The Upper Extremity Functional Index (UEFI): cross-cultural adaptation, reliability, and validity of the Turkish version. The QuickDASH data was unavailable for analysis due to excessive missing responses. All participants gave written informed consent before data collection began. The psychometric properties of the Spanish version of the ULFI are reported here for the first time. 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. According to Costello and Osborne, a cutoff point of 0.3 item loading was considered the minimum load per item [, The chi-square test was significant for the new tested model: , In this study, the psychometric properties of the ULFI-Sp were analyzed in a sample of BCS, resulting in a new ULFI-Sp short version. Part of 18, No. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. The purpose of study is to develop and validate a ULFI. Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. 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. Find support for a specific problem in the support section of our website. 0000071356 00000 n xref A total of 126 volunteers (4921years, 54.8% female) with a variety of upper limb conditions of >12weeks duration were recruited consecutively from the Physical Therapy Clinic at the Malaga University. The EQ-5D-3L-Visual Analogue Scale (VAS) is used to reflect the respondents self-rated health status on a 100mm scale and ranked from Best Imaginable (100) to Worst Imaginable (0). Clipboard, Search History, and several other advanced features are temporarily unavailable. Qual Life Res 1995, 4: 491. This study concluded that the longitudinal validity of the Upper Extremity Functional Index was superior to the Upper Extremity Functional Scale. Background The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Zero represents no pain/disability, and 10 represents the worst pain imaginable/severe disability for each item. A two stage observational study was conducted. In most cases Physiopedia articles are a secondary source and so should not be used as references. 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. 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. Aytar A, Yuruk ZO, Tuzun EH, Baltaci G, Karatas M, Eker L. J Back Musculoskelet Rehabil. Book For more information, please refer to Upper Limb Disorders (ULDs) are highly prevalent even years after a diagnosis. Longitudinal validity was determined by the association (Pearson's r) between function and pain change scores (Time 1-Time 3). J Hand Ther 2010,23(1):4152. Best Practices in Exploratory Factor Analysis: Four Recommendations for Getting the Most From Your Analysis. [1] The original UEFI consists of 20 questions on a 5- point rating scale assessing level of difficulty in performing activities of daily living using the upper extremities including household and work activities, hobbies, lifting a bag of groceries, washing your scalp, pushing up on your hands, driving etc. Breast cancer is one of the most prevalent cancers worldwide in women [, Clinicians commonly use patient-reported outcomes (PROs) to assess a patients symptoms or functional status [, In the breast cancer population, there are PROs that are used to assess the upper limbs [, The Spanish version of the ULFI has been used to analyze factors associated with the upper limb function [. 0000076681 00000 n 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. That is usually the journal article where the information was first stated. All the authors have made contributions to conception of this study. It has two, 4-item, optional modules used to measure symptoms and function in athletes, artists, and workers who require a high level of function. Cella D, Yount S, Rothrock N, Gershon R, Cook K, Reeve B, Ader D, Fries JF, Bruce B, Rose M: PROMIS Cooperative Group. Kass RA, Tinsley HEA: Factor analysis. La validit convergente transversale a t dtermine par le lien (r de Pearson) entre les mesures de fonction et de douleur prises au moment 1. 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. Baltimore, MD: Lippincott Williams & Wilkins. See this image and copyright information in PMC. 2023 Jan 19;7(1):100051. doi: 10.1016/j.rpth.2023.100051. 0000153760 00000 n ; van Laarhoven, H.W.M. Link to Instrument Instrument Details Acronym SIS Area of Assessment Activities of Daily Living Cognition Communication Depression Functional Mobility Gait General Health Life Participation The corresponding author will provide data upon reasonable request. The https:// ensures that you are connecting to the Similarly, the practical characteristics were not determined. Gabel, C.P. 0000084264 00000 n The Patient-Reported Outcomes Measurement Information System (PROMIS): Progress of an NIH Roadmap Cooperative Group During its First Two Years. : Quality of Life: Assessment, Analysis and Interpretation of Patient-reported Outcomes. government site. Arch Phys Med Rehabil 2010,91(9):13701377. In the same study, the longitudinal validity coefficient between the UEFI and the UEFS was 0.74. https://doi.org/10.1186/1477-7525-11-126, DOI: https://doi.org/10.1186/1477-7525-11-126. The item loading for the one-factor solution for the PCA method and average score for each item is shown in Table2. CAS Patient burden from completing numerous questionnaires is an area for future consideration. 