The questionnaire lists 20 activities and the patient gives a score to each based on the difficulty they have completing that activity. The intra-class coefficient was 0.78. 0000088717 00000 n ; Okoli, J.; Gabram, S. Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery. J Back Musculoskelet Rehabil 2010, 23: 105110. PDF J ournal of PHYSIOTHERAPY - ResearchGate Harrington, S.; Michener, L.A.; Kendig, T.; Miale, S.; George, S.Z. J Am Acad Orthop Surg 2007,15(2):126134. Binkley, J.M. The Upper Extremity Functional Index (UEFI) is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Any study using confirmatory factor analysis would be advantageous. MeSH Franchignoni F, Giordano A, Sartorio F, Vercelli S, Pascariello B, Ferriero G. Suggestions for refinement of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH): a factor analysis and Rasch validation study.To perform a comprehensive psychometric analysis of Disabilities of the Arm, Shoulder and Hand (DASH) to examine its properties and provide insights for an improved . The Disability of Arm, Shoulder and Hand (DASH) [1416] and the shortened QuickDASH [17] version are two prominent examples. The developed short version of the ULFI-SP is preferable to assess upper limb function in Spanish BCS. Would you like email updates of new search results? Arooj A, Amjad F, Tanveer F, Arslan AU, Ahmad A, Gilani SA. Written informed consent was obtained from the patient for the publication of this report. Qual Life Res 1995, 4: 491. Garratt A: Patient reported outcome measures in trials, Editorial. Adults with upper-extremity (UE) dysfunction completed the UEFI-20, Upper Extremity Functional Scale (UEFS), Pain Limitation Scale, and Pain Intensity Scale at their initial physiotherapy assessment (Time 1); 24-48 hours later (Time 2); and 3 weeks into treatment or at discharge, whichever came first (Time 3). It has been subsequently independently validated [33] but uses a matrix response format which has a high error tendency for completion and scoring [34]. Patient-Reported Symptoms after Breast Cancer Diagnosis and Treatment: A Retrospective Cohort Study. Before The full sample determined internal consistency, concurrent criterion validity, construct validity and factor structure; a subgroup (n=35) determined reliability at seven days. The translation process ensured the conceptual equivalence of the used terms. "Validation of the Upper Limb Functional Index on Breast Cancer Survivor" International Journal of Environmental Research and Public Health 20, no. Test-retest reliability and internal consistency of Spanish SPADI and 0000157982 00000 n 0000156486 00000 n 0000155126 00000 n Google Scholar, Beaton DE, Wright JG, Katz JN, Group UEC: Development of the QuickDASH: comparison of three item-reduction approaches. Le coefficient de corrlation intracatgorie (CCI) et le changement dtectable minimal (CDM) ont quantifi la fiabilit de testretest (moment 1moment 2). 0000091146 00000 n Factor structure was one-dimensional and supported construct validity. Results: De Groef, A.; Meeus, M.; De Vrieze, T.; Vos, L.; Van Kampen, M.; Christiaens, M.-R.; Neven, P.; Geraerts, I.; Devoogdt, N. Pain Characteristics as Important Contributing Factors to Upper Limb Dysfunctions in Breast Cancer Survivors at Long Term. PubMed 2012;273421:10. Hamasaki, T.; Demers, L.; Filiatrault, J.; Aubin, G. A Cross-Cultural Adaptation of the Upper Limb Functional Index in French Canadian. 0000155003 00000 n 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. government site. Methods: 0000084902 00000 n 0000072187 00000 n Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Patient burden from completing numerous questionnaires is an area for future consideration. 0000083640 00000 n Unfallchirurg 2003,106(13):19. Qual Life Res 2009,18(8):10431051. 0000076125 00000 n Roldn-Jimnez C, Cuadros-Romero M, Bennett P, Cuesta-Vargas AI. A4fUW#"b]x"x~|_QJ-6j=!OV^O% Pu1oA ?\oWG7G=],7 Possible range on the UEFI 20-item from 0 80 with 0 indicating lowest functional status and 80 indicating highest functional status. Flowchart of the translation of the Upper Limb Functional Index (ULFI) from English. Musculoskelet Sci Pract. Phys Ther 2012,92(1):98110. The Oxford Shoulder Score Revisited. A factor analysis showed one factor with an Eigenvalue of 6.7; this factor explained 61% of the variance. 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]. 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. A Note on the Multiplying Factors for Various Chi Square Approximations. Disabilities of the Arm, Shoulder, and Hand Questionnaire 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. Ethical clearance was approved by the Tribunal of Review of Human Subjects at the University of Malaga. All participants gave written informed consent before data collection began. 0000156819 00000 n 2022 Oct 26;93(5):e2022307. 0000076521 00000 n The 15-item was developed to fit the Rasch analysis and it has been recommended because it's unidimensional. 