; Ahmad, A.; Gilani, S.A. Longitudinal validity was determined by the association (Pearson's r) between function and pain change scores (Time 1-Time 3). ; McNeely, M.L. Int J Environ Res Public Health. An official website of the United States government. 335 142 Man Ther 2009,14(2):206212. Factor structure was one-dimensional and supported construct validity. 0000153822 00000 n This assists the clinicians understanding of the effects of a condition or disease on a patients capabilities, functioning and symptoms [4]. 2014 May 17;12:75. doi: 10.1186/1477-7525-12-75. The ULFIs practical characteristics of brevity, ready transferability to a 100-point scale, ease and rapidity of completion and scoring reinforced the methodological consistency [7, 26, 38]. Results: The factor structure was one-dimensional. Both UEFI measures show acceptable reliability and validity. 0000070683 00000 n Cronbach, L.J. The Upper Extremity Functional Index (UEFI) is a 20-item, region-specific PROM initially designed to assess upper extremity function in people with musculoskeletal disorders (17, 18). 0000088483 00000 n Factors Associated with Upper Limb Function in Breast Cancer Survivors. ; Rapport, F.; Russell, I.T. A Prospective Study. The QuickDASH was unavailable due to excessive completion errors. The demographic and frequency of diagnosis of the study sample are detailed in Table1. All the authors have given final approval of the version to be published. The psychometric properties were as follows: analysis of the factor structure by maximum likelihood extraction (MLE), internal consistency, and construct validity by confirmatory factor analysis (CFA). pMCID values were 8/80 for the UEFI-20 and 6.7/100 for the UEFI-15; pMCID was higher for people whose non-dominant arm was affected. However, CFAs factor analysis revealed a poor fit, and a new 14-item model was tested from those items with higher communalities (, The original version of the ULFI-Sp has a high internal consistency ( = 0.94) validated in patients with variable alterations of the upper limb [, Similarly, reduced versions of DASH (30 items), QuickDASH (11 items), and QuickDASH of 9 items (QuickDASH-9) have been developed in patients with upper limb musculoskeletal conditions [, One of the strengths of the present study was that factor analysis by CFA was tested. 10.1016/j.annrmp.2004.05.016, Schoneveld K, Wittink H, Takken T: Clinimetric evaluation of measurement tools used in hand therapy to assess activity and participation. There are several regional upper limb PROs that are advocated and recommended by national associations or organizations around the world for Physical, Occupational and Hand Therapy, Orthopedics and Surgery. 1173185, Stratford PW, Binkley JM, Stratford DM. Cite this article. Physiotherapy Can. ; Kim, S.-W.; Heo, C.-Y. It was shown to have strong psychometric properties for reliability, validity, responsiveness, error measurement, and internal consistency that approximated or exceeded those of the DASH and UEFS [6]. Int J Environ Res Public Health. 0000081950 00000 n The correlation between the ULFI total score and the regression score obtained from the one-factor solution MLE was also high ( = 0.996). A study by Binkley et al[2] supported the use of UEFI in patients after breast cancer surgery. articles published under an open access Creative Common CC BY license, any part of the article may be reused without For the patients who rated their arm status after surgery as better ("much better" and "somewhat better") and as "unchanged," the difference in area under ROC curves for DASH & QuickDASH=0.01, indicating excellent convergent validity with the DASH, as there is no ability to discriminate a difference between the 2 groups. 2023 Feb 24;14:989403. doi: 10.3389/fneur.2023.989403. HHS Vulnerability Disclosure, Help The https:// ensures that you are connecting to the Ethical clearance was approved by the Tribunal of Review of Human Subjects at the University of Malaga. Their presenting conditions and diagnoses were broadly classified into five categories (Table1). Methods: A two stage observational study was conducted. The UEFI is easy to administer as it is a self-reported questionnaire. Wingate, L. Efficacy of Physical Therapy for Patients Who Have Undergone Mastectomies. Design and Implementation of a Standard Care Programme of Therapeutic Exercise and Education for Breast Cancer Survivors. Le coefficient de corrlation intracatgorie (CCI) et le changement dtectable minimal (CDM) ont quantifi la fiabilit de testretest (moment 1moment 2). 0000005162 00000 n Hu, L.; Bentler, P.M. Arooj, A.; Amjad, F.; Tanveer, F.; Arslan, A.U. Bethesda, MD 20894, Web Policies Department of Physiotherapy, Faculty of Health Science, University of Malaga, Malaga, Spain, School of Clinical Science, Faculty of Health, Queensland University of Technology, Kelvin Grove, Australia, Centre for Healthy Activities, Sport and Exercise, Faculty of Science, University of the Sunshine Coast Queensland, Sippy Downs, Australia, You can also search for this author in Purpose: Mthodes : Les adultes ayant une dysfonction des membres suprieurs (MS) ont rpondu au questionnaire IFMS-20, aux questionnaires de l'chelle fonctionnelle des membres suprieurs (EFMS), de l'chelle de limitation de la douleur et de l'chelle de l'intensit de la douleur au cours de leurs premires valuations en physiothrapie (moment 1); de 24 48 heures plus tard (moment 2) et 3 semaines aprs le dbut du traitement ou le cong, selon l'chance la plus rapproche (moment 3). Project administration: A.I.C.-V., C.R.-J., B.P.-H. and E.A.-C. Conceptualization and methodology: A.I.C.-V. and C.R.-J. 0000091146 00000 n Accessibility Gabel, C.P. 0000005316 00000 n Functional Scale (0.59, 95% CI 0.48 to 0.67), 2. and stronger correlationswithUEFS(0.82)inasamplethatconsistedof upper extremity musculoskeletal conditions. The ULFI was translated and back translated with consideration of the Spanish cultural linguistic adaptation to provide the new ULFI-Sp questionnaire without language difficulties or other conceptual misunderstanding. This study concluded that the longitudinal validity of the Upper Extremity Functional Index was superior to the Upper Extremity Functional Scale. A questionnaire must provide a single-factor structure so that it can be summated to provide a single or summary score. J Hand Surg 2004,29(2):159164. 0000074700 00000 n Stubblefield, M.D. The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. Nesvold, I.-L.; Foss, S.D. It has been subsequently independently validated [33] but uses a matrix response format which has a high error tendency for completion and scoring [34]. Antonio I. Cuesta-Vargas and Phillip C Gabel participated in the analysis and interpretation of data and were involved in drafting the manuscript or revising it critically for important intellectual content. Le bras dominant a un effet sur la pDMCI. Known-groups validity was evaluated with a one-way ANOVA across three levels of working status. Res Pract Thromb Haemost. 2022 Sep 6;19(18):11203. doi: 10.3390/ijerph191811203. Feature papers represent the most advanced research with significant potential for high impact in the field. International Journal of Environmental Research and Public Health. Upper Extremity Functional Index (UEFI) The UEFI is a patient-reported outcome measure used to quantify upper extremity-related activity limitations [ 13, 14, 20 ]. Rehabilitation of the spine: A practitioners manual. The ULFI was cross-culturally adapted to Spanish ; Osborne, J.W. -, Cella D, Yount S, Rothrock N, Gershon R, Cook K, Reeve B, Ader D, Fries JF, Bruce B, Rose M. PROMIS Cooperative Group. 0000079311 00000 n ID?=?6370&criteria1?=?cultura http://www.un.org/spanish/News/fullstorynews.asp?news. Best Practices in Exploratory Factor Analysis: Four Recommendations for Getting the Most From Your Analysis. This study received a grant from the Research Office of the University of Malaga. 0000093539 00000 n ; Dekker, J.; Bouter, L.M. 10.1016/j.apmr.2010.06.022. 