Abstract:
BACKGROUND/AIM:The Action Research Arm Test (ARAT) measures upper limb activity limitations in people with acquired brain injuries. Evidence relating to the use of this test in neurorehabilitation is scattered. This review identifies, rates and synthesises evidence on the original 1981 ARAT use within neurorehabilitation. Psychometric properties are reviewed, including specific examination of participants with upper limb spasticity. METHODS:Systematic review of published articles describing psychometric properties and/or use of the original version of the ARAT in neurorehabilitation. COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) search strategy, reporting and methodological checklist with criterion-based appraisal of quality criteria for good measurement properties were applied. A best evidence synthesis for each psychometric property was completed. RESULTS:In 28 included studies, participants had suffered a stroke or traumatic brain injury, with 46% >6 months post-injury. Six studies identified participants with upper limb spasticity. Methodological quality of psychometric properties ranged from poor to excellent. Best evidence synthesis determined moderate positive evidence for using the ARAT with people without limb spasticity: intra-rater reliability (ICC 0.71 (95% CI 0.53-0.89) to 0.99 (95% CI 0.98, 0.99)); responsiveness (ROC curve 0.72-0.88, SRM 0.89); and regarding construct validity, it is a valid measure of activity limitation. Limited evidence for psychometric properties of the ARAT were found when used with people with upper limb spasticity for construct validity and responsiveness (ES 0.55-0.78). Gaps in evidence were found for inter and test-retest reliability, measurement error, content validity, structural validity, floor and ceiling effects. CONCLUSIONS:The ARAT is an appropriate measure of activity limitation post-stroke and should be considered for use with people with TBI; evidence for people with upper limb spasticity is limited. Gaps and mixed limited to moderate evidence for psychometric properties in neurorehabilitation mean further research is required.
journal_name
Aust Occup Ther Jjournal_title
Australian occupational therapy journalauthors
Pike S,Lannin NA,Wales K,Cusick Adoi
10.1111/1440-1630.12527subject
Has Abstractpub_date
2018-10-01 00:00:00pages
449-471issue
5eissn
0045-0766issn
1440-1630journal_volume
65pub_type
杂志文章abstract:BACKGROUND/AIM:Grip strength is useful in clinical practice for the assessment of disease and/or rehabilitation progression. Brief maximal gripping is seldom required in everyday occupations, with repeated or sustained gripping at sub-maximal power more commonly involved. It has been proposed that assessment of both ma...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2010.00888.x
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND/AIM:Pinch and grip strength assessment is commonly performed in occupational therapy practice. However, the typically utilised methods are limited to pinch or grip dynamometers and do not readily translate to handling everyday objects. With the advent of consumer-grade 3D printing and low-cost sensor systems...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12494
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND/AIM:Australian mental health services are transitioning from inpatient to community settings. The role of occupational therapy within the inpatient context is undergoing change, and uncertainties about the role may exist for other health professionals. This study aimed to explore the perceptions of Australia...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00944.x
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND/AIM:Engagement in meaningful occupation, including paid work is considered an important determinant of health, impacted by injury or illness. Dementia is one neurodegenerative syndrome with potential to compromise capacity for remaining engaged in paid employment. In response to 'ageing' populations globally...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12535
更新日期:2019-04-01 00:00:00
abstract:AIMS:Up to 50% of children with attention deficit hyperactivity disorder (ADHD) also present with difficulties with motor proficiency. Several assessments of motor proficiency are available for occupational therapists, though the validity of these measures in an ADHD population requires further exploration. The aim of ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12641
更新日期:2020-04-01 00:00:00
abstract:AIM:To examine, using a retrospective narrative study, the factors influencing four older people's decision to plan for the activities they would undertake once retired, the planning process undertaken and their subsequent experience of retirement. METHOD:Semi-structured interviews were conducted to examine the factor...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2009.00820.x
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:International literature seems consistent in reporting that occupational therapists value their methods. However, little empirical evidence has been generated supporting the basic system of belief for occupational therapy. Few studies have explored the nature of the occupational therapists' experiences and t...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2007.00714.x
更新日期:2009-04-01 00:00:00
abstract:AIM:This study aimed to investigate the perception of graduate students on their preparation for practice, at 7 months post graduation. METHOD:Using an anonymous postal questionnaire, 18 respondents (58% response rate) provided data on the nature of current employment, the experience as a graduate therapist, and perce...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2008.00751.x
更新日期:2009-10-01 00:00:00
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journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2012.01013.x
更新日期:2012-06-01 00:00:00
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journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12106
更新日期:2014-02-01 00:00:00
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journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/1440-1630.12300
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Barriers to the use of evidence-based practice extend beyond the individual clinician and often include organisational barriers. Adoption of systematic organisational support for evidence-based practice in health care is integral to its use. This study aimed to explore the perceptions of occupational therapy...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12260
更新日期:2016-02-01 00:00:00
abstract:AIM:This article explores factors that contribute to clients' chronic pain management from an occupational therapy perspective. METHOD:Nine occupational therapists from Australia and New Zealand who worked in this practice area were interviewed. Qualitative method of narrative inquiry was used to analyse the therapist...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12011
