Relationship and Responsiveness of Three Outcome Measures of Upper Limb Motor Function after Stroke Rehabilitation

OBJECTIVE: To find the assessment tool which can be incorporated as a part of regular assessment by which therapist can plan their treatment protocol effectively as well as measure the recovery of intervention. SUBJECTS and METHODS: 45 subjects diagnosed with stroke onset at least 6 months previously were assigned to study. Intervention in form of Conventional, bilateral arm training and task specific training were given for 3 weeks. Upper extremity function tests were evaluated by Wolf Motor Function Test (WMFT), Chedoke Arm and Hand Activity Inventory (CAHAI) and Action Research Arm Test (ARAT) pre-and post-treatment. Relationship and responsiveness of all clinical test were performed by Spearman�s correlation coefficient and Paired-t test respectively. RESULT: All correlations were significant at 95 % C. I. at baseline as well as three-week time. The highest correlation was found between CAHAI and WMFT which was 0.637. Responsiveness of all three outcomes was significant at 95 % C. I. The responsiveness of CAHAI was significantly higher of mean difference 10.533 at 95 % C. I (10.06 to10.99) compared to WMFT and ARAT. CONCLUSION: CAHAI can be included in regular part of assessment which is having good clinimetric properties and assesses bilateral arm activities and actual performance of patient.