PMID- 11239280
OWN - NLM
STAT- MEDLINE
DCOM- 20010412
LR  - 20220409
IS  - 0003-9993 (Print)
IS  - 0003-9993 (Linking)
VI  - 82
IP  - 1
DP  - 2001 Jan
TI  - The intra- and interrater reliability of the action research arm test: a 
      practical test of upper extremity function in patients with stroke.
PG  - 14-9
AB  - OBJECTIVES: To determine the intra- and interrater reliability of the Action 
      Research Arm (ARA) test, to assess its ability to detect a minimal clinically 
      important difference (MCID) of 5.7 points, and to identify less reliable test 
      items. DESIGN: Intrarater reliability of the sum scores and of individual items 
      was assessed by comparing (1) the ratings of the laboratory measurements of 20 
      patients with the ratings of the same measurements recorded on videotape by the 
      original rater, and (2) the repeated ratings of videotaped measurements by the 
      same rater. Interrater reliability was assessed by comparing the ratings of the 
      videotaped measurements of 2 raters. The resulting limits of agreement were 
      compared with the MCID. PATIENTS: Stratified sample, based on the intake ARA 
      score, of 20 chronic stroke patients (median age, 62yr; median time since stroke 
      onset, 3.6yr; mean intake ARA score, 29.2). MAIN OUTCOME MEASURES: Spearman's 
      rank-order correlation coefficient (Spearman's rho); intraclass correlation 
      coefficient (ICC); mean difference and limits of agreement, based on ARA sum 
      scores; and weighted kappa, based on individual items. RESULTS: All intra- and 
      interrater Spearman's rho and ICC values were higher than .98. The mean 
      difference between ratings was highest for the interrater pair (.75; 95% 
      confidence interval, .02-1.48), suggesting a small systematic difference between 
      raters. Intrarater limits of agreement were -1.66 to 2.26; interrater limits of 
      agreement were -2.35 to 3.85. Median weighted kappas exceeded .92. CONCLUSION: 
      The high intra- and interrater reliability of the ARA test was confirmed, as was 
      its ability to detect a clinically relevant difference of 5.7 points.
FAU - Van der Lee, J H
AU  - Van der Lee JH
AD  - Department of Rehabilitation Medicine, University Hospital Vrije Universiteit, 
      Amsterdam, The Netherlands. jh.vanderlee@azvu.nl
FAU - De Groot, V
AU  - De Groot V
FAU - Beckerman, H
AU  - Beckerman H
FAU - Wagenaar, R C
AU  - Wagenaar RC
FAU - Lankhorst, G J
AU  - Lankhorst GJ
FAU - Bouter, L M
AU  - Bouter LM
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Aged
MH  - *Arm
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Paresis/*physiopathology/rehabilitation
MH  - Reproducibility of Results
MH  - Statistics, Nonparametric
MH  - Stroke/*physiopathology
MH  - Stroke Rehabilitation
MH  - Videotape Recording
EDAT- 2001/03/10 10:00
MHDA- 2001/04/17 10:01
CRDT- 2001/03/10 10:00
PHST- 2001/03/10 10:00 [pubmed]
PHST- 2001/04/17 10:01 [medline]
PHST- 2001/03/10 10:00 [entrez]
AID - S0003-9993(01)51301-5 [pii]
AID - 10.1053/apmr.2001.18668 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2001 Jan;82(1):14-9. doi: 10.1053/apmr.2001.18668.