10.1016/S0894-1130(01)80043-0, Van de Ven-Stevens LA, Munneke M, Terwee CB, Spauwen PH, van der Linde H: Clinimetric properties of instruments to assess activities in patients with hand injury: a systematic review of the literature. xZKs6WVS &$C(Ee~.NCVx]Qez;Wlfax@ofw3#J-3&dj56X\>2J@VG9!NyJ_f0M?ck4aN03kYI%/lQ k$Rv\p ,ZAxKa[:SV[TK3imT/MG~(|Z7-%2.H;YSZ, ; +%Hj4]?|5p}H$qEd_R g#mNxJ[8-u1G^.fog(o This consisted of a payment for the author, CRJ, as a physical therapist in the assessment. The authors declare they have no competing interests. Terwee, C.B. -, McPhail SM, Bagraith KS, Schippers M, Wells PJ, Hatton A. Breast cancer survivors (BCS) may face functional alterations after surgical intervention. ; Speck, R.M. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. 10.1016/j.jse.2008.12.015, Miller LA, Swanson S: Summary and Recommendations of the Academys State of the Science Conference on Upper Limb Prosthetic Outcome Measures. That is usually the journal article where the information was first stated. The translation process ensured the conceptual equivalence of the used terms. J. Environ. 0000085418 00000 n Editors Choice articles are based on recommendations by the scientific editors of MDPI journals from around the world. The Oxford Shoulder Score Revisited. J Hand Ther 2001,14(2):6876. Garratt, A. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. A comparative fit index (CFI) was performed to measure the relative improvements in adjusting the study model against the original model. ; Yelland, M.; Melloh, M.; Burkett, B. ; Mayer, D.K. California Privacy Statement, Federal government websites often end in .gov or .mil. 0000084529 00000 n PMC eCollection 2023 Jan. Tudini F, Levine D, Healy M, Jordon M, Chui K. Front Pain Res (Lausanne). This rendered invalid any reporting of criterion validity or factor structure with this tool. Quality of Life: The Assessment, Analysis and Interpretation of Patient-Reported Outcomes, LISREL 10 for Windows [Computer Software], Functionality and Quality of Life with Parkinsons Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study, Objectively-Assessed Ultraviolet Radiation Exposure and Sunburn Occurrence, Acceptance of CaregiverPatient Support to Latinx Coping with Advanced Cancer (CASA) Intervention: A Caregiver Case Study, Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China, The Role of Physical Activity in Primary Care, http://www.who.int/cancer/detection/breastcancer/en/, https://researchers.cdu.edu.au/en/studentTheses/development-and-initial-validation-of-a-new-regional-outcome-meas, http://www-01.ibm.com/software/analytics/spss/products/statistics/, https://creativecommons.org/licenses/by/4.0/, Assistance with personal care and hygiene, Difficult opening, holding, pushing or pressing. 0000083850 00000 n The intra-class correlation coefficient (ICC) and minimal detectable change (MDC) quantified test-retest reliability (Time 1-Time 2). J Bone Joint Surg Am 2005,87(5):10381046. 0000155497 00000 n The factor structure has not been consistently shown as one-dimensional [7, 2628], which raises concerns on its validity; and it has been found to underestimate symptoms and overestimate disability [29]. Therefore the aims of this paper were: to describe the process of translation and cross-cultural adaptation of the original ULFI to Spanish; and to subsequently assess the four critical psychometric properties of reliability, factor structure, internal consistency, and concurrent criterion validity for clinical use with Spanish speakers. The questionnaire reliability was high ( = 0.93). 0000075417 00000 n those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). The UEFI is able to distinguish improved patients from stable patients (AUC 0.88, 95% CI 0.81 to 0.94) with a sensitivity of 0.73 and a specicity of 0.92, and 2012;273421:10. Demographics, including working status, were obtained at Time 1. 0000158338 00000 n Feature papers are submitted upon individual invitation or recommendation by the scientific editors and must receive 0000070007 00000 n The regulation of Patient-Reported Outcome claims: need for a flexible standard. ^o_on/* G jTIr.1Urc~cz"SJ v8;' g /TF!o-+zlTuRYf.~?E=. Edit your upper extremity functional index online. (Gor-Garca-Fogeda et al. FOIA Bada X, Roset M, Montserrat S, Herdman M, Segura A: The Spanish version of EuroQoL: A description and its applications. Sample size was determined from the previous ULFI studies [7, 8, 26] indicating a minimum of 106 patients were required to ensure an 80% chance of achieving the required statiscal power for concurrent validity, internal consistency and factor structure allowing for 15% attrition (p<0.05) [46]. PubMed Bartlett, M.G. ; Buchan, J.; Pajares, B.; Alba, E.; Trinidad-Fernndez, M.; Ruiz-Medina, S.; Garca-Almeida, J.M. Bookshelf Qual Life Res 2009,18(8):10431051. https://doi.org/10.3390/ijerph20064997, Martn-Martn J, Pajares-Hachero B, Alba-Conejo E, Ribelles N, Cuesta-Vargas AI, Roldn-Jimnez C. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. 0000095718 00000 n methods, instructions or products referred to in the content. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). ; Bartlett, M.S. The Upper Extremity Functional Scale (UEFS) [30] which has been shown to lack reliability and methodological criteria [5, 31]. 0000095773 00000 n Please provide an answer for each activity. 0000122698 00000 n If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. 0000070161 00000 n Epub 2013 Jun 27. https://doi.org/10.3390/ijerph20064997, Martn-Martn, Jaime, Bella Pajares-Hachero, Emilio Alba-Conejo, Nuria Ribelles, Antonio I. Cuesta-Vargas, and Cristina Roldn-Jimnez. 0000157714 00000 n The ULFI has also been accepted by the international PRO database [39] PROQUOLID. Polish Cross-Cultural Adaptation of the Lower Limb Functional Index (LLFI) Demonstrates a Valid Outcome Measure for the Lower Limb Region and Joints. This notably high level, when taken in context with the presence of the factor structure item loading Eigenvalues above 1.0, would indicate the potential for a shortened version of this tool. The Patient-Reported Outcomes Measurement Information System (PROMIS): Progress of an NIH Roadmap Cooperative Group During its First Two Years. Intended Population The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. A Note on the Multiplying Factors for Various Chi Square Approximations. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. The study was carried out following the ethical research principles of the Helsinki Declaration of 1964. J Hand Ther 2010,23(1):3139. No special Criterion validity determined from the relationship between the ULFI-Sp and EQ-5D-3L (r=0.59) and EQ-5D-3L-VAS (r=0.51) indicated a fair and inverse correlation. The psychometric analysis of the ULFI-Sp did not include responsiveness, so the testretest reliability can be compared to other questionnaires. According to Costello and Osborne, a cutoff point of 0.3 item loading was considered the minimum load per item [, The chi-square test was significant for the new tested model: , In this study, the psychometric properties of the ULFI-Sp were analyzed in a sample of BCS, resulting in a new ULFI-Sp short version. Clipboard, Search History, and several other advanced features are temporarily unavailable. The https:// ensures that you are connecting to the Alderman AK, Chung KC: Measuring Outcomes in Hand Surgery. interesting to readers, or important in the respective research area. 0000074860 00000 n 0000075653 00000 n Salerno DF, Copley-Merriman C, Taylor TN, Shinogle J, Schulz RM: A review of functional status measures for workers with upper extremity disorders. 