Article

STUDY DESIGN: Clinical measurement study. The Functional Dexterity
Test (FDT) has not been validated in children. PURPOSE OF THE STUDY: To determine
reliability and validity of the FDT in a pediatric population. METHODS:
Intraclass Correlation Coefficients (ICCs) were used to calculate interrater and
test-retest reliability in typically developing children. Pearson correlation
coefficients were used to compare FDT speed with the Jebsen-Taylor Hand Function
Test (JHFT) and with 2 activities of daily living tasks to establish validity in
children with congenital hand differences. RESULTS: The FDT demonstrated
excellent interrater (ICC, 0.99) and test-retest (ICC, 0.90) reliability. Pearson
correlation coefficients exceeded 0.67 for JHFT subsets of fine dexterity and
were all less than 0.66 for JHFT subsets of gross grasp. Correlations with the
activities of daily living tasks were good to excellent. FDT speeds in TD
children exceeded those of children with congenital hand differences (P < .001),
demonstrating discriminant validity. DISCUSSION: Children with congenital hand
differences are often treated early in life, making it important to reliably
assess hand function of these young children to distinguish developmental change
from changes due to interventions. The FDT can reliably measure functional
progress over time, help clinicians monitor the efficacy of treatment, and
provide families realistic feedback on their child's progress. CONCLUSION: The
FDT is a valid and reliable instrument for the measurement of fine motor
dexterity in children.
CI - Copyright (c) 2016 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
- Test de dextérité fonctionnel

Langue : ANGLAIS