Article

OBJECTIVES: To identify all published studies using the Arm Motor Ability Test
(AMAT), a standardized, laboratory-based measure for selected upper extremity
activities of daily living (ADLs); and to summarize its current uses and provide
recommendations for its future use. DATA SOURCES: An Ovid online search was
performed using the terms "Arm Motor Ability Test" and "AMAT." The reference
lists of all articles obtained were reviewed for additional studies not appearing
in the literature search. In addition, the original manual for the use and
administration of the AMAT was reviewed. STUDY SELECTION: All studies examining
the psychometric properties of the AMAT or using the AMAT as an outcome measure
were identified. Articles simply mentioning the AMAT without providing data and
case reports or abstracts (other than those addressing a specific aspect of the
scale of interest) were excluded. DATA EXTRACTION: Studies were reviewed by the
primary author. No formal system of quality review was used. DATA SYNTHESIS: The
AMAT has been used as an outcome measure in stroke rehabilitation research
examining upper extremity robotics, functional electrical stimulation, and
cortical stimulation. The most recent version contains 10 ADL tasks, each of
which is composed of 1 to 3 subtasks. Of the 3 domains originally proposed, only
the "functional ability" domain is routinely assessed. Psychometric studies have
demonstrated good reliability and at least reasonable construct validity. The
instrument's sensitivity to change over time is less well established, and no
recommendation can be made regarding a minimal clinically important difference.
CONCLUSIONS: We recommend that the 10-item version of the AMAT and assessment of
only the functional ability domain be adopted as standard going forward. Further
research should include examination of sensitivity over time, minimal clinically
important change, reliability and validity in the mid and lower range of scores,
and in neurologic diagnoses other than stroke.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS