measures for research
and practice and inform clinicians about the amount of training necessary to
maximize outcomes with the DEKA Arm. CLINICAL RELEVANCE: Findings on
responsiveness of outcome measures have implications for the choice of measures
for clinical trials and practice. Findings regarding the responsiveness to change
over the course of training can inform clinicians about the amount of training
that may be necessary to maximize specific outcomes with the DEKA Arm.
CI - (c) The International Society for Prosthetics and Orthotics 2014.

Langue : ANGLAIS