Methods: A two stage observational study was conducted. qw7dNKN}@"z`T|^$-E-qXsV\|e6E&%X]=8\EN@LqS;2r>/Q)esC7w+t#?r8YxqL,L'3'7_3f5b&@n]YE+J_KI"t96NE}e ~>|O2*M&oRo|U9]'' %? 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. Cronbach, L.J. Spanish Version of SPADI (Shoulder Pain and Disability Index) in Musculoskeletal Shoulder Pain: A New 10-Items Version after Confirmatory Factor Analysis. 0000154353 00000 n PubMed Central Patient reported outcome measures in trials, Editorial. Any study using confirmatory factor analysis would be advantageous. Measurement error was determined from SEM and MDC90 being respectively at 3.52% and 8.03%. 2023 Jan 16;4:1089748. doi: 10.3389/fpain.2023.1089748. The ULFI was cross-culturally adapted to Spanish through double forward and backward translations, the psychometric properties were then validated. Type text, add images, blackout confidential details, add comments, highlights and more. "Validation of the Upper Limb Functional Index on Breast Cancer Survivor" International Journal of Environmental Research and Public Health 20, no. 10.1016/j.jht.2008.11.005. 0000075811 00000 n doi: 10.23750/abm.v93i5.13417. 0000074700 00000 n The QuickDASH data was unavailable for analysis due to excessive missing responses. Cross-sectional convergent validity was determined by the association (Pearson's r) between Time 1 measures of function and pain. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Edit your upper extremity functional index online. 0000156486 00000 n Hu, L.; Bentler, P.M. Disclaimer. 0000084740 00000 n positive feedback from the reviewers. permission is required to reuse all or part of the article published by MDPI, including figures and tables. Traditionally, clinical signs and symptoms were used as outcomes and studies that wished to reflect patient health status employed generic quality of life measures. 0000088903 00000 n Rsultats : La fiabilit des questionnaires IFMS-20 et IFMS-15 a t la mme (CCI=0,94 pour les deux mesures). 0000072187 00000 n Roldn-Jimnez, C.; Martn-Martn, J.; Pajares, B.; Ribelles, N.; Alba, E.; Cuesta-Vargas, A.I. A Rasch-validated version of the upper extremity functional index for interval-level measurement of upper extremity function. The intra-class coefficient was 0.78. Bethesda, MD 20894, Web Policies This study aimed to assess. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Binkley JM, Stratford P, Kirkpatrick S, Farley CR, Okoli J, Gabram S. Clin Breast Cancer. The regulation of Patient-Reported Outcome claims: need for a flexible standard. 0000158978 00000 n The Upper Extremity Functional Scale (UEFS) [30] which has been shown to lack reliability and methodological criteria [5, 31]. 2014 May 17;12:75. doi: 10.1186/1477-7525-12-75. 0000077003 00000 n J Clin Epidemiol 2007, 60: 3442. 0000155003 00000 n Informed consent was obtained from all subjects involved in the study. Purpose: To examine the reliability, validity, and sensitivity to change of the 20-item version and the Rasch-refined 15-item version of the Upper Extremity Functional Index (UEFI-20 and UEFI-15, respectively) and to determine the impact of arm dominance on the positive minimal clinically important difference (pMCID). Factors Associated with Upper Limb Function in Breast Cancer Survivors. The authors declare no conflict of interest. Clinicians may assess the upper limbs after breast cancer. 10.1016/j.apmr.2008.06.024, Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC: Quality criteria were proposed for measurement properties of health status questionnaires. Epub 2014 Nov 8. Wingate, L. Efficacy of Physical Therapy for Patients Who Have Undergone Mastectomies. Upper Extremity Musculoskeletal DisordersGummesson (2006) . eCollection 2023. 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. ; Lim, J.-Y. MDC values were 9.4/80 for the UEFI-20 and 8.8/100 for the UEFI-15. PubMed The mean values and standard deviation in the ULFI-Sp questionnaire in breast cancer survivors were 71.66 21.57%. <]/Prev 380003>> The EQ-5D-3L-Visual Analogue Scale (VAS) is used to reflect the respondents self-rated health status on a 100mm scale and ranked from Best Imaginable (100) to Worst Imaginable (0). You seem to have javascript disabled. 0000075890 00000 n ^o_on/* G jTIr.1Urc~cz"SJ v8;' g /TF!o-+zlTuRYf.