0000153822 00000 n The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Top Contributors - Simisola Ajeyalemi, Kim Jackson, Yvonne Yap and Amanda Ager. 2023 Jan 16;4:1089748. doi: 10.3389/fpain.2023.1089748. Zero represents no pain/disability, and 10 represents the worst pain imaginable/severe disability for each item. J Leisure Res 1979, 11: 120138. Scoring and interpretation of scores 0000095773 00000 n 1996-2023 MDPI (Basel, Switzerland) unless otherwise stated. The UEFI has 20 upper extremity-related activities covering house-related, work-related, recreational, and sport-related activities. ; Yelland, M.; Melloh, M.; Burkett, B. National Library of Medicine 2023 Feb 28;20(5):4370. doi: 10.3390/ijerph20054370. Arm dominance affects pMCID. Conclusion: The Extremity Function Index proved to be a sound and easy to apply self-report disability severity measurement instrument in neuromuscular diseases. %PDF-1.4 % Patient reported outcome (PRO) measures [1, 2] are primarily used to objectively reflect a patients health or functional status at any given time and to detect changes in this status as a response to an intervention [3]. Please enable it to take advantage of the complete set of features! 0000004290 00000 n Federal government websites often end in .gov or .mil. You seem to have javascript disabled. ]^Fd[j'u~VVN8 =@qYh',qQZMI+!ZEV]it^*w8 Cross-cultural adaptation, reliability and validity of the Spanish FOIA Germann G, Harth A, Wind G, Demir E: Standardisation and validation of the German version 2.0 of the Disability of Arm, Shoulder, Hand (DASH) questionnaire (in German). Pajares B, Roldn-Jimnez C, Alba E, Cuesta-Vargas AI. Results: MeSH Conclusions: Given the high prevalence of ULD in this population and the broader versions of ULFI across different languages, this study's results may be transferred to clinical practice and integrated as part of upper limb assessment after breast cancer. Predictors of Altered Upper Extremity Function During the First Year After Breast Cancer Treatment. The scale is in logits. La validit longitudinale a t dtermine en fonction du lien (r de Pearson) entre les scores de changement de la fonction et de la douleur (moment 1moment 3). Patient burden from completing numerous questionnaires is an area for future consideration. Public Health 2023, 20, 4997. The ULFI was shown to have strong psychometric properties for reliability, validity, responsiveness, error measurement, and internal consistency that approximated or exceeded those of the DASH and UEFS [6]. Musculoskelet Sci Pract. Cross-cultural adaptation, reliability, validity and responsiveness [Article in Spanish]. The main objective of the study was to translate and validate the upper limb functional index (ULFI) outcome measure in the Urdu language. 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. Alderman AK, Chung KC: Measuring Outcomes in Hand Surgery. 0000157714 00000 n stream 10.1016/j.jht.2009.09.007, Michener LA, Leggins BG: A review of self-report scales for the assessment of functional limitation and disability of the shoulder. Clinicians may assess the upper limbs after breast cancer. This study aimed to assess the psychometric properties of the Upper Limb Functional Index Spanish version (ULFI-Sp) in the BCS. 0000000016 00000 n Fayers PM, Machin D, Quality of Life: Assessment, Analysis and Interpretation of Patient-reported Outcomes. The authors are grateful to the volunteers for their participation and the PMDT, Malaga. Disabilities of the Arm, Shoulder, and Hand Questionnaire 0000074379 00000 n 0000076601 00000 n The Upper Limb Functional Index (ULFI) is a recent example of this. -. Federal government websites often end in .gov or .mil. MDC values were 9.4/80 for the UEFI-20 and 8.8/100 for the UEFI-15. For more information, please refer to Accessibility Patient-Reported Upper Extremity Outcome Measures Used in Breast Cancer Survivors: A Systematic Review. 10.5014/ajot.2011.000794, Franchignoni F, Giordano A, Sartorio F, Vercelli S, Pascariello B, Ferriero G: Suggestions for refinement of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH): a factor analysis and Rasch validation study. 2023 BioMed Central Ltd unless otherwise stated. Ann Readapt Med Phys 2004,47(6):389395. International Journal of Environmental Research and Public Health. doi: 10.1046/j.1524-4733.2002.54073.x. 10.1097/00043764-199712000-00014, Sambandam SN, Priyanka PAG, Ilango B: Critical analysis of outcome measures used in the assessment of carpal tunnel syndrome. The translation process ensured the conceptual equivalence of the used terms. Find support for a specific problem in the support section of our website. 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). Prevalence of Breast Cancer Treatment Sequelae over 6 Years of Follow-up: The Pulling Through Study. eCollection 2023 Jan. Phys Ther. eCollection 2023. 0000005536 00000 n Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review. ; Nijhuis-van der Sanden, M.W.G.N. On recommande le questionnaire IFMS-15 parce qu'il mesure une dimension seulement: la fonction des membres suprieurs. Polish Cross-Cultural Adaptation of the Lower Limb Functional Index (LLFI) Demonstrates a Valid Outcome Measure for the Lower Limb Region and Joints. The upper extremity postthrombotic syndrome score: an international Delphi consensus study to determine the score's functional disability component. To assess upper extremity function in patients with musculoskeletal upper extremity disorders Therapeutic area Musculoskeletal and Neural Physiological Phenomena Musculoskeletal Diseases Pathological Conditions, Signs and Symptoms Psychological Phenomena Therapeutic indications Muscular Diseases Musculoskeletal Pain It was initially published in a dichotomous format [6] then updated and modified to a three-point scale [7]. ; Bruce, B.; Rose, M.; et al. Jreskog KG, Srbom D: LISREL 8.80. https://doi.org/10.3390/ijerph20064997, Martn-Martn, Jaime, Bella Pajares-Hachero, Emilio Alba-Conejo, Nuria Ribelles, Antonio I. Cuesta-Vargas, and Cristina Roldn-Jimnez. The Upper Extremity Functional Index (UEFI): cross-cultural adaptation, reliability, and validity of the Turkish version. Hu, L.; Bentler, P.M. