Article

Purpose : to Assess upper limb (UL) activity limitations using the "Test d'Evaluation des
Membres Superieurs Des Personnes Agees" (TEMPA) in individuals with Parkinson's
disease (PD) and verify its clinimetrics properties. METHODS: The following were
evaluated: internal consistency, interrater and test-retest reliability;
concurrent validity; convergent validity; know group's validity; minimal
detectable change, floor and ceiling effects, and the relationship between UL
activity limitations and the presence of freezing of gait. RESULTS: Excellent
reliability and interrater agreement (intraclass correlation coefficient = 0.99
and kappa = 0.92) and test-retest reliability (intraclass correlation coefficient
= 0.97) were found, as well internal consistency (alpha = 0.99). A moderate
negative correlation was found between TEMPA and section II of the Unified
Parkinson's Disease Rating Scale (rho = -0.58; P = .001), and moderate/low
between the test and the Nine Hole Peg Test values of the right UL and moderate
for left UL (rho = 0.56 and rho = 0.41; P = .001) (rho = 0.52 and rho = 0.51; P =
.001 and P = .002), respectively. No significant relationship was found with
freezing episodes (P = .057). DISCUSSION: TEMPA is useful for assessing UL
activity limitations in PD, have adequate clinimetrics properties and is capable
of detecting the influence of motor symptoms during the carrying out of daily
living tasks. No differences were found between freezers and no freezers. LEVEL
OF EVIDENCE: N/A.
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Langue : ANGLAIS