0000153760 00000 n The determination of construct validity through the use of factor analysis represents only one possible statistical method of testing. Cella, D.; Yount, S.; Rothrock, N.; Gershon, R.; Cook, K.; Reeve, B.; Ader, D.; Fries, J.F. http://www.proqolid.org/instruments/upper_limb_functional_index_ulfi?fromSearch=yes&text=yes, Paises de habla hispana promueven uso del espaol en la ONU. A total of 126 volunteers (4921years, 54.8% female) with a variety of upper limb conditions of >12weeks duration were recruited consecutively from the Physical Therapy Clinic at the Malaga University. The criterion validity demonstrated only a fair degree of differential association with the EQ-5D-3L and EQ-5D-3L-VAS. The determined values were satisfactory and supportive of the findings of the ULFI as a 3-point scale, particularly in the areas of internal consistency, factor structure and reliability. The LLFI was initially cross-culturally adapted to Spanish through double forward and single backward translation; then subsequently validated for the psychometric characteristics of validity, internal consistency, reliability, error score and factor structure. 0000084264 00000 n Criterion validity with the EQ-5D-3L was fair and inversely correlated (r=0.59). This is significant given that Spanish is one of the five most spoken languages and the second widest geographically [40]. These regional PRO measures are argued to provide greater sensitivity and improved representation of the individuals functional status than joint or condition specific measures [79]. We use cookies on our website to ensure you get the best experience. Occup Environ Med 2002,59(10):664670. Les valeurs du CDM se sont tablies 9,4/80 pour le questionnaire IFMS-20 et 8,8/100 pour le questionnaire IFMS-15. Cookies policy. Careers. Cross-Cultural Adaptation, Reliability and Validity of the Spanish Version of the Upper Limb Functional Index. SK =Q!E%J&AX-qU]pUY(E_e w2R[^&7J2,b{_'/4ThAO)^"l4!)|^#PIG7~HLId&QeEy.f/p%DT/Yzp3q7 Germann G, Harth A, Wind G, Demir E: Standardisation and validation of the German version 2.0 of the Disability of Arm, Shoulder, Hand (DASH) questionnaire (in German). The UEFI-15 was calculated from relevant items in the UEFI-20. All the authors have made contributions to conception of this study. A larger sample will provide a more robust and demanding data analysis. The disability inventory consists of a gross motor function index and a . As for strengths, as far as we know, the present research has demonstrated the validity of the content and construct of the ULFI-Sp in the BCS. The intra-class coefficient was 0.78. The purpose of study is to develop and validate a ULFI. SB$a% [H 909H3.JfC?TlI$suT>2$SGe4e5&q22WRb9Gap&j7O^1'gs8a 6g-N O@Wqrr:@2v-v#fy($L%kT}"m \wb'f`M%D^#a{P1$068uhv v}!-Ywe "_'[KJu9tF H!2=[))/qJ Yhh@-#e5 `h\p-..A4 7)",%vWz)'3=LZtm3]Dcz.ZC&)P[C,kG&%q(Oc8&SJ57}sN+bCiu&fo_!:. ; de Boer, M.R. 23 self-report items with 3 subscales: pain (9 items), disability (9 items) and activity limitation (5 items) Each item is rated on a 0 - 10 Likert scale. The 15-item Upper Extremity Functional Index (UEFI-15) hierarchical structure, depicting the arrangement of the UEFI-15 on an interval-level measure of upper extremity function as captured by the UEFI-15. The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. Is Kinesiophobia Associated with Lymphedema, Upper Extremity Function, and Psychological Morbidity in Breast Cancer Survivors? ; Beurskens, C.H.G. All authors have read and agreed to the published version of the manuscript. Modification of the Upper Limb Functional Index to a Three-Point Response Improves Clinimetric Properties. The Upper Extremity Functional Index (UEFI) is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction. 2023; 20(6):4997. Objectif : tudier la fiabilit, la validit et la sensibilit au changement des versions 20 questions et 15 questions raffines par Rasch de l'Indice fonctionnel des membres suprieurs (IFMS-20 et IFMS-15, respectivement) et dterminer l'effet du bras dominant sur la diffrence minimale positive cliniquement importante (pDMCI). The exclusion criteria were under 18 years old and low reading comprehension due to completing the questionnaire. Bookshelf In a study by Stratford et al[1], comparing Upper Extremity Functional Index (UEFI 20- item) and the Upper Extremity Functional Scale (UEFS), the discriminant cross-sectional validity of the UEFI was found to be 6.65 with p = .003 while the convergent cross-sectional validity coefficient between the UEFI and the UEFS was 0.82. Scree Plot of the exploratory one-factor solution. Informed consent was obtained from all subjects involved in the study. The QuickDASH criterion was not available for criterion comparison due to the excessive number of missing responses. 