PMID- 29997426
OWN - NLM
STAT- MEDLINE
DCOM- 20181024
LR  - 20190610
IS  - 1945-5763 (Electronic)
IS  - 1082-0744 (Print)
IS  - 1082-0744 (Linking)
VI  - 24
IP  - 3
DP  - 2018 Summer
TI  - Comparison of Responsiveness and Minimal Clinically Important Difference of the 
      Capabilities of Upper Extremity Test (CUE-T) and the Graded Redefined Assessment 
      of Strength, Sensibility and Prehension (GRASSP).
PG  - 227-238
LID - 10.1310/sci2403-227 [doi]
AB  - Background: The Capabilities of Upper Extremity Test (CUE-T) and the Graded 
      Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) were both 
      developed to detect change in upper extremity (UE) function in persons with 
      tetraplegia. Objective: To compare the responsiveness and minimal clinically 
      important difference (MCID) of the CUE-T and the quantitative prehension (QtP) 
      scale of the GRASSP. Methods: Subjects included 69 persons with tetraplegia: 60 
      with acute and 9 with chronic injuries. Subjects were assessed twice 3 months 
      apart using the CUE-T, QtP-GRASSP, and upper extremity motor scores (UEMS). 
      Subjects rated their impression of change in overall and right/left UE function 
      from -7 to +7. The standardized response mean (SRM) was determined for acute 
      subjects. MCID was estimated using a small subjective change (2-3 points) and 
      change in UEMS. Results: Subjects were 41.9 +/- 18.1 years old, neurological levels 
      C1-C7; 25 were motor complete. For acute subjects, the SRMs for total/side CUE-T 
      scores were 1.07/0.96, and for the QtP-GRASSP they were 0.88/0.78. MCIDs based on 
      subjective change for total/side CUE-T scores were 11.7/6.1 points and for 
      QtP-GRASSP were 6.4/3.0 points. Based on change in UEMS, MCIDs for total/side 
      were 11.9/6.3 points for CUE-T and 6.0/3.3 points for QtP-GRASSP. Some subjects 
      had changes in the CUE-T due to its arm items that were not seen with the 
      QtP-GRASSP. Conclusion: Both the CUE-T and QtP-GRASSP are responsive to change in 
      persons with acute cervical spinal cord injury with large SRMs. The CUE-T detects 
      some changes in UE function not seen with the QtP-GRASSP.
FAU - Marino, Ralph J
AU  - Marino RJ
AD  - Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Jefferson 
      (Philadelphia University + Thomas Jefferson University), Philadelphia, 
      Pennsylvania.
FAU - Sinko, Rebecca
AU  - Sinko R
AD  - Department of Occupational Therapy, Jefferson College of Health Professions, 
      Jefferson (Philadelphia University + Thomas Jefferson University), Philadelphia, 
      Pennsylvania.
FAU - Bryden, Anne
AU  - Bryden A
AD  - Department of Biomedical Engineering, Case Western Reserve University, Cleveland, 
      Ohio.
FAU - Backus, Deborah
AU  - Backus D
AD  - Crawford Research Institute, Shepherd Center Hospital, Atlanta, Georgia.
FAU - Chen, David
AU  - Chen D
AD  - Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, 
      Northwestern University, Chicago, Illinois.
AD  - Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, 
      Illinois.
FAU - Nemunaitis, Gregory A
AU  - Nemunaitis GA
AD  - MetroHealth Medical Center/MetroHealth Rehabilitation Institute of Ohio, 
      Cleveland, Ohio.
AD  - Department of Physical Medicine & Rehabilitation, Case Western Reserve University 
      School of Medicine, Cleveland, Ohio.
FAU - Leiby, Benjamin E
AU  - Leiby BE
AD  - Division of Biostatics, Department of Pharmacology and Experimental Therapeutics, 
      Sidney Kimmel Medical College at, Jefferson (Philadelphia University + Thomas 
      Jefferson University), Philadelphia, Pennsylvania.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Top Spinal Cord Inj Rehabil
JT  - Topics in spinal cord injury rehabilitation
JID - 9515174
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cervical Vertebrae
MH  - *Disability Evaluation
MH  - Female
MH  - Hand Strength/*physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Quadriplegia/*physiopathology
MH  - Recovery of Function/physiology
MH  - Spinal Cord Injuries/*physiopathology
MH  - Upper Extremity/*physiopathology
MH  - Young Adult
PMC - PMC6037321
OTO - NOTNLM
OT  - outcome assessment
OT  - tetraplegia
OT  - upper extremity
COIS- Contact the corresponding author for information on how to obtain the CUE-T kit 
      and testing instructions. Thomas Jefferson University and the Department of 
      Rehabilitation Medicine receive payment for preparation and supply of the CUE-T 
      kits if these are provided by the Department. Dr. Marino does not receive payment 
      for the kits. The remaining authors have nothing to disclose.
EDAT- 2018/07/13 06:00
MHDA- 2018/10/26 06:00
PMCR- 2019/06/01
CRDT- 2018/07/13 06:00
PHST- 2018/07/13 06:00 [entrez]
PHST- 2018/07/13 06:00 [pubmed]
PHST- 2018/10/26 06:00 [medline]
PHST- 2019/06/01 00:00 [pmc-release]
AID - 10.1310/sci2403-227 [doi]
PST - ppublish
SO  - Top Spinal Cord Inj Rehabil. 2018 Summer;24(3):227-238. doi: 10.1310/sci2403-227.