Psychometric properties of Upper-body Dressing Scale in people with stroke

J Rehabil Med. 2023 Apr 19:55:jrm00391. doi: 10.2340/jrm.v55.5766.

Abstract

Objectives: To investigate the psychometric properties of the Upper-Body Dressing Scale (UBDS), a tool for evaluating upper-body dressing performance in stroke patients.

Design: Cross-sectional study.

Subjects: Seventy-six chronic stroke patients and 49 healthy older adults.

Methods: UBDS, Fugl-Meyer Assessment (FMA), Wolf Motor Function Test (WMFT), Berg Balance Scale (BBS), Timed Up-and-Go Test (TUGT), Limit of Stability (LOS) test, Motor Activity Log (MAL-30), Arm Activity Measure (AAM), 12-item Short Form Health Survey, and Community Integration Measure - Cantonese version were assessed Results: UBDS time and UBDS score demonstrated good to excellent inter-rater and test-retest reliabilities for chronic stroke patients (intraclass correlation coefficient 0.759-1.000). UBDS time correlated significantly with FMA Upper and Lower Extremity, WMFT, and BBS scores, TUGT time, LOS Movement Velocity (affected side), LOS Maximal Excursion (composite), MAL-30 Amount of Use and Quality of Movement (affected side), and AAM (section B) scores (r = -0.61 to 0.63). The minimal detectable changes in UBDS time and UBDS score were 28.67 s and 0, respectively. The cut-off UBDS time and UBDS score were 37.67 s and 7.50, respectively.

Conclusion: UBDS time is a reliable, sensitive, and specific measurement for assessing upper-body dressing performance in chronic stroke patients.

MeSH terms

  • Cross-Sectional Studies
  • Disability Evaluation
  • Humans
  • Psychometrics
  • Reproducibility of Results
  • Stroke Rehabilitation*
  • Stroke*
  • Upper Extremity