中国卒中杂志2024，Vol.19Issue(8)：915-923,9.DOI:10.3969/j.issn.1673-5765.2024.08.009
上肢动作研究测试量表评定亚急性期缺血性卒中患者偏瘫侧上肢及手功能的信效度和敏感性研究
Study on the Reliability,Validity,and Sensitivity of Action Research Arm Test Scale in Evaluating the Function of Hemiplegic Upper Limb and Hand in Subacute Stage Ischemic Stroke Patients
摘要
Abstract
Objective To evaluate the validity,reliability,and sensitivity of the action research arm test(AR AT)scale in evaluating the function of hemiplegic upper limb and hand in subacute stage ischemic stroke patients. Methods In this study,300 patients with ischemic stroke admitted to 17 hospitals including Beijing Tiantan Hospital,Capital Medical University from January 2020 to May 2022 were recruited.The ARAT scale was used to assess all the patients by two evaluators,independently.The Fugl-Meyer assessment-upper extremity(FMA-UE)scale was taken as the criterion.The Spearman correlation analysis and the confirmatory factor analysis were used to evaluate the criterion validity and construct validity of the ARAT scale,respectively.The Cronbach's α coefficient and intraclass correlation coefficient analysis were used to evaluate the internal reliability,sensitivity,and external reliability of the ARAT scale. Results With FMA-UE as the criterion,the FMA-UE total score was positively correlated with the ARAT total score(r=0.946,P＜0.001).To evaluate the construct validity,the confirmatory factor analysis showed that the correlation coefficient between the factors ranged from 0.79 to 0.92,the overall fitting index of the model was x2/df=7.011,P=0.001,the comparative fit index=0.906,the incremental fix index=0.907,the normed fit index=0.895,and the root mean square error of approximation=0.055.The combined reliability values of each factor ranged from 0.964 to 0.983,and the average amount of variation of each factor ranged from 0.940 to 0.952.In the internal consistency test,the Cronbach's α coefficient of grade score was 0.987,and the Cronbach's αcoefficient ranged from 0.986 to 0.987 in the sensitivity analysis.In the external consistency test,the highest intraclass correlation coefficient between the two evaluators was 0.999,and the 95％CI was concentrated between 0.961 and 0.999. Conclusions ARAT scale has good criterion validity,construct validity,reliability,and sensitivity,which is suitable for evaluating the function of hemiplegic upper limb and hand in subacute stage ischemic stroke patients.关键词
缺血性卒中/上肢功能/手功能/效标效度/结构效度/信度/敏感性/上肢动作研究测试量表Key words
Ischemic stroke/Upper limb function/Hand function/Criterion validity/Construct validity/Reliability/Sensitivity/Action research arm test scale分类
医药卫生引用本文复制引用
吴娱倩,张玉梅,臧大维,范小伟,王安心,张晓丽,孟霞..上肢动作研究测试量表评定亚急性期缺血性卒中患者偏瘫侧上肢及手功能的信效度和敏感性研究[J].中国卒中杂志,2024,19(8):915-923,9.基金项目
国家自然科学基金面上项目(82071295 （）
82072532) （）