0000153714 00000 n The 15-item LEFS-Ar demonstrated evidence supporting its internal consistency, test-retest reliability and construct validity as a measure of lower extremity function in Arabic-speaking patients with lower extremity musculoskeletal disorders. Coefficient Alpha and the Internal Structure of Tests. sharing sensitive information, make sure youre on a federal A descriptive statistic of the participants was made with a mean and standard deviation of the demographic variables. The Stroke Impact Scale (SIS) is a self-report questionnaire that evaluates disability and health-related quality of life after stroke (Mudler & Nijland, 2016). See further details. 0000156965 00000 n Background The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. It is critical to employ research measures that are valid and reliable but they must also be both culturally and linguistically appropriate. 0000157514 00000 n Article 476 0 obj <>stream PubMed Consequently, a Spanish version of the ULFI (ULFI-Sp) was developed to meet this need. 0000084442 00000 n 0000076897 00000 n Phys Ther 2012,92(1):98110. S3S11. Correspondence to Harris, S.R. The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J: Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI). 0000155336 00000 n ; Goldhahn, J. https://doi.org/10.3390/ijerph20064997, Subscribe to receive issue release notifications and newsletters from MDPI journals, You can make submissions to other journals. The ULFI was cross-culturally adapted to Spanish through double forward and backward translations, the psychometric properties were then validated. BMJ. Conclusions: A one-factor solution is critical if a PRO is to be used with a single summated score and subsequently reflect the construct for which it is primary used that of representation of the functional status of the upper limb as a single kinetic chain [25, 48]. A refined content and validity analysis of the short form of the disabilities of the shoulder, arm and hand questionnaire in the strata of symptoms and function and specific joint conditions. 10.1007/s00264-007-0344-7, Article The QuickDASH data was unavailable for analysis due to excessive missing responses. Patient-Reported Symptoms after Breast Cancer Diagnosis and Treatment: A Retrospective Cohort Study. The ULFI-Sp showed no missing responses and showed a high degree of internal consistency, as illustrated by the high Cronbach value (=0.94) with an individual item range of 0.92 to 0.96. By using this website, you agree to our J Hand Ther 2010,23(1):4152. Gabel, C.P. Doward LC, McKenna SP: Defining Patient-Reported Outcomes. Methods A two stage observational study was conducted. 10.1097/00043764-199712000-00014, Sambandam SN, Priyanka PAG, Ilango B: Critical analysis of outcome measures used in the assessment of carpal tunnel syndrome. 0000071173 00000 n Responsiveness of the Arabic Upper Extremity Functional Index in Patients with Upper Extremity Musculoskeletal Disorders. For Similarly, the practical characteristics were not determined. J Hand Ther 2009,22(3):221236. Accessibility Med Clin (Barc) 2006,127(12):441447. This may have been partially attributed to the QuickDASH being the final questionnaire in the completion sequence and subsequent patient burden due to the number of questionnaires. Int. 0000076281 00000 n 0000074518 00000 n 10.2522/ptj.20100199, Lehman LA, Sindhu BS, Shechtman O, Romero S, Velozo CA: A comparison of the abiity of two upper extremity assessments to measure change in function. Descriptive analyses were applied to calculate means and standard deviations of demographic variables (Table1). The total score was accounted for, not the individual questionnaire response items.
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upper extremity functional index spanish version