0000072706 00000 n The present study included 216 BCS, and the same sample was used for all analyses. 10.2522/ptj.20100199, Lehman LA, Sindhu BS, Shechtman O, Romero S, Velozo CA: A comparison of the abiity of two upper extremity assessments to measure change in function. Furthermore, as a new short version was developed, future studies should also address the correlation between the ULFI-Sp short version and different reduced versions of questionnaires, such as the QuickDASH or QuickDASH-9, in the BCS population. A Spanish version of the ULFI had not been developed or validated to date. Student's t-test will be developed to check the items behave the same way for men and women. future research directions and describes possible research applications. Article This study aimed to assess. The Patient-Reported Outcomes Measurement Information System (PROMIS): Progress of an NIH Roadmap Cooperative Group During its First Two Years. Roldn-Jimnez C, Cuadros-Romero M, Bennett P, Cuesta-Vargas AI. 0000073041 00000 n Privacy 0000070161 00000 n 0000088903 00000 n ; Okoli, J.; Gabram, S. Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery. The disability inventory consists of a gross motor function index and a . 0000005316 00000 n Today, do you or would you have any difficulty at all with: Today, do you or would you have any difficulty at all with: Upper Extremity Functional Scale . Terwee, C.B. 0000005536 00000 n The Upper Limb Functional Index (ULFI) is a recent example of this. 2018 Clinical Breast Cancer, Vol. ; Rye, S.A.; DiSipio, T.; Hayes, S.C. Careers. The chi-square test was used to show differences between observed covariance and expected matrices. Accessibility ; Lim, J.-Y. ; Dunn, L.; Elboim, C.; Schmidt, B.; Hamolsky, D.; Levine, J.D. Google Scholar, Smith MV, Calfee RP, Baumgarten KM, Brophy RH, Wright RWJ: Upper extremity-specific measures of disability and outcomes in orthopaedic surgery. 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. Phys Ther 2012,92(1):98110. 0000004290 00000 n The https:// ensures that you are connecting to the This consisted of a payment for the author, CRJ, as a physical therapist in the assessment. 0000075574 00000 n The ULFI-Sp demonstrated high internal consistency ( = 0.94) and reliability (r = 0.93). Google Scholar, Morris LA, Miller DW: The regulation of Patient-Reported Outcome claims: need for a flexible standard. A Prospective Study. Feature papers represent the most advanced research with significant potential for high impact in the field. Today, do you or would you have any difficulty at all with: 0000074780 00000 n Patient reported outcome measures in trials, Editorial. Thereafter the MDC90 was calculated using the formula: MDC90=SEM21.96. 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_!:. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. ; Yelland, M.; Melloh, M.; Burkett, B. 2012;273421:10. The upper extremity functional index evaluates the impairment the subject perceives they encounter when performing 20 types of activities of daily living. A two stage observational study was conducted. It has been subsequently independently validated [33] but uses a matrix response format which has a high error tendency for completion and scoring [34]. Luque-Suarez, A.; Rondon-Ramos, A.; Fernandez-Sanchez, M.; Roach, K.E. FOIA The inclusion criteria were BCS who had been surgically treated for their primary tumor with no evidence of recurrence at the time of recruitment. Des courbes des caractristiques oprationnelles du rcepteur (COR) ont estim la pDMCI partir des scores de changement entre le moment 1 et le moment 3 et les EGC moyennes patient/thrapeute. Visit our dedicated information section to learn more about MDPI. McPhail SM, Bagraith KS, Schippers M, Wells PJ, Hatton A: Use of Condition Specific Patient-Reported Outcome Measures in Clinical Trials among Patients with Wrist Osteoarthritis: A Systematic Review. 0000075890 00000 n Translation, cross-cultural adaptation and psychometric properties of Urdu version of upper limb functional index; a validity and reliability study. Angst, F.; Schwyzer, H.-K.; Aeschlimann, A.; Simmen, B.R. Their presenting conditions were representative of the five categories of the full sample and expressed with a 95% CI using scores on the ULFI-Sp from the participants at baseline and on repetition at day seven. Ethical clearance was approved by the Tribunal of Review of Human Subjects at the University of Malaga. Both ULFI-Sp models had RMSEA values 0.08, indicating acceptable fit [, The SPADI questionnaire of 13 items was also reduced and translated into Spanish with ten items [, A QuickDASH version of 11 items was validated in BCS. ; Osborne, J.W. The study limitations include the lack of longitudinal data regarding other psychometric properties including responsiveness or sensitivity to change and error scores as a representation of a minimal clinically important difference. It is critical to employ research measures that are valid and reliable but they must also be both culturally and linguistically appropriate. Methods: On a valu la validit des groupes connus au moyen d'une analyse bidirectionnelle des carts (ANOVA) entre trois niveaux d'tat de fonctionnement. Disclaimer. Translation, Cross-Cultural Adaptation and Psychometric Properties of Urdu Version of Upper Limb Functional Index; a Validity and Reliability Study. Gabel CP, Michener LA, Burkett B, Neller A: The Upper Limb Functional Index: Development and Determination of Reliability, Validity, and Responsiveness. This may have been partially attributed to patient burden as the QuickDASH was the final questionnaire completed. The minimum amount of change that is considered to be clinically significant is 9 points[3]. government site. Google Scholar. ; Speck, R.M. 10.1016/j.math.2008.01.013, Franchignoni F, Ferriero G, Giordano A, Sartorio F, Vercelli S, Brigatti E: Psychometric properties of QuickDASH - A classical test theory and Rasch analysis study. J Shoulder Elbow Surg 2009,18(6):920926. Hudak, P.L. Translation, cross-cultural adaptation and validation of the Upper Limb Functional Index (ULFI) into Brazilian Portuguese in patients with chronic upper limb musculoskeletal disorders. volume11, Articlenumber:126 (2013) PubMed Central The Upper Extremity Functional Index (UEFI) is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. Acta Biomed. Epub 2018 Feb 21. Dawson, J.; Rogers, K.; Fitzpatrick, R.; Carr, A. National Library of Medicine 0000158831 00000 n Schmitz, K.H. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. stream 0000084902 00000 n Heffor C, Abbott JH, Heffor C, Abbott : The Patient-Specific Functional Scale: Validity, Reliability, and Responsiveness in Patients With Upper Extremity Musculoskeletal Problems. 0000071512 00000 n Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The standard error of the measurement (SEM) was calculated using the formula: SEM=s(1r), where s=the mean and standard deviation (SD) of time 1 and time 2, r=the reliability coefficient for the test and Pearsons correlation coefficient between test and retest values. Future studies should include a more significant BCS sample, allowing for segmenting data for an MLE and CFA analysis. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Unauthorized use of these marks is strictly prohibited. Chicago: Scientific Software International; 2007. 0000004535 00000 n On recommande le questionnaire IFMS-15 parce qu'il mesure une dimension seulement: la fonction des membres suprieurs. 0000076281 00000 n See further details. This study aimed to assess the psychometric properties of the Upper Limb Functional Index Spanish version (ULFI-Sp) in the BCS. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). PubMed 0000004613 00000 n Their presenting conditions and diagnoses were broadly classified into five categories (Table1). Functional Scale (0.59, 95% CI 0.48 to 0.67), 2. and stronger correlationswithUEFS(0.82)inasamplethatconsistedof upper extremity musculoskeletal conditions. Informed consent was obtained from all subjects involved in the study. There are currently two versions of the upper extremity functional index; UEFI 20-item and UEFI 15-item. A study by Binkley et al[2] supported the use of UEFI in patients after breast cancer surgery. Field A: Discovering Statistics using SPSS. The exclusion criteria were age <18years and poor Spanish language comprehension as required for the completion of the questionnaires. Longitudinal Change of Treatment-Related Upper Limb Dysfunction and Its Impact on Late Dysfunction in Breast Cancer Survivors: A Prospective Cohort Study. Federal government websites often end in .gov or .mil. Criterion validity with the EQ-5D-3L was fair and inversely correlated (r=0.59). This site needs JavaScript to work properly. Writingoriginal draft preparation: J.M.-M. 0000153822 00000 n Cronbach, L.J. ; Buchan, J.; Pajares, B.; Alba, E.; Trinidad-Fernndez, M.; Ruiz-Medina, S.; Garca-Almeida, J.M. 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]. 10.1016/j.annrmp.2004.05.016, Schoneveld K, Wittink H, Takken T: Clinimetric evaluation of measurement tools used in hand therapy to assess activity and participation. 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]. 0000076441 00000 n Reliability for the UEFI-20 and UEFI-15 was the same (ICC=0.94 for both measures). Share your form with others. doi: 10.23750/abm.v93i5.13417. A one-factor solution is critical if a PRO is to be used with a single summated score and subsequently reflect the construct for which it is primary used that of representation of the functional status of the upper limb as a single kinetic chain [25, 48]. 