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The AsTex ®: clinimetric properties of a new tool for evaluating hand sensation following stroke
Objectives: To investigate the clinimetric properties and clinical utility of the AsTex®, a new clinical tool for evaluation of hand sensation following stroke. Design: The AsTex ® was administered on two occasions separated by a week to appraise test—retest reliability, and by three assessors on si...
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| Published in: | Clinical rehabilitation 2009-12, Vol.23 (12), p.1104-1115 |
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| container_end_page | 1115 |
| container_issue | 12 |
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| container_title | Clinical rehabilitation |
| container_volume | 23 |
| creator | Miller, KJ Phillips, BA Martin, CL Wheat, HE Goodwin, AW Galea, MP |
| description | Objectives: To investigate the clinimetric properties and clinical utility of the AsTex®, a new clinical tool for evaluation of hand sensation following stroke.
Design: The AsTex ® was administered on two occasions separated by a week to appraise test—retest reliability, and by three assessors on single occasion to establish inter-rater reliability. Pilot normative values were collected in an age-stratified sample. Clinical utility was evaluated based on ease of administration, ceiling and floor effects, and responsiveness to sensory recovery.
Participants: Test—retest (n = 31) and inter-rater (n = 31) reliability and normative values (n = 95) for the AsTex® were established in neurologically normal participants aged 18—85 years. Test—retest reliability was investigated in 22 individuals a mean of 46 months (range 12—125) post stroke and clinical utility was evaluated in an additional 24 subacute stroke participants a mean of 29.4 days (range 12—41) post stroke.
Main measure: The AsTex ®.
Results: The AsTex ® demonstrated excellent test—retest (intraclass correlation coefficient (ICC) = 0.98, 95% confidence interval (95% CI) = 0.97—0.99) and inter-rater reliability (ICC = 0.81, 95% CI = 0.73—0.87) in neurologically normal participants. Test—retest reliability of the AsTex® in individuals following stroke was excellent (ICC = 0.86, 95% CI = 0.68—0.94). The AsTex® was simple to administer, demonstrated small standard error of measurement (0.14 mm), minimal floor and ceiling effects (12.5% and 8.3%) and excellent responsiveness (standardized response mean = 0.57) in subacute stroke participants.
Conclusion: The AsTex ® is a reliable, clinically useful and responsive tool for evaluating hand sensation following stroke. |
| doi_str_mv | 10.1177/0269215509342331 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733681416</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0269215509342331</sage_id><sourcerecordid>1920905841</sourcerecordid><originalsourceid>FETCH-LOGICAL-c324t-4d2a624205ebc17cd23aa38d8074be42152219694e198cfe3e6060c21b4082a43</originalsourceid><addsrcrecordid>eNp9kUtLxDAUhYMoOj72riS40FX15tGmdTcMvkBwM65Lmt6O1bYZk9bRP-WP8JeZYQYGBF2Fy_nuyT0cQo4ZXDCm1CXwJOMsjiETkgvBtsiISaUiSJXYJqOlHC31PbLv_QsApFyyXbLHsjRTMVMjoqfPSMd-ih_0--uKmqbu6hZ7Vxs6d3aOrq_RU1tRTTtc0N7ahlbWUXzXzaD7upvRZ92V1GPnw2i7oDaNXSwF3zv7iodkp9KNx6P1e0Cebq6nk7vo4fH2fjJ-iIzgso9kyXXCJYcYC8OUKbnQWqRlCkoWKEMKzlmWZBLD8aZCgQkkYDgrZEilpTgg5yvfcPfbgL7P29obbBrdoR18roRIUiZZEsizf8lYCSayJA3g6S_wxQ6uCylyDqBAiBQCBCvIOOu9wyqfu7rV7jNnkC9byn-3FFZO1r5D0WK5WVjXEoBoBXg9w82nfxr-ANujmKE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>200703380</pqid></control><display><type>article</type><title>The AsTex ®: clinimetric properties of a new tool for evaluating hand sensation following stroke</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Sociology Collection</source><source>Sage Journals Online</source><source>ProQuest Social Science Premium Collection</source><creator>Miller, KJ ; Phillips, BA ; Martin, CL ; Wheat, HE ; Goodwin, AW ; Galea, MP</creator><creatorcontrib>Miller, KJ ; Phillips, BA ; Martin, CL ; Wheat, HE ; Goodwin, AW ; Galea, MP</creatorcontrib><description>Objectives: To investigate the clinimetric properties and clinical utility of the AsTex®, a new clinical tool for evaluation of hand sensation following stroke.
Design: The AsTex ® was administered on two occasions separated by a week to appraise test—retest reliability, and by three assessors on single occasion to establish inter-rater reliability. Pilot normative values were collected in an age-stratified sample. Clinical utility was evaluated based on ease of administration, ceiling and floor effects, and responsiveness to sensory recovery.
Participants: Test—retest (n = 31) and inter-rater (n = 31) reliability and normative values (n = 95) for the AsTex® were established in neurologically normal participants aged 18—85 years. Test—retest reliability was investigated in 22 individuals a mean of 46 months (range 12—125) post stroke and clinical utility was evaluated in an additional 24 subacute stroke participants a mean of 29.4 days (range 12—41) post stroke.
Main measure: The AsTex ®.
Results: The AsTex ® demonstrated excellent test—retest (intraclass correlation coefficient (ICC) = 0.98, 95% confidence interval (95% CI) = 0.97—0.99) and inter-rater reliability (ICC = 0.81, 95% CI = 0.73—0.87) in neurologically normal participants. Test—retest reliability of the AsTex® in individuals following stroke was excellent (ICC = 0.86, 95% CI = 0.68—0.94). The AsTex® was simple to administer, demonstrated small standard error of measurement (0.14 mm), minimal floor and ceiling effects (12.5% and 8.3%) and excellent responsiveness (standardized response mean = 0.57) in subacute stroke participants.
Conclusion: The AsTex ® is a reliable, clinically useful and responsive tool for evaluating hand sensation following stroke.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215509342331</identifier><identifier>PMID: 19897517</identifier><identifier>CODEN: CEHAEN</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Diagnostic Equipment ; Female ; Hands ; Humans ; Male ; Measures ; Middle Aged ; Reference Values ; Reliability ; Reproducibility of Results ; Responsiveness ; Severity of Illness Index ; Somatosensory Disorders - diagnosis ; Somatosensory Disorders - etiology ; Stroke - complications ; Strokes ; Young Adult</subject><ispartof>Clinical rehabilitation, 2009-12, Vol.23 (12), p.1104-1115</ispartof><rights>The Author(s), 2009.</rights><rights>SAGE Publications © Dec 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-4d2a624205ebc17cd23aa38d8074be42152219694e198cfe3e6060c21b4082a43</citedby><cites>FETCH-LOGICAL-c324t-4d2a624205ebc17cd23aa38d8074be42152219694e198cfe3e6060c21b4082a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/200703380?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,786,790,12873,21422,21423,27957,27958,31034,31035,33646,33647,34565,34566,43768,44150</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19897517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miller, KJ</creatorcontrib><creatorcontrib>Phillips, BA</creatorcontrib><creatorcontrib>Martin, CL</creatorcontrib><creatorcontrib>Wheat, HE</creatorcontrib><creatorcontrib>Goodwin, AW</creatorcontrib><creatorcontrib>Galea, MP</creatorcontrib><title>The AsTex ®: clinimetric properties of a new tool for evaluating hand sensation following stroke</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objectives: To investigate the clinimetric properties and clinical utility of the AsTex®, a new clinical tool for evaluation of hand sensation following stroke.
Design: The AsTex ® was administered on two occasions separated by a week to appraise test—retest reliability, and by three assessors on single occasion to establish inter-rater reliability. Pilot normative values were collected in an age-stratified sample. Clinical utility was evaluated based on ease of administration, ceiling and floor effects, and responsiveness to sensory recovery.
Participants: Test—retest (n = 31) and inter-rater (n = 31) reliability and normative values (n = 95) for the AsTex® were established in neurologically normal participants aged 18—85 years. Test—retest reliability was investigated in 22 individuals a mean of 46 months (range 12—125) post stroke and clinical utility was evaluated in an additional 24 subacute stroke participants a mean of 29.4 days (range 12—41) post stroke.
Main measure: The AsTex ®.
Results: The AsTex ® demonstrated excellent test—retest (intraclass correlation coefficient (ICC) = 0.98, 95% confidence interval (95% CI) = 0.97—0.99) and inter-rater reliability (ICC = 0.81, 95% CI = 0.73—0.87) in neurologically normal participants. Test—retest reliability of the AsTex® in individuals following stroke was excellent (ICC = 0.86, 95% CI = 0.68—0.94). The AsTex® was simple to administer, demonstrated small standard error of measurement (0.14 mm), minimal floor and ceiling effects (12.5% and 8.3%) and excellent responsiveness (standardized response mean = 0.57) in subacute stroke participants.
