Therefore the aims of this paper were: to describe the process of translation and cross-cultural adaptation of the original ULFI to Spanish; and to subsequently assess the four critical psychometric properties of reliability, factor structure, internal consistency, and concurrent criterion validity for clinical use with Spanish speakers. 2022 Oct 26;93(5):e2022307. Intended Population The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. Patient-Reported Symptoms after Breast Cancer Diagnosis and Treatment: A Retrospective Cohort Study. 2015;28(3):489-95. doi: 10.3233/BMR-140545. Future studies should include a more significant BCS sample, allowing for segmenting data for an MLE and CFA analysis. Heffor C, Abbott JH, Heffor C, Abbott : The Patient-Specific Functional Scale: Validity, Reliability, and Responsiveness in Patients With Upper Extremity Musculoskeletal Problems. ; van der Windt, D.A.W.M. Clinicians may assess the upper limbs after breast cancer. 0000076943 00000 n Wingate, L. Efficacy of Physical Therapy for Patients Who Have Undergone Mastectomies. Adults with upper-extremity (UE) dysfunction completed the UEFI-20, Upper Extremity Functional Scale (UEFS), Pain Limitation Scale, and Pain Intensity Scale at their initial physiotherapy assessment (Time 1); 24-48 hours later (Time 2); and 3 weeks into treatment or at discharge, whichever came first (Time 3). The Validation of a Quality of Life Scale to Assess the Impact of Arm Morbidity in Breast Cancer Patients Post-Operatively. Check out the 12 tools and questionnaires you should use to assess the upper limb in neurorehabilitation such as . Wiley: Chichester; 2000. Purpose: MeSH Writingoriginal draft preparation: J.M.-M. Occup Environ Med 2002,59(10):664670. doi: 10.23750/abm.v93i5.13417. The Upper Extremity Functional Index (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Internal consistency of the scale items was determined from Cronbach's coefficients as calculated at an anticipated value range of 0.80-0.95 [20, 45]. Conclusion: The Extremity Function Index proved to be a sound and easy to apply self-report disability severity measurement instrument in neuromuscular diseases. Int Orthop 2008,32(4):497504. Their presenting conditions and diagnoses were broadly classified into five categories (Table1). The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. A construct is not restricted to one set of observable indicators or attributes and additional indicators will need to be considered in future research. The factor analysis revealed a satisfactory percentage of total variance explained by the one factor at 48.9%. Editors select a small number of articles recently published in the journal that they believe will be particularly Book Patient burden from completing numerous questionnaires is an area for future consideration. The 15-item LEFS-Ar demonstrated evidence supporting its internal consistency, test-retest reliability and construct validity as a measure of lower extremity function in Arabic-speaking patients with lower extremity musculoskeletal disorders. 2022 Jul 20;23(1):691. doi: 10.1186/s12891-022-05628-8. The scale is in logits. those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). 0000073378 00000 n 10.1016/j.jclinepi.2006.03.012, Lehman LA, Woodbury M, Velozo CA: Examination of the factor structure of the Disabilities of the Arm, Shoulder, and Hand questionnaire. Fayers PM, Machin D, et al. Williams, A.E. Patients respond to each item by circling a number that best describes their level of difficulty. HHS Vulnerability Disclosure, Help It is critical to employ research measures that are valid and reliable but they must also be both culturally and linguistically appropriate. The translation process ensured the conceptual equivalence of the used terms. It has five 3-point response options for different quality-of-life dimensions and a sixth question on overall perceived health-related status. Development and initial validation of the upper extremity functional index. Clipboard, Search History, and several other advanced features are temporarily unavailable. 10.1016/j.jse.2008.12.015, Miller LA, Swanson S: Summary and Recommendations of the Academys State of the Science Conference on Upper Limb Prosthetic Outcome Measures. 0000083070 00000 n 0000097773 00000 n Modification of the Upper Limb Functional Index to a Three-Point Response Improves Clinimetric Properties. Patient Reported Outcome Measures in Trials. 