0000075258 00000 n ; Bartlett, M.S. J Occup Environ Med 1997,39(12):11951202. ; Bombardier, C. Development of an Upper Extremity Outcome Measure: The DASH (Disabilities of the Arm, Shoulder and Hand) [Corrected]. those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). Med Clin (Barc) 1999, 112: 7985. Stubblefield, M.D. No significance differences were found between gender in the item responses. Hagstrom, A.D.; Shorter, K.A. Visualization and supervision: B.P.-H. and E.A.-C. All authors: Reviewing and editing the manuscript. Axillary Web Syndrome in Breast Cancer: A Prevalent But Under-Recognized Postoperative Complication. Davis, L.E. An index close to 0.95 was considered acceptable, while an index of 0.97 was considered indicative of a good fit [, Factor structure by MLE was carried out with the software Statistical Package Social Science Version 25.0 (SPSS 25.0) [, BCS were aged 51.64 (9.10). J Hand Ther 2001,14(2):6876. Informed consent from the participants was obtained for the present study. 0000073196 00000 n ; de Vet, H.C.W. 0000070836 00000 n Dawson, J.; Rogers, K.; Fitzpatrick, R.; Carr, A. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. Google Scholar, Dale LM, Strain-Riggs SR: Comparing responsiveness of the Quick Disabilities of the Arm, Shoulder, and Hand and the Upper Limb Functional Index. ; Bartlett, M.; Bartlett, M.S. 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. Participants (n = 126) with various upper limb conditions of >12 weeks duration completed the ULFI-Sp, QuickDASH and the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3 L). Value Health 2004, 7: 48. ; Gabel, P.C. Formal analysis: J.M.-M., A.I.C.-V. and C.R.-J. pp. eCollection 2023 Jan. Phys Ther. Cross cultural adaptation and validation of a Spanish version of the Lower Limb Functional Index. ; Seo, K.S. Cross-cultural adaptation, reliability and validity of the Spanish 0000081478 00000 n Breast cancer survivors (BCS) may face functional alterations after surgical intervention. CFA revealed a poor fit, and a new 14-item model (short version) was further tested. Int Orthop 2008,32(4):497504. On a valu la validit des groupes connus au moyen d'une analyse bidirectionnelle des carts (ANOVA) entre trois niveaux d'tat de fonctionnement. ; Alfano, C.M. 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? Garratt, A. 0000080800 00000 n Sartorio, F.; Moroso, M.; Vercelli, S.; Bravini, E.; Medina, M.E. This supports the findings of the previous research where redundancy was not present but potential shortening was recommended, perhaps to as low as 10 items [7]. Feature papers are submitted upon individual invitation or recommendation by the scientific editors and must receive The item loading for the one-factor solution for the PCA method and average score for each item is shown in Table2. Health outcome assessment is an important component of patient care. This provided accessibility to the ULFI for the second largest geographically used language. Upper Extremity Functional Index (UEFI) The UEFI is a patient-reported outcome measure used to quantify upper extremity-related activity limitations [ 13, 14, 20 ]. J Hand Ther 2006,19(3):328349. This article is published under license to BioMed Central Ltd. McPhail SM, Bagraith KS, Schippers M, Wells PJ, Hatton A: Use of Condition Specific Patient-Reported Outcome Measures in Clinical Trials among Patients with Wrist Osteoarthritis: A Systematic Review. 2001;53:25967. 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. 0000157844 00000 n The ULFI was cross-culturally adapted to Spanish ; Ros-Lpez, M.J.; Roldn-Jimnez, C. Energy System Assessment in Survivors of Breast Cancer. %PDF-1.4 % 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). 0000098017 00000 n 1173185, Stratford PW, Binkley JM, Stratford DM. 1. The correlation matrix for the ULFI-Sp was determined suitable from the Kaiser-Meyer-Oklin values (0.89) and Barletts Test of Sphericity (p<0.001). Up to two missing responses are permitted [7]. permission is required to reuse all or part of the article published by MDPI, including figures and tables. 10.1016/j.jclinepi.2006.03.012, Lehman LA, Woodbury M, Velozo CA: Examination of the factor structure of the Disabilities of the Arm, Shoulder, and Hand questionnaire. ; Beurskens, C.H.G. Rehabilitation of the spine: A practitioners manual. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. 2019). The authors are grateful to the volunteers for their participation and the PMDT, Malaga. Article Health Qual Life Outcomes 11, 126 (2013). Breast cancer is one of the most prevalent cancers worldwide in women [, Clinicians commonly use patient-reported outcomes (PROs) to assess a patients symptoms or functional status [, In the breast cancer population, there are PROs that are used to assess the upper limbs [, The Spanish version of the ULFI has been used to analyze factors associated with the upper limb function [. 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]. 0000156160 00000 n The strengths of the study include the prospective nature adequate number of subjects, the inclusion of consecutive patients and the limited selection bias [24, 32]. Future studies should include a more significant BCS sample, allowing for segmenting data for an MLE and CFA analysis. Bethesda, MD 20894, Web Policies When referring to upper extremity musculoskeletal impairments, this concerns the shoulder, elbow, wrist and hand areas. The Spanish lower extremity functional scale: a reliable, valid and 2022 Sep 6;19(18):11203. doi: 10.3390/ijerph191811203. This study concluded that the longitudinal validity of the Upper Extremity Functional Index was superior to the Upper Extremity Functional Scale. Physiother Can 2004, 56: 2730. For reliability a minimum of n=29 was required. BMJ. Google Scholar. The ULFI was translated to provide a cross-cultural adaptation to the Spanish language. Physiotherapy Canada 52 (2001): 259-267. 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. HHS Vulnerability Disclosure, Help Validation of the Upper Limb Functional Index on Breast Canc Flowchart of the translation of the Upper Limb Functional Index (ULFI The one-factor solution that emerged in the factor analysis accounted for 60.54% of the total variance. By using this website, you agree to our Binkley JM, Stratford P, Kirkpatrick S, Farley CR, Okoli J, Gabram S. Clin Breast Cancer. <]/Prev 380003>> We use cookies on our website to ensure you get the best experience. Implementation of a Standard Care Program of Therapeutic Exercise in Metastatic Breast Cancer Patients. Bada X, Roset M, Montserrat S, Herdman M, Segura A: The Spanish version of EuroQoL: A description and its applications. 0000156641 00000 n Google Scholar, Morris LA, Miller DW: The regulation of Patient-Reported Outcome claims: need for a flexible standard. trailer PubMed Central The QuickDASH data was unavailable for analysis due to excessive missing responses. Before The chi-square test was used to show differences between observed covariance and expected matrices. Roldn-Jimnez, C.; Martn-Martn, J.; Pajares, B.; Ribelles, N.; Alba, E.; Cuesta-Vargas, A.I. ; Abrams, G.; Mastick, J.; et al. 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. Yang, E.J. Cross-cultural adaptation, reliability and validity of the Spanish Schmitz, K.H. ; Jnsson, C.; Olsson, A.C.; Gard, G.; Johansson, K. Womens Experience of Physical Activity Following Breast Cancer Treatment. Physiotherapy Can. The full sample determined internal consistency, concurrent criterion validity, construct validity and factor structure; a subgroup (n = 35) determined reliability at seven days. Hudak, P.L. Int J Environ Res Public Health. Unable to load your collection due to an error, Unable to load your delegates due to an error. Wingate, L. Efficacy of Physical Therapy for Patients Who Have Undergone Mastectomies. ; Roldn-Jimnez, C. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. Development and initial validation of the upper extremity functional index. The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. 0000075811 00000 n 0000004613 00000 n Bravini, E.; Franchignoni, F.; Giordano, A.; Sartorio, F.; Ferriero, G.; Vercelli, S.; Foti, C. Classical Test Theory and Rasch Analysis Validation of the Upper Limb Functional Index in Subjects with Upper Limb Musculoskeletal Disorders. 0000122698 00000 n A KayserMeyerOlkin (KMO) Measure of Sampling Adequacy (>0.70) [, Construct validity and factor structure were determined through the use of Maximum Likelihood Extraction (MLE), with the requirements for extraction being the satisfaction of all three points: scree plot inflexion point, Eigenvalue > 1.0, and accounting for > 10% of the variance [, ULFI internal consistency was evaluated by Cronbachs coefficients calculated at an anticipated value range of 0.800.95 [, Correlation between items and confirmatory factor analysis (CFA) was made to test whether measures of a construct are consistent with this constructs nature. The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. 2015 Jul-Sep;28(3):279-84; quiz 285. doi: 10.1016/j.jht.2014.11.001. 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. Unauthorized use of these marks is strictly prohibited. The QuickDASH-Sp was also completed by all participants but there were excessive levels of missing responses that unfortunately rendered the data not useable for analysis and reporting in this study. 0000158831 00000 n The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). 10.1157/13093053. The Upper Extremity Functional Index (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Accessibility 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. 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. This study aimed to assess the psychometric properties of the Upper Limb Functional Index Spanish version (ULFI-Sp) in the BCS. 0000074780 00000 n PMC 0000075496 00000 n The Upper Extremity Functional Scale (UEFS) [30] which has been shown to lack reliability and methodological criteria [5, 31]. 0000075733 00000 n The upper limb functional index is broadly used outcome measure for musculoskeletal disorders of the upper limb. Cuesta-Vargas, A.I. 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). 0000083850 00000 n 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).

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