~?E=. There is no other relationship with Novartis as a partial funder apart from defraying employment expenses, and there are no patents, products in development, or marketed products relationships to declare according to the definition of financial competing interests. Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index, http://www.proqolid.org/instruments/upper_limb_functional_index_ulfi?fromSearch=yes&text=yes, http://www.un.org/spanish/News/fullstorynews.asp?news, http://creativecommons.org/licenses/by/2.0. eCollection 2023. 0000074860 00000 n Patient-Reported Upper Extremity Outcome Measures Used in Breast Cancer Survivors: A Systematic Review. A Prospective Surveillance Model for Physical Rehabilitation of Women with Breast Cancer: Chemotherapy-Induced Peripheral Neuropathy. The test-retest reliability or reproducibility was also high with the values (0.92 to 0.95) in-line with those found for the original instrument (0.90 to 0.96) [8]. To examine the reliability, validity, and sensitivity to change of the 20-item version and the Rasch-refined 15-item version of the Upper Extremity Functional Index (UEFI-20 and UEFI-15, respectively) and to determine the impact of arm dominance on the positive minimal clinically important difference (pMCID). The exclusion criteria were under 18 years old and low reading comprehension due to completing the questionnaire. Spanish Cross-Cultural Adaptation and Validation of the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire in Handball Players. 0000158689 00000 n The purpose of this study was the adaptation and validation of a Spanish-version (SFI-Sp) with cultural and linguistic equivalence. 0000074518 00000 n Wiley: Chichester; 2000. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. government site. 0000155991 00000 n Thereafter the MDC90 was calculated using the formula: MDC90=SEM21.96. Rehabilitation of the spine: A practitioners manual. 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 Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. It was noted that four factors had Eigenvalues >1.0 and accounted for 85.8% of variance; however those with an Eigenvalue >1.0 each accounted for <10% of variance and were shown to be after the screeplot initial inflection point (Figure2) and consequently not extracted. 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. Patient-Reported Symptoms after Breast Cancer Diagnosis and Treatment: A Retrospective Cohort Study. It has been subsequently independently validated [33] but uses a matrix response format which has a high error tendency for completion and scoring [34]. ; Osborne, J.W. [1] The original UEFI consists of 20 questions on a 5- point rating scale assessing level of difficulty in performing activities of daily living using the upper extremities including household and work activities, hobbies, lifting a bag of groceries, washing your scalp, pushing up on your hands, driving etc. 0000075968 00000 n Ethical approval of the present study was obtained from the Portal de tica de la Investigacin Biomdica de Andaluca Ethics Committee, Spain (28042016). This site needs JavaScript to work properly. 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]. The Validation of a Quality of Life Scale to Assess the Impact of Arm Morbidity in Breast Cancer Patients Post-Operatively. doi: 10.7759/cureus.33381. The four published studies to date investigating the ULFI suggest the practical characteristics along with the responsiveness and error range [4, 8] FOIA This study analyzed the psychometric properties of the ULFI-Sp in a sample of the BCS, resulting in a new ULFI-Sp short version. Cross cultural adaptation and validation of a Spanish version of the Lower Limb Functional Index. 0000081950 00000 n Schmitz, K.H. 0000004577 00000 n CFA revealed a poor fit, and a new 14-item model (short version) was further tested. Hamasaki, T.; Demers, L.; Filiatrault, J.; Aubin, G. A Cross-Cultural Adaptation of the Upper Limb Functional Index in French Canadian. 0000093539 00000 n A shortened version of the FMA-EU, which includes 6 . Federal government websites often end in .gov or .mil. 0000004290 00000 n Arthritis Care Res (Hoboken) 2011,11(63):174188. 0000080800 00000 n La validit convergente transversale a t dtermine par le lien (r de Pearson) entre les mesures de fonction et de douleur prises au moment 1. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. ; Roldn-Jimnez, C. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. 4 0 obj Front Neurol. Gabel, C.P. Health outcome assessment is an important component of patient care. The UEFI is addressed to patients diagnosed with orthopaedic conditions that affect the upper limb (shoulder, elbow, wrist or hand). 0000075338 00000 n On a valu la validit des groupes connus au moyen d'une analyse bidirectionnelle des carts (ANOVA) entre trois niveaux d'tat de fonctionnement. All statistical analyses were conducted using the Statistical Package for Social Science version 17.0 (SPSS 17.0) for Windows and LISREL 8.80 [47]. J Hand Ther 2010,23(1):4152. J Hand Ther 2001,14(2):128146. most exciting work published in the various research areas of the journal. 10.1016/j.jht.2009.09.007, Michener LA, Leggins BG: A review of self-report scales for the assessment of functional limitation and disability of the shoulder. ; Yelland, M.; Melloh, M.; Burkett, B. The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. A potential source of bias was that the scales were provided always in the same order. The UEFI is easy to administer as it is a self-reported questionnaire. Quality Criteria Were Proposed for Measurement Properties of Health Status Questionnaires. ROC curve; outcome assessment; physiology; reproducibility of results; upper limb. A Prospective Study. Med Clin (Barc) 1999, 112: 7985. 03. 10.1016/S0894-1130(01)80036-3, Article Consequently, a Spanish version of the ULFI (ULFI-Sp) was developed to meet this need. 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. Garratt, A. Development and Initial Validation of a New Regional Outcome Measure: The Upper Limb Disability Questionnaire (ULDQ), 2003. Cronbach LJ: Coefficient alpha and the internal structure of tests. Not only a direct and reverse translation methodology was applied, also a specialist in the field as detailed and recommended in the specialized scientific literature (Figure1) [43, 44]. Value Health. The KaiserMeyerOklin test determined the correlation matrix (0.889) for the ULFI-Sp in female BCS and the Bartletts Test of Sphericity (chi-squared value = 2087.167 and df 300, The ULFI-Sp showed a high degree consistency, as illustrated by the high Cronbach value ( = 0.916) with an individual item range between 0.868 and 0.875. BMC Musculoskelet Disord 2010, 10: 161. The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. Cuesta-Vargas A, Gonzalez-Sanchez M, Farasyn A: Development of a Spanish version of the Backache Index Cross cultural linguistic adaptation and reliability. Top Contributors - Simisola Ajeyalemi, Kim Jackson, Yvonne Yap and Amanda Ager. 0000074939 00000 n 0000071512 00000 n (This article belongs to the Special Issue. The https:// ensures that you are connecting to the Internal consistency analysis showed a level of 0.94 that sits below the accepted 0.95 thresholds for item reducndancy [20]. The normative values from ULFI-Sp score were mean and standard deviation of 5.885.6 points. Unable to load your collection due to an error, Unable to load your delegates due to an error. Cross-Cultural Adaptation, Reliability and Validity of the Spanish Version of the Upper Limb Functional Index. 10.1016/j.math.2010.10.004, Angst F, Goldhahn J, Angst F, Goldhahn J, Drerup S, Flury M, Schwyzer HK, Simmen BR: How sharp is the short QuickDASH? The UEFI-15 is recommended because it measures only one dimension: UE function. Article 0000073196 00000 n Construct validity and factor structure were determined through the use of questionnaire principal component analysis (PCA) with the a-priori requirements for extraction being the satisfaction of all three points: screeplot inflection point, Eigenvalue>1.0 and accounting for >10% of variance. No special The QuickDASH criterion was not available for criterion comparison due to the excessive number of missing responses. ; Amadio, P.C. PMC 2019). Prevalence of Breast Cancer Treatment Sequelae over 6 Years of Follow-up: The Pulling Through Study. Med Care 45(5):S3-S11. 10.1157/13093053. methods, instructions or products referred to in the content. Development and initial validation of the upper extremity functional index. 