; Stratford, P.; Kirkpatrick, S.; Farley, C.R. J Clin Epidemiol 2007, 60: 3442. 0000083850 00000 n 0000004290 00000 n 0000076441 00000 n Kaiser, H.F. An Index of Factorial Simplicity. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). Physiotherapy Canada 52 (2001): 259-267. government site. Cross cultural adaptation and validation of a Spanish version of the Lower Limb Functional Index. Global ratings of change (GRC) were provided by the treating physiotherapist and patient at Time 3. <> positive feedback from the reviewers. Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. Similarly, the practical characteristics were not determined. An official website of the United States government. The Upper Extremity Functional Index (UEFI) is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. The ULFIs practical characteristics of brevity, ready transferability to a 100-point scale, ease and rapidity of completion and scoring reinforced the methodological consistency [7, 26, 38]. 0000076601 00000 n The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. 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]. The four published studies to date investigating the ULFI suggest the practical characteristics along with the responsiveness and error range [4, 8] The KolmogorovSmirnov test by one sample (significance > 0.05) was used to calculate the samples distribution and normality. Greenslade JR, Mehta RL, Belward P, Warwick DJ: DASH and Boston Questionnaire assessment of carpal tunnel syndrome outcome: what is the responsiveness of an outcome questionnaire? If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. The intra-class correlation coefficient (ICC) and minimal detectable change (MDC) quantified test-retest reliability (Time 1-Time 2). Am J Occup Ther 2011,65(2):169178. This study aimed to assess the psychometric properties of the Upper Limb Functional Index Spanish version (ULFI-Sp) in the BCS. Cella, D.; Yount, S.; Rothrock, N.; Gershon, R.; Cook, K.; Reeve, B.; Ader, D.; Fries, J.F. ROC curve; outcome assessment; physiology; reproducibility of results; upper limb. eCollection 2023 Jan. Phys Ther. The UEFI-15 is recommended because it measures only one dimension: UE function. 0000074054 00000 n ; Jnsson, C.; Olsson, A.C.; Gard, G.; Johansson, K. Womens Experience of Physical Activity Following Breast Cancer Treatment. Visit our dedicated information section to learn more about MDPI. volume11, Articlenumber:126 (2013) Int Orthop 2008,32(4):497504. Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. This site needs JavaScript to work properly. Provided by the Springer Nature SharedIt content-sharing initiative. Luque-Suarez, A.; Rondon-Ramos, A.; Fernandez-Sanchez, M.; Roach, K.E. Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index. Up to two missing responses are permitted [7]. 23 self-report items with 3 subscales: pain (9 items), disability (9 items) and activity limitation (5 items) Each item is rated on a 0 - 10 Likert scale. Arm dominance affects pMCID. Criterion validity was determined through the concurrent use of the EQ-5D-3L total score and EQ-5D-3L-VAS scores with the ULFI-Sp measures. Implications for rehabilitation; The Extremity Function Index reflects the functioning of all muscles in the upper and lower extremities involved in activities of daily living. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. A Spanish version of the ULFI had not been developed or validated to date. 0000153760 00000 n BMC Musculoskelet Disord. Terwee, C.B. Hudak, P.L. The ULFI-Sp demonstrated high internal consistency (=0.94) and reliability (r=0.93). 9W~=;?3W :~'$RRHdP! Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. The Neck and Upper Limb Index (NULI) [36] which has been demonstrated as having item-redundancy from excessive internal consistency [8] and development concerns [37]. 0000072858 00000 n 0000075019 00000 n ; Ros-Lpez, M.J.; Roldn-Jimnez, C. Energy System Assessment in Survivors of Breast Cancer. ; Dunn, L.; Elboim, C.; Schmidt, B.; Hamolsky, D.; Levine, J.D. 10.1157/13093053. 2022 Sep 6;19(18):11203. doi: 10.3390/ijerph191811203. Both UEFI measures show acceptable reliability and validity. Results: 0 A physiotherapist (CRJ) supervised the procedure. The psychometric analysis of the ULFI-Sp did not include responsiveness, so the testretest reliability can be compared to other questionnaires. This comparative analysis in separate studies has provided scope to suggest the ULFI was preferred to the criterion tools of the DASH [6, 17, 38], UEFS [6] and QuickDASH [7, 26] due to a combination of enhanced psychometric and practical characteristics. The QuickDASH-Sp had greater than >30% of missing responses affecting 41 of the 126 respondent questionnaires. 2023. A Rasch-validated version of the upper extremity functional index for interval-level measurement of upper extremity function. Cross-sectional convergent validity was determined by the association (Pearson's r) between Time 1 measures of function and pain. A Modified QuickDASH-9 Provides a Valid Outcome Instrument for Upper Limb Function. 10.1136/oem.59.10.664, Article 0000154465 00000 n Muiz J, Elosua P, Hambleton RK: International Test Commission Guidelines for test translation and adaptation: Second edition. -, McPhail SM, Bagraith KS, Schippers M, Wells PJ, Hatton A. Smoot, B.; Paul, S.M. Hervs MT, Navarro Collado MJ, Peir S, Rodrigo Prez JL, Lpez Matu P, Martnez Tello I: panish version of the DASH questionnaire. 0000156323 00000 n SB$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_!:. ; Amadio, P.C. Cross-cultural adaptation, reliability, validity and responsiveness [Article in Spanish]. Translation, Cross-Cultural Adaptation and Psychometric Properties of Urdu Version of Upper Limb Functional Index; a Validity and Reliability Study. 0000005162 00000 n A refined content and validity analysis of the short form of the disabilities of the shoulder, arm and hand questionnaire in the strata of symptoms and function and specific joint conditions. stream A two stage observational study was conducted. The one-factor solution that emerged in the factor analysis accounted for 60.54% of the total variance. Consequently, this study shows that the ULFI-Sp will be of value in the assessments of patients with upper limb disorders in clinical and research settings. Authors are grateful to the volunteers for their participation. % official website and that any information you provide is encrypted 0000122698 00000 n 335 0 obj <> endobj 0000079974 00000 n The exclusion criteria were age <18years and poor Spanish language comprehension as required for the completion of the questionnaires. An external validation scale of the EQ-5D-3L and EQ-5D-3L-VAS was used with bilateral correlations to establish if status had changed and an error range of 010% was allowed in determining the test-retest reliability. Int J Environ Res Public Health. Link to Instrument Instrument Details Acronym SIS Area of Assessment Activities of Daily Living Cognition Communication Depression Functional Mobility Gait General Health Life Participation 0000155188 00000 n 0000083070 00000 n Cross-sectional, known-groups, and longitudinal validity were confirmed for both UEFI measures. This study received a grant from the Research Office of the University of Malaga. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). The corresponding author will provide data upon reasonable request. The 15-item Upper Extremity Functional Index (UEFI-15) hierarchical structure, depicting the arrangement of the UEFI-15 on an interval-level measure of upper extremity function as captured by the UEFI-15. In the same study, the longitudinal validity coefficient between the UEFI and the UEFS was 0.74. The authors are grateful to the volunteers for their participation and the PMDT, Malaga. 0000156819 00000 n Clipboard, Search History, and several other advanced features are temporarily unavailable. The present study included 216 BCS, and the same sample was used for all analyses. The questionnaire reliability was high ( = 0.93). Conclusions: Cuesta-Vargas, A.I., Gabel, P.C. The QuickDASH was unavailable due to excessive completion errors. 0000084902 00000 n Factor structure was one-dimensional and supported construct validity. Psicothema 2013, 25: 151157. ULFI-Sp showed a high internal consistency for the total score ( = 0.916) and the regression score obtained from MLE ( = 0.996). Finally, factor analysis by CFA was tested in the analyses. Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index, http://www.proqolid.org/instruments/upper_limb_functional_index_ulfi?fromSearch=yes&text=yes, http://www.un.org/spanish/News/fullstorynews.asp?news, http://creativecommons.org/licenses/by/2.0. Methods: A psychometric validation study of the ULFI-Sp was conducted on 216 voluntary breast cancer survivors. 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. Available online: LeBlanc, M.; Stineman, M.; DeMichele, A.; Stricker, C.; Mao, J.J. Validation of QuickDASH Outcome Measure in Breast Cancer Survivors for Upper Extremity Disability. PubMed -. The correlation matrix for the ULFI-Sp was determined suitable from the Kaiser-Meyer-Oklin values (0.89) and Barletts Test of Sphericity (p<0.001). This article is published under license to BioMed Central Ltd. Fayers PM, Machin D, Quality of Life: Assessment, Analysis and Interpretation of Patient-reported Outcomes. 0000003136 00000 n Implementation of a Standard Care Program of Therapeutic Exercise in Metastatic Breast Cancer Patients. The authors declare no conflict of interest. Before Gabel CP, Yelland M, Melloh M, Burkett B: A modified QuickDASH-9 provides a valid outcome instrument for upper limb function. Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review. This supports the findings of the previous research where redundancy was not present but potential shortening was recommended, perhaps to as low as 10 items [7]. %PDF-1.3 Written informed consent was obtained from the patient for the publication of this report. Cuesta-Vargas, A.I. Flowchart of the translation of the Upper Limb Functional Index (ULFI) from English to Spanish. Bejer A, Bie A, Kyc S, Lorenc M, Mataczyski P, Domka-Jopek E, Melloh M, Gabel CP. ; Roldn-Jimnez, C. Ultrasound Use in Metastatic Breast Cancer to Measure Body Composition Changes Following an Exercise Intervention. Share your form with others. The disability inventory consists of a gross motor function index and a . A factor analysis showed one factor with an Eigenvalue of 6.7; this factor explained 61% of the variance. Patient Reported Outcome Measures in Trials. 0000078944 00000 n On a runi des donnes dmographiques, y compris sur leur tat de travailleur, au cours du moment 1. 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. 0000155003 00000 n 0000072036 00000 n This provided accessibility to the ULFI for the second largest geographically used language. Binkley, J.M. The purpose of this study was the adaptation and validation of a Spanish-version (SFI-Sp) with cultural and linguistic equivalence. 0000102640 00000 n Their presenting conditions and diagnoses were broadly classified into five categories (Table1). The MDC J Am Acad Orthop Surg 2007,15(2):126134. 