更新日期:2013-02-01 00:00:00
abstract:INTRODUCTION:Direct observation of everyday task performance is considered the most accurate measure of independence for individuals with executive function impairments. However, few observation-based measures have been shown to have sound psychometric qualities and be clinically applicable. The objective of this study...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12654
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:People with severe mental illness often have difficulty sustaining employment. Work Behaviour Inventory and Work Environment Impact Scale are vocational assessments used by occupational therapists to evaluate the facilitators and barriers of work performance and work environment respectively. These factors ma...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12718
更新日期:2021-01-17 00:00:00
abstract:INTRODUCTION:Collaboration, choice and power-sharing are cornerstones of practice as occupational therapists support individuals to re-establish an occupational identity and reintegrate into the community following stroke. Yet evidence of unmet client needs suggests client-centred care is not optimal, and little is kno...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12627
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND/AIM:Dementia significantly impacts on the individual's and caregiver's quality of life. The aim of this study was to describe Australian occupational therapy practice with people with dementia. METHODS:A questionnaire was piloted and sent to occupational therapists in Australia working with people with deme...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00930.x
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION:Limited research has been conducted from a longitudinal and qualitative perspective on the experience of life after mild stroke. This restricts the knowledge held in this area. This study aimed to answer the question: How do people with mild stroke understand their experiences in the first 6 months after h...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12607
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:One method of evaluating the construct validity of instruments is the Rasch Measurement Model (RMM), an increasingly popular method used for test construction and validation. AIM:The aim was to examine the construct validity of the Developmental Test of Visual-Motor Integration 5th Edition (VMI) by applying...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2009.00811.x
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND/AIM:Previously developed cut-off scores for off-road assessments, DriveSafe and DriveAware, were applied to data from a new sample. Our aim was to determine whether results from previous research are replicable in a different population, to further investigate the psychometric properties of the tools. METHO...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,多中心研究
doi:10.1111/1440-1630.12112
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND/AIM:There is a growing body of research to support the role of occupational therapy in dementia care. However, little is known about the extent to which this research is translated into occupational therapy practice. This study addresses this gap by considering current occupational therapy practice in the fi...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12081
更新日期:2014-04-01 00:00:00
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journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12034
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND/AIM:Hands are commonly involved in burn trauma. Occupational therapy in the acute phase aims to reduce the risk of deformities and facilitate return to usual occupations. This study aimed to describe usual occupational therapy care at a major adult burns service, and measure recovery from hand burns in the f...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12538
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND/AIM:Occupational therapists consider the impact of autism spectrum disorder on occupational performance at school. Occupational therapists work with teachers to support student participation. Atypical sensory processing is common in children with autism. Therefore, collaborating with teachers to enable stude...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12381
更新日期:2018-02-01 00:00:00
abstract:AIM:A recent systematic review suggests that more comparative research is required on the effectiveness of clinical placement models. This study explored perspectives of clinical educators and students who had participated in both the 1:1 (one student supervised by one clinical educator) and 2:1 (two students supervise...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2012.01025.x
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND/AIM:There is a need for culturally appropriate assessments for Australian Indigenous children. This article reports the selection of culturally appropriate and gender-neutral play materials, and changes in administration identified to develop further the Indigenous Child-Initiated Pretend Play Assessment (I-...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2010.00905.x
更新日期:2011-02-01 00:00:00
abstract:INTRODUCTION:Research has been conducted over several years to develop a new off-road assessment battery referred to as the Occupational Therapy - Driver Off-Road Assessment Battery. This article documents the development of the Battery, and provides preliminary research evidence to support its content and predictive v...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00979.x
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND/AIM:Knowledge and understanding of deficits in executive functions has expanded in recent years and its relevance to occupational therapy has been established. The purpose of this review was to identify, analyse, synthesise and describe the updated occupational therapy scientific literature that addresses th...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12525
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Dementia residential facilities can be described as traditional or non-traditional facilities. Non-traditional facilities aim to utilise principles of environmental design to create a milieu that supports persons experiencing cognitive decline. This study aimed to compare these two environments in rural Aust...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12243
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND/AIM:Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). METHODS:Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using clinical observations...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12326
更新日期:2017-02-01 00:00:00