Measurement properties of the short version of the van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury

M.W.M. Post, G. van Lieshout, H.A.M. Seelen, G.J. Snoek, Maarten Joost IJzerman, C. Pons

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Abstract

Study design: Two validation studies. Objectives: To assess the measurement properties of the short version of the Van Lieshout test (VLT-SV), a new test for arm/hand function of persons with tetraplegia after spinal cord injury (SCI). Setting: Two specialized rehabilitation centres in The Netherlands. Methods: Study 1 (N=12) – assessment of inter-rater reliability (intraclass correlations (ICC); weighted kappa; Bland–Altman plots). Study 2 (N=55) – assessment of convergent validity by computing Spearman's correlations with the Grasp-Release test (GRT; criterion standard) and with motor level of injury, ASIA impairment scale, international classification for surgery of the hand, and the self-care and transfer scales of the functional independence measure. All statistics were computed separately for the right- and the left-hand scores. Results: Inter-rater reliability was excellent (ICC 0.98 and 0.99). Agreement was independent of the height of the scores and the limits of agreement were 0.5 points on a 0–5 scale. Convergent validity was very good with a Spearman correlation of 0.87and 0.90 between the VLT-SV and the GRT and correlations between 0.35 and 0.85 with the other indicators of arm/hand function. Conclusion: The VLT-SV seems a reliable and valid test to assess arm/hand function of persons with tetraplegia after SCI. Keywords: spinal cord injuries, tetraplegia, reproducibility of results, validation study, upper extremity
Original languageEnglish
Pages (from-to)763-771
Number of pages9
JournalSpinal cord
Volume44
Issue numberPaper PMD-
DOIs
Publication statusPublished - 11 Jun 2006

Keywords

  • Tetraplegia
  • validation study
  • reproducibility of results
  • Spinal cord injuries
  • METIS-248199
  • IR-63935
  • Upper extremity
  • EWI-9172

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