Clinical utility of the Chedoke Arm and Hand Activity Inventory for stroke rehabilitation

Can J Occup Ther. 2010 Jun;77(3):167-73. doi: 10.2182/cjot.2010.77.3.6.

Abstract

Background: The Chedoke Arm and Hand Activity Inventory (CAHAI) is an outcome measure that assesses upper limb ability after stroke.

Purpose: To explore the clinical utility of the CAHAI when used by occupational therapists in stroke rehabilitation.

Methods: A qualitative study consisting of two focus groups was conducted with occupational therapists (Group A: n = 8; Group B: n = 5). Data were analysed inductively to identify themes.

Findings: A range of perspectives on the clinical utility of the CAHAI were described. Themes that emerged were "instructions ambiguous and scoring unclear," "how we use it," "whole task versus motor components," "knowing when to use it," "detecting other impairments," and "changing the way clients do tasks."

Implications: The clinical application of the CAHAI may be influenced by occupational therapy values, differences in training procedures, and organisational barriers. Training and strategies to address these issues may be beneficial.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Disability Evaluation*
  • Female
  • Focus Groups
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy
  • Stroke / physiopathology
  • Stroke Rehabilitation*
  • Upper Extremity / physiology*