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/ Article Participants (n=126) with various upper limb conditions of >12weeks duration completed the ULFI-Sp, QuickDASH and the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3L). pp. J Hand Ther 2010,23(1):3139. Psychometrika 1951, 16: 297334. 0000117365 00000 n Cella D, Yount S, Rothrock N, Gershon R, Cook K, Reeve B, Ader D, Fries JF, Bruce B, Rose M: PROMIS Cooperative Group. ]^Fd[j'u~VVN8 =@qYh',qQZMI+!ZEV]it^*w8 0000084740 00000 n Scoring and interpretation of scores It is critical to employ research measures that are valid and reliable but they must also be both culturally and linguistically appropriate. Several other regional PROs are also advocated. ; McNeely, M.L. The ULFI was cross-culturally adapted to Spanish PubMed Privacy PMC Cross-Cultural Adaptation, Reliability and Validity of the Spanish Version of the Upper Limb Functional Index. 0000158549 00000 n Cronbach LJ: Coefficient alpha and the internal structure of tests. 10.1016/j.cps.2007.10.001. Psychometric Development of the Upper Limb Lymphedema Quality of Life Questionnaire Demonstrated the Patient-Reported Outcome Measure to Be a Robust Measure for Breast Cancer-Related Lymphedema. Before 0000070161 00000 n A Prospective Surveillance Model for Physical Rehabilitation of Women with Breast Cancer: Chemotherapy-Induced Peripheral Neuropathy. 10.2310/6640.2004.15377. These tools also guide treatment decisions and assess the effectiveness of interventions, including direct comparisons between pre- and post-operative status, and subsequently during rehabilitation [13]. Google Scholar, Morris LA, Miller DW: The regulation of Patient-Reported Outcome claims: need for a flexible standard. Antonio I Cuesta-Vargas. The UEFI has been adapted into other languages including Turkish, French Canadian and Spanish. A descriptive statistic of the participants was made with a mean and standard deviation of the demographic variables. Inclusion criteria were an upper limb injury as diagnosed by the attending medical practitioner. 0000075496 00000 n 0000070836 00000 n The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version. Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Google Scholar, Mintken PE, Glynn P, Cleland JA: Psychometric properties of the shortene disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. Modification of the Upper Limb Functional Index to a Three-Point Response Improves Clinimetric Properties. Torres-Lacomba, M.; Snchez-Snchez, B.; Prieto-Gmez, V.; Pacheco-da-Costa, S.; Yuste-Snchez, M.J.; Navarro-Brazlez, B.; Gutirrez-Ortega, C. Spanish Cultural Adaptation and Validation of the Shoulder Pain and Disability Index, and the Oxford Shoulder Score after Breast Cancer Surgery. The correlation between items and the regression score from MLE, communalities, and the average score for each item is shown in, Therefore, a new 14-item model (short version) was tested with those items with communalities higher than 0.3. Sign it in a few clicks. To examine the reliability, validity, and sensitivity to change of the 20-item version and the Rasch-refined 15-item version of the Upper Extremity Functional Index (UEFI-20 and UEFI-15, respectively) and to determine the impact of arm dominance on the positive minimal clinically important difference (pMCID). 0000080800 00000 n ; Roldn-Jimnez, C. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. ; Lim, J.-Y. The aim is to provide a snapshot of some of the ; Marshall, P.W.M. analysis was performed as described by Stratford [32]. 0000155991 00000 n Patient burden from completing numerous questionnaires is an area for future consideration. A construct is not restricted to one set of observable indicators or attributes and additional indicators will need to be considered in future research. 2002;5:372381. Gabel CP, Melloh M, Burkett B, Michener L: The Lower Limb Functional Index: development and validation of the clinimetric properties and practical characteristics. All questionnaires were completed and two assessors performed the initial and any subsequent assessments, but were blinded to baseline scores in order to ensure independent collection of outcome data. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Traditionally, clinical signs and symptoms were used as outcomes and studies that wished to reflect patient health status employed generic quality of life measures. 2015;28(3):489-95. doi: 10.3233/BMR-140545. The ULFI was translated into Spanish with no difficulty and the process complied with these standardized procedures. Bartlett, M.G. Cronbach, L.J. Sample size was determined from the previous ULFI studies [7, 8, 26] indicating a minimum of 106 patients were required to ensure an 80% chance of achieving the required statiscal power for concurrent validity, internal consistency and factor structure allowing for 15% attrition (p<0.05) [46]. Careers. 0000079311 00000 n In a study by Stratford et al[1], comparing Upper Extremity Functional Index (UEFI 20- item) and the Upper Extremity Functional Scale (UEFS), the discriminant cross-sectional validity of the UEFI was found to be 6.65 with p = .003 while the convergent cross-sectional validity coefficient between the UEFI and the UEFS was 0.82. For reliability a minimum of n=29 was required. Liebenson, C. (2007). Background: The effect of arm dominance on the positive minimal clinically important difference (pMCID) has not been determined for both versions of UEFI.
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