2014 May 17;12:75. doi: 10.1186/1477-7525-12-75. 0000076897 00000 n 2023 Mar 12;20(6):4997. doi: 10.3390/ijerph20064997. Conclusions: 0000074860 00000 n Link to Instrument Instrument Details Acronym SIS Area of Assessment Activities of Daily Living Cognition Communication Depression Functional Mobility Gait General Health Life Participation Before Costello, A.B. Similarly, the practical characteristics were not determined. Participants (n = 126) with various upper limb conditions of >12 weeks duration completed the ULFI-Sp, QuickDASH and the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3 L). PubMed Though various region specific PROs have been used to assess upper-limb functional status, it is accepted that there is no gold standard [8, 1012]. Epub 2012 Aug 30. 2023. Patient reported outcome (PRO) measures [1, 2] are primarily used to objectively reflect a patients health or functional status at any given time and to detect changes in this status as a response to an intervention [3]. Health Qual Life Outcomes. The Upper Extremity Functional Index (UEFI) is a patient reported outcome measure used to assess the functional impairment in individuals with musculoskeletal upper limb dysfunction. PubMed 0000073196 00000 n Several other regional PROs are also advocated. Schmitz, K.H. 2019). The KaiserMeyerOklin test determined the correlation matrix (0.889) for the ULFI-Sp in female BCS and the Bartletts Test of Sphericity (chi-squared value = 2087.167 and df 300, The ULFI-Sp showed a high degree consistency, as illustrated by the high Cronbach value ( = 0.916) with an individual item range between 0.868 and 0.875. All the authors have given final approval of the version to be published. 0000157714 00000 n 03. Work 2012. The QuickDASH data was unavailable for analysis due to excessive missing responses. The one-factor solution that emerged in the factor analysis accounted for 60.54% of the total variance. ; Marshall, P.W.M. The upper extremity postthrombotic syndrome score: an international Delphi consensus study to determine the score's functional disability component. Known-groups validity was evaluated with a one-way ANOVA across three levels of working status. Responsiveness of the Arabic Upper Extremity Functional Index in Patients with Upper Extremity Musculoskeletal Disorders. Item scores range from 0 to 4, 0 indicates extreme difficulty while 4 indicates no difficulty with a task and the total score is a total of the item scores. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). Results: The factor structure was one-dimensional. Cookies policy. Shamley, D.; Robb, K. An Early Warning Surveillance Programme for Detecting Upper Limb Deterioration after Treatment for Breast Cancer: A Novel Technology Supported System. ; Speck, R.M. https://www.mdpi.com/openaccess. https://doi.org/10.1186/1477-7525-11-126, DOI: https://doi.org/10.1186/1477-7525-11-126. The criterion validity demonstrated only a fair degree of differential association with the EQ-5D-3L and EQ-5D-3L-VAS. Hu, L.; Bentler, P.M. 0000084442 00000 n 0000074054 00000 n Patel AA, Donegan D, Albert T: The 36-item short form. The one-factor solution that emerged in the factor analysis accounted for a significant proportion of variance and showed evidence that supports the presence of construct validity. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. 0000072706 00000 n A factor analysis showed one factor with an Eigenvalue of 6.7; this factor explained 61% of the variance. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Garratt, A. official website and that any information you provide is encrypted Spanish Version of SPADI (Shoulder Pain and Disability Index) in Musculoskeletal Shoulder Pain: A New 10-Items Version after Confirmatory Factor Analysis. The ULFI was cross-culturally adapted to Spanish through double forward and backward translations, the psychometric properties were then validated. The LLFI was initially cross-culturally adapted to Spanish through double forward and single backward translation; then subsequently validated for the psychometric characteristics of validity, internal consistency, reliability, error score and factor structure. The ULFI-Sp showed no missing responses and showed a high degree of internal consistency, as illustrated by the high Cronbach value (=0.94) with an individual item range of 0.92 to 0.96. Sensors (Basel). The UEFI-15 is recommended because it measures only one dimension: UE function. The authors are grateful to the volunteers for their participation and the PMDT, Malaga. 