Document Detail

Development of the upper-body dressing scale for a buttoned shirt: a preliminary correlational study.
MedLine Citation:
PMID:  18716486     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: A patient with poststroke hemiparesis learns to use the nonparetic arm to compensate for the weakness of the paretic arm to achieve independence in dressing. This is the learning process of new component actions on dressing. The purpose of this study was to develop the Upper-Body Dressing Scale (UBDS) for buttoned shirt dressing, which evaluates the component actions of upper-body dressing, and to provide preliminary data on internal consistency of the UBDS, as well as its reproducibility, validity, and sensitivity to clinical change. DESIGN: Correlational study of concurrent validity and reliability in which 63 consecutive stroke patients were enrolled in the study and were assessed repeatedly by the UBDS and the dressing item of Functional Independent Measure (FIM). RESULTS: Fifty-one patients completed the 3-wk study. The Cronbach's coefficient alpha of UBDS was 0.88. The principal component analysis extracted two components, which explained 62.3% of total variance. All items of the scale had high loading on the first component (0.65-0.83). Actions on the paralytic side were the positive loadings and actions on the healthy side were the negative loadings on the second component. Intraclass correlation coefficient was 0.87. The level of correlation between UBDS score and FIM dressing item scores was -0.72. Logistic regression analysis showed that only the score of UBDS on the first day of evaluation was a significant independent predictor of dressing ability (odds ratio, 0.82; 95% confidence interval, 0.71-0.95). The UBDS scores for paralytic hand passed into the sleeve, sleeve pulled up beyond the elbow joint, and sleeve pulled up beyond the shoulder joint were worse than the score for the other components of the task. These component actions had positive loading on the second component, which was identified by the principal component analysis. CONCLUSIONS: The UBDS has good internal consistency, reproducibility, validity, and sensitivity to clinical changes of patients with poststroke hemiparesis. This detailed UBDS assessment enables us to document the most difficult stages in dressing and to assess motor and process skills for independence of dressing.
Makoto Suzuki; Sumio Yamada; Mikayo Omori; Mayumi Hatakeyama; Yuko Sugimura; Kazuhiko Matsushita; Yoshikatsu Tagawa
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Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  87     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-21     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  740-9     Citation Subset:  AIM; IM    
Department of Rehabilitation Medicine, Kawasaki Municipal Tama Hospital, Kawasaki, Japan.
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MeSH Terms
Activities of Daily Living
Disability Evaluation*
Logistic Models
Paresis / physiopathology*
Predictive Value of Tests
Principal Component Analysis
Reproducibility of Results
Sensitivity and Specificity
Stroke / physiopathology*
Upper Extremity / physiopathology*

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