title: Responsiveness of the Manual Ability Measure-36 (MAM-36): changes in hand function using self-reported and clinician-rated assessments.
abstract: OBJECTIVE. To examine the responsiveness of the Manual Ability Measure-36 (MAM-36) compared with a clinician-administered functional assessment. METHOD. The MAM-36 was administered to 46 patients (Cohort A, n = 20; Cohort B, n = 26) with various upper-extremity conditions. All patients received occupational therapy intervention for 2-37 wk and were retested at discharge. Additionally, the Smith Hand Function Test (SHFT), including task performance speeds and grip strength measurements, was administered to Cohort B at intake and discharge. RESULTS. Manual ability improved significantly at discharge in all patients. Patients also showed significant improvement on the SHFT. The correlation between gain in MAM-36 and gain in grip strength was moderate. The standardized response mean for the MAM-36 was 1.18. CONCLUSION. The MAM-36 was responsive to changes in hand function in patients receiving occupational therapy services. MAM-36 results correlated positively with improvements in task performance speeds and grip strength.
authors.affiliation: Christine C. Chen, MA, MS, ScD, OTR/L, FAOTA, is Associate Professor, Department of Rehabilitation and Regenerative Medicine (Occupational Therapy), College of Physicians and Surgeons, Columbia University, 710 West 168th Street, Eighth Floor, New York, NY 10032; ccc2114@columbia.edu.
authors.forename: Christine C
authors.initials: CC
authors.lastname: Chen
authors.affiliation: Orit Palmon, MS, OTR, is Adjunct Lecturer, Department of Occupational Therapy, University of Haifa, Haifa, Israel, and Occupational Therapist, Linn Medical Center, Clalit Medical Services, Haifa, Israel.
authors.forename: Orit
authors.initials: O
authors.lastname: Palmon
authors.affiliation: Debbie Amini, EdD, OTR/L, CHT, is Assistant Professor, Department of Occupational Therapy, East Carolina University, Greenville, NC.
authors.forename: Debbie
authors.initials: D
authors.lastname: Amini
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D009788:Occupational Therapy / Q000379:methods*; D034941:Upper Extremity