9W~=;?3W :~'$RRHdP! 0000155635 00000 n J Hand Ther 2010,23(1):3139. All authors have read and agreed to the published version of the manuscript. SB$a% [H 909H3.JfC?TlI$suT>2$SGe4e5&q22WRb9Gap&j7O^1'gs8a 6g-N O@Wqrr:@2v-v#fy($L%kT}"m \wb'f`M%D^#a{P1$068uhv v}!-Ywe "_'[KJu9tF H!2=[))/qJ Yhh@-#e5 `h\p-..A4 7)",%vWz)'3=LZtm3]Dcz.ZC&)P[C,kG&%q(Oc8&SJ57}sN+bCiu&fo_!:. Possible range on the UEFI 20-item from 0 80 with 0 indicating lowest functional status and 80 indicating highest functional status. The questionnaire reliability was high ( = 0.93). This indicated that the correlation matrix was unlikely to be an identity matrix and was therefore suitable for PCA. 0000100655 00000 n This is significant given that Spanish is one of the five most spoken languages and the second widest geographically [40]. Careers. ; Michener, L.A.; Melloh, M.; Burkett, B. Methods: Medical oncologists recruited women from the Medical Oncology Unit at the hospital. All articles published by MDPI are made immediately available worldwide under an open access license. Google Scholar. ; Bot, S.D.M. x]#+1vD7,1=r5^XJS/~`lc EY"/{pIQ$Da;U^Y|QTVMWM]_+^U>w?)Qn+W U>zM[ r^Of] DUU,#vasW8`5Z9wvU7]]Uir_ 7%[ucqsnWcyUN&w6 z56}=+J'[7*teJNP#k$ o{}_7N,qir/\Z,o~/wBrp+'M$ F,U/tkZzE x/x =_R&V${1_7E] ulv.Q\#g+xf, ,fVcUf17pfW{,:oWx?\:U/ Bejer A, Bie A, Kyc S, Lorenc M, Mataczyski P, Domka-Jopek E, Melloh M, Gabel CP. However, the UEFI-15 item is scored 0-59 and converted to give an interval level total score 0-100 with 0 indicating worst state and 100 best state. Upper Limb Disorders (ULDs) are highly prevalent even years after a diagnosis. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Front Neurol. PubMed Find support for a specific problem in the support section of our website. The QuickDASH data was unavailable for analysis due to excessive missing responses. CAS 335 0 obj <> endobj ; Ros-Lpez, M.J.; Roldn-Jimnez, C. Energy System Assessment in Survivors of Breast Cancer. The Neck and Upper Limb Index (NULI) [36] which has been demonstrated as having item-redundancy from excessive internal consistency [8] and development concerns [37]. Psychometric properties were evaluated following Costello and Osborne [, Although previous PROs have been validated in BCS [, In the present study, the KMO showed that the ULFI was suitable for an EFA analysis. A shortened version of the FMA-EU, which includes 6 . The screeplot (see Figure2) indicated a one-factor solution. Martn-Martn, J.; Pajares-Hachero, B.; Alba-Conejo, E.; Ribelles, N.; Cuesta-Vargas, A.I. 0000158549 00000 n Smoot, B.; Paul, S.M. The developed short version of the ULFI-SP is preferable to assess upper limb function in Spanish BCS. [Epub ahead of print], PROQoLD website. Acta Biomed. Multiple requests from the same IP address are counted as one view. Disclaimer/Publishers Note: The statements, opinions and data contained in all publications are solely Scoring and interpretation of scores 476 0 obj <>stream 10.1016/S0894-1130(01)80043-0, Van de Ven-Stevens LA, Munneke M, Terwee CB, Spauwen PH, van der Linde H: Clinimetric properties of instruments to assess activities in patients with hand injury: a systematic review of the literature. The items are arranged from most to least difficult, top to bottom. The UEFI has been adapted into other languages including Turkish, French Canadian and Spanish. Construct validity and factor structure were determined through the use of questionnaire principal component analysis (PCA) with the a-priori requirements for extraction being the satisfaction of all three points: screeplot inflection point, Eigenvalue>1.0 and accounting for >10% of variance. 0000117365 00000 n Traditionally, clinical signs and symptoms were used as outcomes and studies that wished to reflect patient health status employed generic quality of life measures. Conclusions: Given the high prevalence of ULD in this population and the broader versions of ULFI across different languages, this studys results may be transferred to clinical practice and integrated as part of upper limb assessment after breast cancer. CAS This notably high level, when taken in context with the presence of the factor structure item loading Eigenvalues above 1.0, would indicate the potential for a shortened version of this tool.
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