Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke
Purpose: To detect the inter-rater and intra-rater reliability of the Chinese version of the Action Research Arm Test (C-ARAT) in patients recovering from a first stroke.Methods: Fifty-five participants (45 men and 10 women) with a mean age of 58.67 ± 12.45 (range: 22–80) years and a mean post-strok...
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2019-05-01
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doaj-34fd94757713457e8d34e758ea2f5f812020-11-24T21:29:04ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-05-011010.3389/fneur.2019.00540455680Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With StrokeJiang-Li Zhao0Pei-Ming Chen1Tao Zhang2Hai Li3Hai Li4Qiang Lin5Qiang Lin6Yu-Rong Mao7Dong-Feng Huang8Dong-Feng Huang9Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaRehabilitation Department, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Rehabilitation Medicine, The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaDepartment of Rehabilitation Medicine, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaPurpose: To detect the inter-rater and intra-rater reliability of the Chinese version of the Action Research Arm Test (C-ARAT) in patients recovering from a first stroke.Methods: Fifty-five participants (45 men and 10 women) with a mean age of 58.67 ± 12.45 (range: 22–80) years and a mean post-stroke interval of 6.47 ± 12.00 (0.5–80) months were enrolled in this study. To determine the inter-rater reliability, the C-ARAT was administered to each participant by two raters (A and B) with varying levels of experience within 1 day. To determine intra-rater reliability, rater A re-administered the C-ARAT to 33 of the 55 participants on the second day. Intra-class correlation coefficients (ICCs) and Bland–Altman plots were used to analyse the inter-rater and intra-rater reliability.Results: Regarding inter-rater reliability, the total, grasping, gripping, pinching, and gross movement scores received respective ICCs of 0.998, 0.997, 0.995, 0.997, and 0.960 (all p < 0.001), indicating excellent inter-rater reliability in stroke patients. Regarding intra-rater reliability, the corresponding ICCs were 0.987, 0.980, 0.975, 0.944, and 0.954 (all p < 0.001), again indicating excellent intra-rater reliability. The Bland–Altman plots yielded a mean difference of 0.15 with 95% limits of agreement (95%LOA) ranging from −2.16 to 2.46 for the inter-rater measurements and a mean difference of −1.06 with 95%LOA ranging from −6.43 to 4.31 for the intra-rater measurement. The C-ARAT thus appeared to be a stable scoring method.Conclusions: The C-ARAT yielded excellent intra-rater and inter-rater reliability for evaluating the paretic upper extremities of stroke patients. Therefore, our results supported the use of the C-ARAT in this population.https://www.frontiersin.org/article/10.3389/fneur.2019.00540/fullstrokerehabilitationupper extremityaction research arm testreliabilityChinese |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jiang-Li Zhao Pei-Ming Chen Tao Zhang Hai Li Hai Li Qiang Lin Qiang Lin Yu-Rong Mao Dong-Feng Huang Dong-Feng Huang |
spellingShingle |
Jiang-Li Zhao Pei-Ming Chen Tao Zhang Hai Li Hai Li Qiang Lin Qiang Lin Yu-Rong Mao Dong-Feng Huang Dong-Feng Huang Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke Frontiers in Neurology stroke rehabilitation upper extremity action research arm test reliability Chinese |
author_facet |
Jiang-Li Zhao Pei-Ming Chen Tao Zhang Hai Li Hai Li Qiang Lin Qiang Lin Yu-Rong Mao Dong-Feng Huang Dong-Feng Huang |
author_sort |
Jiang-Li Zhao |
title |
Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke |
title_short |
Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke |
title_full |
Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke |
title_fullStr |
Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke |
title_full_unstemmed |
Inter-rater and Intra-rater Reliability of the Chinese Version of the Action Research Arm Test in People With Stroke |
title_sort |
inter-rater and intra-rater reliability of the chinese version of the action research arm test in people with stroke |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neurology |
issn |
1664-2295 |
publishDate |
2019-05-01 |
description |
Purpose: To detect the inter-rater and intra-rater reliability of the Chinese version of the Action Research Arm Test (C-ARAT) in patients recovering from a first stroke.Methods: Fifty-five participants (45 men and 10 women) with a mean age of 58.67 ± 12.45 (range: 22–80) years and a mean post-stroke interval of 6.47 ± 12.00 (0.5–80) months were enrolled in this study. To determine the inter-rater reliability, the C-ARAT was administered to each participant by two raters (A and B) with varying levels of experience within 1 day. To determine intra-rater reliability, rater A re-administered the C-ARAT to 33 of the 55 participants on the second day. Intra-class correlation coefficients (ICCs) and Bland–Altman plots were used to analyse the inter-rater and intra-rater reliability.Results: Regarding inter-rater reliability, the total, grasping, gripping, pinching, and gross movement scores received respective ICCs of 0.998, 0.997, 0.995, 0.997, and 0.960 (all p < 0.001), indicating excellent inter-rater reliability in stroke patients. Regarding intra-rater reliability, the corresponding ICCs were 0.987, 0.980, 0.975, 0.944, and 0.954 (all p < 0.001), again indicating excellent intra-rater reliability. The Bland–Altman plots yielded a mean difference of 0.15 with 95% limits of agreement (95%LOA) ranging from −2.16 to 2.46 for the inter-rater measurements and a mean difference of −1.06 with 95%LOA ranging from −6.43 to 4.31 for the intra-rater measurement. The C-ARAT thus appeared to be a stable scoring method.Conclusions: The C-ARAT yielded excellent intra-rater and inter-rater reliability for evaluating the paretic upper extremities of stroke patients. Therefore, our results supported the use of the C-ARAT in this population. |
topic |
stroke rehabilitation upper extremity action research arm test reliability Chinese |
url |
https://www.frontiersin.org/article/10.3389/fneur.2019.00540/full |
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