0000070683 00000 n 10.1136/oem.59.10.664, Article 10.1007/s00264-007-0344-7, Article 0000085418 00000 n Paper should be a substantial original Article that involves several techniques or approaches, provides an outlook for All the authors have given final approval of the version to be published. 01. MeSH ; Bartlett, M.S. The primary objective of this aspect of the study was to perform a translation that can ensure the conceptual equivalence of the used terms. 0000075258 00000 n 0000072858 00000 n The ULFI-Sp demonstrated high internal consistency (=0.94) and reliability (r=0.93). The authors declare no conflict of interest. A two stage observational study was conducted involving: initial translation and cross-cultural adaptation of the ULFI [7] to Spanish; then subsequent prospective concurrent completion with a general health questionnaire, the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3L) [41] and an upper limb regional criterion, the QuickDASH-Sp [42]. Consequently, a Spanish version of the ULFI (ULFI-Sp) was developed to meet this need. 0000156323 00000 n 0000157714 00000 n Unable to load your collection due to an error, Unable to load your delegates due to an error. Bada X, Roset M, Montserrat S, Herdman M, Segura A: The Spanish version of EuroQoL: A description and its applications. The main objective of the study was to translate and validate the upper limb functional index (ULFI) outcome measure in the Urdu language. We use cookies on our website to ensure you get the best experience. The UEFI is able to distinguish improved patients from stable patients (AUC 0.88, 95% CI 0.81 to 0.94) with a sensitivity of 0.73 and a specicity of 0.92, and Purpose: London: SAGE Publications Ltd; 2005. Finally, factor analysis by CFA was tested in the analyses. A Prospective Surveillance Model for Physical Rehabilitation of Women with Breast Cancer: Chemotherapy-Induced Peripheral Neuropathy. The UEFI-15 was calculated from relevant items in the UEFI-20. All participants with eligible criteria completed the three Spanish language versions of the self-administered questionnaires, the ULFI-Sp, the EQ-5D-3L and the QuickDASH-Sp. Mthodes : Les adultes ayant une dysfonction des membres suprieurs (MS) ont rpondu au questionnaire IFMS-20, aux questionnaires de l'chelle fonctionnelle des membres suprieurs (EFMS), de l'chelle de limitation de la douleur et de l'chelle de l'intensit de la douleur au cours de leurs premires valuations en physiothrapie (moment 1); de 24 48 heures plus tard (moment 2) et 3 semaines aprs le dbut du traitement ou le cong, selon l'chance la plus rapproche (moment 3). The psychometric properties, specifically construct and criterion validity, reliability and internal consistency were determined independently and found to be strong and the single factor structure indicated that a single summated score could be used [25]. A questionnaire must provide a single-factor structure so that it can be summated to provide a single or summary score. The .gov means its official. Occup Environ Med 2002,59(10):664670. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. Positive minimal clinically important difference values were 8/80 for the UEFI-20 and 6.7/100 for the UEFI-15; pMCID was higher for people whose non-dominant arm was affected. An index close to 0.95 was considered acceptable, while an index of 0.97 was considered indicative of a good fit [, Factor structure by MLE was carried out with the software Statistical Package Social Science Version 25.0 (SPSS 25.0) [, BCS were aged 51.64 (9.10). Gabel, C.P. Cross-Cultural Adaptation, Reliability and Validity of the Spanish Version of the Upper Limb Functional Index. Type text, add images, blackout confidential details, add comments, highlights and more. The site is secure. Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review. Antonio I. Cuesta-Vargas and Phillip C Gabel participated in the analysis and interpretation of data and were involved in drafting the manuscript or revising it critically for important intellectual content. Le coefficient de corrlation intracatgorie (CCI) et le changement dtectable minimal (CDM) ont quantifi la fiabilit de testretest (moment 1moment 2). Cross-cultural adaptation, reliability and validity of the Turkish version of the Upper Limb Functional Index (ULFI). Hagstrom, A.D.; Shorter, K.A. Bone Joint Surg Am 2012,94(3):277285. 2015 Jul-Sep;28(3):279-84; quiz 285. doi: 10.1016/j.jht.2014.11.001. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. 0000075496 00000 n Epub 2014 Nov 8. 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. -, McPhail SM, Bagraith KS, Schippers M, Wells PJ, Hatton A. Tonga E, Durutrk N, Gabel PC, Tekindal A. J Hand Ther. Roldn-Jimnez, C.; Pajares, B.; Ruiz-Medina, S.; Trinidad-Fernndez, M.; Gonzlez-Snchez, M.; Ribelles, N.; Garca-Almeida, J.M. Results: A Modified QuickDASH-9 Provides a Valid Outcome Instrument for Upper Limb Function.
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