Convergent Validity for the Functional Upper Extremity Levels (FUEL) in Stroke Rehabilitation-Reference-Cited by-同舟云学术

Convergent Validity for the Functional Upper Extremity Levels (FUEL) in Stroke Rehabilitation

Published:2023-05-01 Issue:3 Volume:77 Page:
ISSN:0272-9490
Container-title:The American Journal of Occupational Therapy
language:en
Short-container-title:

Author:

Calajoe Ashley¹,Feld-Glazman Rachel²,Dicembri Adrienne³,Capasso Nettie⁴,Geller Daniel⁵,Van Lew Stephen⁶

Affiliation:

1. Ashley Calajoe, OTD, MS, OTR/L, is Occupational Therapist, Burke Rehabilitation Hospital, White Plains, NY; afoley33@gmail.com

2. Rachel Feld-Glazman, MS, OT, is Brain Injury Program Director, Burke Rehabilitation Hospital, White Plains, NY.

3. Adrienne Dicembri, MPA, OTR/L, is Supervisor, Tisch/Kimmel Acute Care Occupational Therapy, NYU Langone Health–Rusk Rehabilitation, New York, NY.

4. Nettie Capasso, MA, OTR/L, is Supervisor, Occupational Therapy Department, NYU Langone Health–Rusk Rehabilitation, New York, NY.

5. Daniel Geller, EdD, MPH, OTR/L, is Assistant Professor of Rehabilitation and Regenerative Medicine, Programs in Occupational Therapy, Columbia University, New York, NY.

6. Stephen Van Lew, PhD, MS, OTR/L, is Director of Occupational Therapy, NYU Langone Health–Rusk Rehabilitation, New York, NY.

Abstract

Importance: Research is needed to validate an easy-to-use, functional, evidence-based neurological upper extremity (UE) assessment that requires minimal training. Objective: To establish convergent validity for the Functional Upper Extremity Levels (FUEL), a function-based upper limb measure, with the Upper Extremity Fugl-Meyer Assessment (UE–FMA), the gold standard assessment of upper limb recovery poststroke. Design: Retrospective chart review of 292 clients with admission and discharge data for the UE–FMA and the FUEL. Correlation statistics were analyzed to determine a relationship between these assessments. Setting: Inpatient stroke rehabilitation unit. Participants: Clients with a stroke diagnosis admitted to the stroke inpatient rehabilitation unit at a rehabilitation hospital between January 2017 and June 2019. Outcomes and Measures: FUEL (a classification system) and UE–FMA (an impairment-based motor recovery assessment of the upper limb recovery poststroke). Results: Pearson correlation coefficient yielded a significant positive correlation between the UE–FMA and the FUEL for both initial (r = .929) and discharge (r = .943) scores. Conclusions and Relevance: Convergent validity of the FUEL is established using the UE–FMA as a comparison. The FUEL can be applied in neurological rehabilitation to provide a clinical picture of a client’s UE function. This research supports the value of the FUEL’s application in clinical poststroke care. What This Article Adds: The FUEL is a valid tool to assess the UE in an acute neurological population.

Publisher

AOTA Press

Subject

Occupational Therapy

Link

https://research.aota.org/ajot/article-pdf/doi/10.5014/ajot.2023.050026/77590/7703205090.pdf

Reference32 articles.

1. More outcomes than trials: A call for consistent data collection across stroke rehabilitation trials;Ali;International Journal of Stroke,2013

2. Occupational therapy practice framework: Domain and process;American Occupational Therapy Association;American Journal of Occupational Therapy,2020

3. Outcome measurement in stroke: A scale selection strategy;Baker;Stroke,2011

4. Chronic stroke outcome measures for motor function intervention trial: Expert panel recommendations;Bushnell;Circulation: Cardiovascular Quality and Outcomes,2015

5. Centers for Medicare & Medicaid Services. (2021, June10). Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF–PAI). https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/IRFPAI