Test-retest reliability of the twenty-five-hole peg test in patients who had a stroke

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Granström, FredrikUppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD) (författare)

Test-retest reliability of the twenty-five-hole peg test in patients who had a stroke

Artikel/kapitelEngelska2019

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2019-12-11
BMJ Publishing Group Ltd,2019
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-402297
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-402297URI
https://doi.org/10.1136/bmjopen-2019-032560DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-168799URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

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OBJECTIVES: Weaknesses of the nine-hole peg test include high floor effects and a result that might be difficult to interpret. In the twenty-five-hole peg test (TFHPT), the larger number of available pegs allows for the straightforward counting of the number of pegs inserted as the result. The TFHPT provides a comprehensible result and low floor effects. The objective was to assess the test-retest reliability of the TFHPT when testing persons with stroke. A particular focus was placed on the absolute reliability, as quantified by the smallest real difference (SRD). Complementary aims were to investigate possible implications for how the TFHPT should be used and for how the SRD of the TFHPT performance should be expressed.DESIGN: This study employed a test-retest design including three trials. The pause between trials was approximately 10-120 s.PARTICIPANTS, SETTING AND OUTCOME MEASURE: Thirty-one participants who had suffered a stroke were recruited from a group designated for constraint-induced movement therapy at outpatient clinics. The TFHPT result was expressed as the number of pegs inserted.METHODS: Absolute reliability was quantified by the SRD, including random and systematic error for a single trial, SRD2.1, and for an average of three trials, SRD2.3. For the SRD measures, the corresponding SRD percentage (SRD%) measure was also reported.RESULTS: The differences in the number of pegs necessary to detect a change in the TFHPT for SRD2.1 and SRD2.3 were 4.0 and 2.3, respectively. The corresponding SRD% values for SRD2.1 and SRD2.3 were 36.5% and 21.3%, respectively.CONCLUSIONS: The smallest change that can be detected in the TFHPT should be just above two pegs for a test procedure including an average of three trials. The use of an average of three trials compared with a single trial substantially reduces the measurement error.TRIAL REGISTRATION NUMBER: ISRCTN registry, reference number ISRCTN24868616.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences hsv//eng
clinical assessment
hand function
measurement
reliability
stroke
twenty-five-hole peg test

Biuppslag (personer, institutioner, konferenser, titlar ...)

Hedlund, MattiasUmeå universitet,Avdelningen för fysioterapi,Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden(Swepub:umu)mahe0019 (författare)
Lindström, BrittaUmeå universitet,Avdelningen för fysioterapi,Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden(Swepub:umu)brli0003 (författare)
Eriksson, StaffanUppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Åsenlöf: Fysioterapi(Swepub:uu)staer483 (författare)
Uppsala universitetCentrum för klinisk forskning i Sörmland (CKFD) (creator_code:org_t)

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Ingår i:BMJ Open: BMJ Publishing Group Ltd9:122044-6055

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Av författaren/redakt...: Granström, Fredr ...; Hedlund, Mattias; Lindström, Britt ...; Eriksson, Staffa ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Annan medicin oc ...

Artiklar i publikationen: BMJ Open

Av lärosätet: Uppsala universitet; Umeå universitet

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