Article

OBJECTIVE: To investigate the measurement properties of the Dutch version of the
Michigan Hand Outcomes Questionnaire (MHQ) in patients with stroke. DESIGN:
Validation study. SETTING: Outpatient rehabilitation clinic. PARTICIPANTS:
Consecutive patients with stroke (N=51; mean age, 60+/-11y; 16 women [31%]).
INTERVENTIONS: Patients were asked to complete the MHQ (57 items) and Medical
Outcomes Study 36-Item Short-Form Health Survey (SF-36). Additional assessments
included the Barthel Index and performance tests for hand function (Action
Research Arm Test, Nine Hole Peg Test, Frenchay Arm Test, Motricity Index). MAIN
OUTCOME MEASURES: Associations between the MHQ and other outcome measures were
determined using Spearman correlation coefficients and the internal consistency
of the MHQ using Cronbach alpha. Floor or ceiling effects were present if >15% of
the patients scored minimal or maximal scores, respectively. Test-retest
reliability was established by the intraclass correlation coefficient. RESULTS:
The mean MHQ total score was 70.0+/-22.4, with Cronbach alpha being .97. The MHQ
total score correlated significantly with the physical component summary of the
SF-36, the Barthel Index, and all hand function performance tests (P<.01). The
MHQ total score showed no floor or ceiling effects. The test-retest intraclass
correlation coefficient was .97. CONCLUSIONS: This study provides preliminary
evidence that the MHQ is an internally consistent, valid, and reliable hand
function questionnaire in outpatients after stroke, although these results need
to be further confirmed.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS