Validation of the Orthotics and Prosthetics User Survey Upper Extremity Functional Status Module in People with Unilateral Upper Limb Amputation

Authors: Burger, Helena; Franchignoni, Franco; Heinemann, Allen W.; Kotnik, Stanislava; Giordano, Andrea

Source: Journal of Rehabilitation Medicine, Volume 40, Number 5, May 2008 , pp. 393-399(7)

Publisher: Medical Journals Limited

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Abstract:

Objective: To evaluate the measurement properties of the Upper Extremity Functional Status module of the Orthotics and Prosthetics User Survey (OPUS).

Design: Methodological research on an outcome measure administered by clinical interview.

Patients: A convenience sample of 61 adults who had unilateral upper limb amputations and completed rehabilitation at the Institute for Rehabilitation in Ljubljana, Slovenia, at least one year prior to interview. Thirty-four patients had undergone amputation of the dominant hand. Four patients did not use a prosthesis.

Methods: Rating scale analysis (Rasch model) was used to evaluate functioning of the rating scale categories, the validity of the measure by examining fit of items to the latent trait, and the hierarchy of item difficulties compared with expectations of the construct.

Results: Rasch analysis allowed us to improve the Upper Extremity Functional Status by rescoring to reduce the response categories from 5 to 4, and identifying 19 of 23 items that are useful to measure upper extremity function. The results allow us to have high confidence in the consistency of both person-ability and item-difficulty estimates.

Conclusion: This revised Upper Extremity Functional Status is a promising instrument to measure the degree of manual functioning after a unilateral upper limb amputation.

Keywords: AMPUTATION; ARTIFICIAL LIMBS; OUTCOME ASSESSMENT; PSYCHOMETRICS

Document Type: Research article

DOI: http://dx.doi.org/10.2340/16501977-0183

Publication date: 2008-05-01

More about this publication?
  • Journal of Rehabilitation Medicine is the international peer-reviewed journal published in English, with at least 10 issues published per year.

    Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.

    The journal is read by a wide group of healthcare professionals including specialists in rehabilitation medicine, neurology, clinical neurophysiology, general medicine, psychologists, physiotherapists, occupational therapists and social workers.

    Contributions from all parts of the world and from different professions in rehabilitation are welcome.

    ISI Impact Factor 2009: 1.882.

    Owned by Foundation of Rehabilitation Information.

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