0 Google Scholar, Mintken PE, Glynn P, Cleland JA: Psychometric properties of the shortene disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). 0000106914 00000 n National Library of Medicine 0000080372 00000 n Sign it in a few clicks. Roldn-Jimnez, C.; Pajares, B.; Ruiz-Medina, S.; Trinidad-Fernndez, M.; Gonzlez-Snchez, M.; Ribelles, N.; Garca-Almeida, J.M. The item loading for the one-factor solution for the PCA method and average score for each item is shown in Table2. Furthermore, this is the first version of the ULFI-Sp abbreviated to 14 items that maintain the original psychometric properties. Escriche-Escuder, A.; Trinidad-Fernndez, M.; Pajares, B.; Iglesias-Campos, M.; Alba, E.; Cuesta-Vargas, A.I. The Upper Limb Functional Index: Development and Determination of Reliability, Validity, and Responsiveness. Patient Reported Outcome Measures in Trials. This study received a grant from the Research Office of the University of Malaga. Unauthorized use of these marks is strictly prohibited. BMJ 2009, 338: 2597. Epub 2018 Feb 21. 2023; 20(6):4997. 6, e1261-7. The correlation between items and the regression score from MLE, communalities, and the average score for each item is shown in, Therefore, a new 14-item model (short version) was tested with those items with communalities higher than 0.3. The upper limb functional index is broadly used outcome measure for musculoskeletal disorders of the upper limb. 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_!:. % 0000139515 00000 n <> 0.95 in a sample of upper extremity musculoskeletal conditions,1 and ICC 0.85 (95% CI: 0.73, 0.92) in a sample with shoulder, elbow, wrist and forearm musculoskeletal conditions. 0000155126 00000 n PubMedGoogle Scholar. On a runi des donnes dmographiques, y compris sur leur tat de travailleur, au cours du moment 1. 0000097773 00000 n Harrington, S.; Michener, L.A.; Kendig, T.; Miale, S.; George, S.Z. startxref Similarly, the practical characteristics were not determined. Below are the links to the authors original submitted files for images. 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. It is critical to employ research measures that are valid and reliable but they must also be both culturally and linguistically appropriate. The procedure of cross-cultural adaptation of a scale has been used in previous studies for different scales to be applied in the Spanish context [43, 44] 0000081478 00000 n The Pearsons r correlation coefficient used the criteria of poor (r<0.49), fair (r=0.50-0.74) and strong (r>0.75) [46]. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. The cross-cultural adaptation of the ULFI into Spanish enables clinicians in Spanish speaking settings to compare outcomes following their treatments and interventions affecting the upper limb. The ULFI was cross-culturally adapted to Spanish : Quality of Life: Assessment, Analysis and Interpretation of Patient-reported Outcomes. In a study by Chesworth et al[4], reliability for the UEFI-20 and UEFI-15 was the same (ICC=0.94 for both measures). 0000157844 00000 n Polish Cross-Cultural Adaptation of the Lower Limb Functional Index (LLFI) Demonstrates a Valid Outcome Measure for the Lower Limb Region and Joints. The standard error of the measurement (SEM) was calculated using the formula: SEM=s(1r), where s=the mean and standard deviation (SD) of time 1 and time 2, r=the reliability coefficient for the test and Pearsons correlation coefficient between test and retest values. The aim is to provide a snapshot of some of the 1173185, Stratford PW, Binkley JM, Stratford DM. 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. 10.1016/j.cps.2007.10.001. The site is secure. 0000070500 00000 n ; Seo, K.S. 0000074379 00000 n The ULFI-Sp demonstrated high internal consistency ( = 0.94) and reliability (r = 0.93). Baltimore, MD: Lippincott Williams & Wilkins. Results: The Spanish version of the LEFS had high internal consistency (Cronbach's =0.989), test-retest reliability (ICC=0.998, 95% CI: 0.996-0.999) and presented a high correlation with the SF-36 (36-Item Short-Form Health Survey) especially with the physical function and pain subscales. 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. WHO | Breast Cancer: Prevention and Control. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Am J Occup Ther 2011,65(2):169178. 0000156160 00000 n ; van der Windt, D.A.W.M. Reliability and validity of two versions of the upper extremity functional index. Today, do you or would you have any difficulty at all with: Harris, S.R. Arm dominance affects pMCID. The developed short version of the ULFI-SP is preferable to assess upper limb function in Spanish BCS. 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). ; Bubis, L.D. Visit our dedicated information section to learn more about MDPI. Clipboard, Search History, and several other advanced features are temporarily unavailable. Possible range on the UEFI 20-item from 0 80 with 0 indicating lowest functional status and 80 indicating highest functional status. Heffor C, Abbott JH, Heffor C, Abbott : The Patient-Specific Functional Scale: Validity, Reliability, and Responsiveness in Patients With Upper Extremity Musculoskeletal Problems. ; Bartlett, M.S. 2015 Jul-Sep;28(3):279-84; quiz 285. doi: 10.1016/j.jht.2014.11.001. Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria versus New Alternatives. eCollection 2023 Jan. Phys Ther. International Journal of Environmental Research and Public Health. J Hand Ther 2001,14(2):6876. Fayers PM, Machin D, et al. Criterion validity with the EQ-5D-3 L was fair and inversely correlated (r = -0.59). 0000100655 00000 n ; Gabel, P.C. 0000079311 00000 n Bada X, Roset M, Montserrat S, Herdman M, Segura A: The Spanish version of EuroQoL: A description and its applications. ; Alfano, C.M. Karanasios S, Kampourakis G, Ntoulaveris I, Kouvaras K, Lignos I, Diamantopoulos N, Gioftsos G. Cureus. J Hand Surg 2004,29(2):159164. 0000082479 00000 n ; Spalek, R.; Ferriero, G. Cross-cultural adaptation, and validity of the italian version of the Upper Limb Functional Index (ULFI-I). 2023 Jan 16;23(2):1012. doi: 10.3390/s23021012. La validit longitudinale a t dtermine en fonction du lien (r de Pearson) entre les scores de changement de la fonction et de la douleur (moment 1moment 3). permission provided that the original article is clearly cited. 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. It has five 3-point response options for different quality-of-life dimensions and a sixth question on overall perceived health-related status. 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. The exclusion criteria were age <18years and poor Spanish language comprehension as required for the completion of the questionnaires. The chi-square test was used to show differences between observed covariance and expected matrices. PubMed Disclaimer. 0000153258 00000 n Int J Environ Res Public Health. 10.1136/oem.59.10.664, Article 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 inability to use the QuickDASH-Sp data collected in the clinical setting due to excessive missing responses, potentially from patient burden due to being the final questionnaire, resulted in no direct comparison with a regional upper limb criterion, a requirement for future studies. Would you like email updates of new search results? 0000005536 00000 n 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. GQAzTeJQwe$Eu/A$J#m@ F6& &mb,YHdN{%E,K+(S msNZ}HbJbz >wUA[@=%8wjJaM 0000076204 00000 n Book Doward LC, McKenna SP: Defining Patient-Reported Outcomes. Correspondence to Arch Phys Med Rehabil 2010,91(9):13701377. Changes in Unilateral Upper Limb Muscular Strength and Electromyographic Activity After a 16-Week Strength Training Intervention in Survivors of Breast Cancer. Morris LA, Miller DW. The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. 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. Gabel CP, Melloh M, Burkett B, Michener L: The Lower Limb Functional Index: development and validation of the clinimetric properties and practical characteristics. Res Pract Thromb Haemost. Participants (n=126) with various upper limb conditions of >12weeks duration completed the ULFI-Sp, QuickDASH and the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3L). It was initially published in a dichotomous format [6] then updated and modified to a three-point scale [7]. Gabel CP, Yelland M, Melloh M, Burkett B: A modified QuickDASH-9 provides a valid outcome instrument for upper limb function.
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