Evaluation of the psychometric properties of the upper limb subscales of the Motor Assessment Scale using a Rasch analysis model.
OBJECTIVE
To apply Rasch analysis to evaluate the psychometric properties of the composite score of the 3 upper limb subscales of the Motor Assessment Scale (UL-MAS) when administered in the acute/subacute phase post-stroke.


METHODS
Prospective data collection of UL-MAS scores.


METHODS
Eighty Eighty individuals a mean of 64.8 days (standard deviation 53.3; range 4-193 days) following the onset of unilateral stroke.


METHODS
All UL-MAS test items were administered in 30 participants assessed longitudinally over 3 occasions, and in 50 participants assessed on a single occasion. These 140 observations were pooled to be evaluated using Rasch analysis.


RESULTS
With the elimination of the wrist radial deviation test item, the UL-MAS demonstrated uni-dimensionality with no significant test item response bias. The test item difficulty hierarchy was validated in the Upper Arm and Hand Movements subscales, but not in the Advanced Hand Activities subscale. The acceptable floor (14%) and ceiling (9%) effects and the high Person Separation Reliability Index (0.96) indicated that the scale was appropriately targeted to discriminate statistically between groups of acute/subacute stroke participants with differing upper limb motor recovery.


CONCLUSIONS
The findings support the psychometric properties of the composite UL-MAS score in this clinical population.
Miller
Kimberly J
KJ
Rehabilitation Sciences Research Centre, Physiotherapy, Melbourne School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. k.miller@unimelb.edu.au
Slade
Anita L
AL
Pallant
Julie F
JF
Galea
Mary P
MP
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000503:physiopathology; D004185:Disability Evaluation; D005163:Factor Analysis, Statistical; D005260:Female; D006225:Hand / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009048:Motor Skills / Q000502:physiology; D011446:Prospective Studies; D011594:Psychometrics; D020127:Recovery of Function; D020521:Stroke / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation; D034941:Upper Extremity / Q000503:physiopathology*