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Brief activity performance measure for upper limb amputees - BAM ULA

RESNIK L; BORGIA M; ACLUCHE F
PROSTHET ORTHOT INT , 2018, vol. 42, n° 1, p. 75-83
Doc n°: 187062
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364616684196
Descripteurs : EB2 - AMPUTATION DU MEMBRE SUPERIEUR

Measures of activity performance for adults with upper limb
amputation are needed.
The purposes of this study were to evaluate the
measurement properties of a new measure of activity performance for adults with
upper limb amputation, which we call the Brief Activity Measure for Upper Limb
Amputees (BAM-ULA) and to compare BAM-ULA scores for users of different types of
prostheses. METHODS: In all, 35 persons with upper limb amputation were
administered the BAM-ULA, twice within 1 week. Internal consistency and
test-retest reliability were evaluated. Construct validity was examined by
comparing scores by amputation level. Concurrent validity was evaluated by
examining correlations with other measures. Exploratory analyses using linear
regression compared sub-group scores for users of myoelectric and body-powered
devices, and for users of single-degree-of-freedom and multi-articulating
devices, controlling for amputation level. RESULTS: The scale alpha was 0.83;
intraclass correlation coefficient was 0.91. Item scores differed by amputation
level and device type. Persons with transradial amputation completed more items
than those with amputations at the transhumeral or shoulder level ( p < 0.05).
Users of myoelectric devices completed more items than users of body-powered
devices ( p < 0.05). The BAM-ULA strongly correlated with the Activities Measure
for Upper Limb Amputees; R = 0.86) and three modified Jebsen-Taylor Hand Function
Tests ( R = 0.62-0.68) and moderately correlated with one Jebsen-Taylor Hand
Function Test ( R = 0.46) as well as with the Wong-Baker FACES Pain Rating Scale.
No differences in scores were found by degree of freedom of the terminal device
after controlling for amputation level. CONCLUSION: Analyses support reliability,
construct validity, and concurrent validity of the Brief Activity Measure for
Upper Limb Amputees. This new briefer measure is easier to score than the
Activities Measure for Upper Limb Amputees. Clinical relevance This article
reported on the development and evaluation of a brief 10-item measure of activity
performance for persons with upper limb impairment, the BAM-ULA. The BAM-ULA
takes 10 min to administer and has a simple scoring method, which may facilitate
its adoption by clinicians in the field.

Langue : ANGLAIS

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