Conclusion: The AsTex ® is a reliable, clinically useful and responsive tool for evaluating hand sensation following stroke.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Diagnostic Equipment</subject><subject>Female</subject><subject>Hands</subject><subject>Humans</subject><subject>Male</subject><subject>Measures</subject><subject>Middle Aged</subject><subject>Reference Values</subject><subject>Reliability</subject><subject>Reproducibility of Results</subject><subject>Responsiveness</subject><subject>Severity of Illness Index</subject><subject>Somatosensory Disorders - diagnosis</subject><subject>Somatosensory Disorders - etiology</subject><subject>Stroke - complications</subject><subject>Strokes</subject><subject>Young Adult</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><recordid>eNp9kUtLxDAUhYMoOj72riS40FX15tGmdTcMvkBwM65Lmt6O1bYZk9bRP-WP8JeZYQYGBF2Fy_nuyT0cQo4ZXDCm1CXwJOMsjiETkgvBtsiISaUiSJXYJqOlHC31PbLv_QsApFyyXbLHsjRTMVMjoqfPSMd-ih_0--uKmqbu6hZ7Vxs6d3aOrq_RU1tRTTtc0N7ahlbWUXzXzaD7upvRZ92V1GPnw2i7oDaNXSwF3zv7iodkp9KNx6P1e0Cebq6nk7vo4fH2fjJ-iIzgso9kyXXCJYcYC8OUKbnQWqRlCkoWKEMKzlmWZBLD8aZCgQkkYDgrZEilpTgg5yvfcPfbgL7P29obbBrdoR18roRIUiZZEsizf8lYCSayJA3g6S_wxQ6uCylyDqBAiBQCBCvIOOu9wyqfu7rV7jNnkC9byn-3FFZO1r5D0WK5WVjXEoBoBXg9w82nfxr-ANujmKE</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Miller, KJ</creator><creator>Phillips, BA</creator><creator>Martin, CL</creator><creator>Wheat, HE</creator><creator>Goodwin, AW</creator><creator>Galea, MP</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>200912</creationdate><title>The AsTex ®: clinimetric properties of a new tool for evaluating hand sensation following stroke</title><author>Miller, KJ ; Phillips, BA ; Martin, CL ; Wheat, HE ; Goodwin, AW ; Galea, MP</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-4d2a624205ebc17cd23aa38d8074be42152219694e198cfe3e6060c21b4082a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Diagnostic Equipment</topic><topic>Female</topic><topic>Hands</topic><topic>Humans</topic><topic>Male</topic><topic>Measures</topic><topic>Middle Aged</topic><topic>Reference Values</topic><topic>Reliability</topic><topic>Reproducibility of Results</topic><topic>Responsiveness</topic><topic>Severity of Illness Index</topic><topic>Somatosensory Disorders - diagnosis</topic><topic>Somatosensory Disorders - etiology</topic><topic>Stroke - complications</topic><topic>Strokes</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, KJ</creatorcontrib><creatorcontrib>Phillips, BA</creatorcontrib><creatorcontrib>Martin, CL</creatorcontrib><creatorcontrib>Wheat, HE</creatorcontrib><creatorcontrib>Goodwin, AW</creatorcontrib><creatorcontrib>Galea, MP</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Health Management Database (Proquest)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>Social Science Database (ProQuest)</collection><collection>Sociology Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, KJ</au><au>Phillips, BA</au><au>Martin, CL</au><au>Wheat, HE</au><au>Goodwin, AW</au><au>Galea, MP</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The AsTex ®: clinimetric properties of a new tool for evaluating hand sensation following stroke</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2009-12</date><risdate>2009</risdate><volume>23</volume><issue>12</issue><spage>1104</spage><epage>1115</epage><pages>1104-1115</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><coden>CEHAEN</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objectives: To investigate the clinimetric properties and clinical utility of the AsTex®, a new clinical tool for evaluation of hand sensation following stroke.
Design: The AsTex ® was administered on two occasions separated by a week to appraise test—retest reliability, and by three assessors on single occasion to establish inter-rater reliability. Pilot normative values were collected in an age-stratified sample. Clinical utility was evaluated based on ease of administration, ceiling and floor effects, and responsiveness to sensory recovery.
Participants: Test—retest (n = 31) and inter-rater (n = 31) reliability and normative values (n = 95) for the AsTex® were established in neurologically normal participants aged 18—85 years. Test—retest reliability was investigated in 22 individuals a mean of 46 months (range 12—125) post stroke and clinical utility was evaluated in an additional 24 subacute stroke participants a mean of 29.4 days (range 12—41) post stroke.
Main measure: The AsTex ®.
Results: The AsTex ® demonstrated excellent test—retest (intraclass correlation coefficient (ICC) = 0.98, 95% confidence interval (95% CI) = 0.97—0.99) and inter-rater reliability (ICC = 0.81, 95% CI = 0.73—0.87) in neurologically normal participants. Test—retest reliability of the AsTex® in individuals following stroke was excellent (ICC = 0.86, 95% CI = 0.68—0.94). The AsTex® was simple to administer, demonstrated small standard error of measurement (0.14 mm), minimal floor and ceiling effects (12.5% and 8.3%) and excellent responsiveness (standardized response mean = 0.57) in subacute stroke participants.
Conclusion: The AsTex ® is a reliable, clinically useful and responsive tool for evaluating hand sensation following stroke.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19897517</pmid><doi>10.1177/0269215509342331</doi><tpages>12</tpages></addata></record> |
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| ispartof | Clinical rehabilitation, 2009-12, Vol.23 (12), p.1104-1115 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Sociology Collection; Sage Journals Online; ProQuest Social Science Premium Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Case-Control Studies Diagnostic Equipment Female Hands Humans Male Measures Middle Aged Reference Values Reliability Reproducibility of Results Responsiveness Severity of Illness Index Somatosensory Disorders - diagnosis Somatosensory Disorders - etiology Stroke - complications Strokes Young Adult |
| title | The AsTex ®: clinimetric properties of a new tool for evaluating hand sensation following stroke |
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