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Responsiveness of the Manual Ability Measure-36 (MAM-36) : changes in hand function using self-reported and clinician-rated assessments

OBJECTIVE. To examine the responsiveness of the Manual Ability Measure-36
(MAM-36) compared with a clinician-administered functional assessment. METHOD.
The MAM-36 was administered to 46 patients (Cohort A, n = 20; Cohort B, n = 26)
with various upper-extremity conditions. All patients received occupational
therapy intervention for 2-37 wk and were retested at discharge. Additionally,
the Smith Hand Function Test (SHFT), including task performance speeds and grip
strength measurements, was administered to Cohort B at intake and discharge.
RESULTS. Manual ability improved significantly at discharge in all patients.
Patients also showed significant improvement on the SHFT. The correlation between
gain in MAM-36 and gain in grip strength was moderate. The standardized response
mean for the MAM-36 was 1.18. CONCLUSION. The MAM-36 was responsive to changes in
hand function in patients receiving occupational therapy services. MAM-36 results
correlated positively with improvements in task performance speeds and grip
strength.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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