Article

PURPOSE: To examine the ecological validity, predictive validity, and
responsiveness of the Five Digit Test (FDT) in patients with stroke. METHODS: We
included inpatients with stroke
(n = 144, 114 and 105 in the ecological validity,
predictive validity, and responsiveness analysis, respectively) in the study. At
admission, the FDT and Barthel Index (BI) were assessed; at discharge, the FDT,
BI, Postural Assessment Scale for Stroke Patients (PASS), and Mobility Subscale
of the Stroke Rehabilitation Assessment of Movement (MO-STREAM) were assessed.
RESULTS: In the ecological validity analysis, the scores of the selective and
alternating attention indices of the FDT were moderately correlated with those of
the BI at admission and discharge (Spearman rho = -0.38 to -0.45). In the
predictive validity analysis, the scores of the two attention indices of the FDT
at admission were moderately correlated with the scores of the BI, PASS, and
MO-STREAM at discharge (rho = -0.33 to -0.45). In the responsiveness analysis,
the two attention indices of the FDT between admission and discharge had large
differences (success rate difference = 0.56-0.67, Wilcoxon Z = -5.90 to -6.60).
CONCLUSION: Our results indicate that the selective and alternating attention
indices of the FDT have acceptable ecological validity, predictive validity, and
good responsiveness in patients with stroke. IMPLICATIONS FOR REHABILITATION: The
Five Digit Test (FDT), an efficient and culture-free assessment tool, has been
used to assess selective attention and alternating attention The selective index
and alternating attention index of the FDT showed acceptable ecological validity,
predictive validity, and good responsiveness in patients with stroke.

Langue : ANGLAIS