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. interesting to readers, or important in the respective research area. 0000075417 00000 n Criterion validity with the EQ-5D-3L was fair and inversely correlated (r=0.59). J Hand Ther 2001,14(2):128146. 0000084442 00000 n Cronbach, L.J. 2023. CAS ; Naume, B.; Dahl, A.A. Kwans Arm Problem Scale: Psychometric Examination in a Sample of Stage II Breast Cancer Survivors. Would you like email updates of new search results? 0000070836 00000 n The 15-item was developed to fit the Rasch analysis and it has been recommended because it's unidimensional. J Orthop Sports Phys Ther 2012,42(2):5665. 0000070161 00000 n 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. Gabel, C.P. 10.1016/S0894-1130(01)80043-0, Van de Ven-Stevens LA, Munneke M, Terwee CB, Spauwen PH, van der Linde H: Clinimetric properties of instruments to assess activities in patients with hand injury: a systematic review of the literature. Schermelleh-Engel, K.; Moosbrugger, H.; Mller, H. Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. Factor structure was one-dimensional and supported construct validity. Google Scholar, Dale LM, Strain-Riggs SR: Comparing responsiveness of the Quick Disabilities of the Arm, Shoulder, and Hand and the Upper Limb Functional Index. The Spanish version of the Upper Limb Functional Index (ULFI) has excellent psychometric properties for reliability and validity [. Coefficient Alpha and the Internal Structure of Tests. 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_!:. La validit transversale, de groupes connus et longitudinale a t confirme pour les deux mesures de l'IFMS. Construct validity and factor structure were determined through the use of questionnaire principal component analysis (PCA) with the a-priori requirements for extraction being the satisfaction of all three points: screeplot inflection point, Eigenvalue>1.0 and accounting for >10% of variance. 0000005162 00000 n Longitudinal validity was determined by the association (Pearson's r) between function and pain change scores (Time 1-Time 3). National Library of Medicine xref 0000083640 00000 n BMJ 2009, 338: 2597. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Gencay Can, A.; Can, S.S.; Ekiolu, E.; akc, F.A. Unable to load your collection due to an error, Unable to load your delegates due to an error. Smoot, B.; Paul, S.M. Methods: A psychometric validation study of the ULFI-Sp was conducted on 216 voluntary breast cancer survivors. Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. 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). 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. ; Bartlett, M.S. The Upper Limb Functional Index (ULFI) has been validated across different populations and languages. The criterion validity demonstrated only a fair degree of differential association with the EQ-5D-3L and EQ-5D-3L-VAS. 0000075733 00000 n 10.1097/JPO.0b013e3181ae974d, Fayad F, Mace Y, Lefevre-Colau MM, Poiraudeau S, Rannou F, Revel M: Measurement of shoulder disability in the athlete: a systematic review [In French]. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). 10.1046/j.1524-4733.2002.54073.x, Article Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. Up to two missing responses are permitted [7]. Karanasios S, Kampourakis G, Ntoulaveris I, Kouvaras K, Lignos I, Diamantopoulos N, Gioftsos G. Cureus. 0000084264 00000 n 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]. This is considered to support the criterion validity of the ULFI-Sp however as it is not as strong as findings in the previous research that used a region specific criterion standard that was advocated as representative of the upper limb kinetic chain. In most cases Physiopedia articles are a secondary source and so should not be used as references. The Upper Extremity Functional Index (UEFI) [32] which is criticized due to it development methodology using a specific workers population in a small data set with a high average age [6, 8]. Gabel CP, Melloh M, Burkett B, Michener L: The Lower Limb Functional Index: development and validation of the clinimetric properties and practical characteristics. The ULFI-Sp also provides a means of comparing upper limb health state in Spanish-speaking patients with their English-speaking counterparts in countries with a high Spanish population such as the United States. 10.1016/j.jse.2008.12.015, Miller LA, Swanson S: Summary and Recommendations of the Academys State of the Science Conference on Upper Limb Prosthetic Outcome Measures. 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]. 2023 Jan 19;7(1):100051. doi: 10.1016/j.rpth.2023.100051. ; Osborne, J.W. 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. On a valu la validit des groupes connus au moyen d'une analyse bidirectionnelle des carts (ANOVA) entre trois niveaux d'tat de fonctionnement. The total score was accounted for, not the individual questionnaire response items. The cross-cultural adaptation of the ULFI into Spanish enables clinicians in Spanish speaking settings to compare outcomes following their treatments and interventions affecting the upper limb. 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. A factor analysis showed one factor with an Eigenvalue of 6.7; this factor explained 61% of the variance. Before The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). Cuesta-Vargas, A.I. Quality Criteria Were Proposed for Measurement Properties of Health Status Questionnaires. 0000153714 00000 n Scree Plot of the exploratory one-factor solution. Gabel CP, Michener LA, Burkett B, Neller A: The Upper Limb Functional Index: Development and Determination of Reliability, Validity, and Responsiveness. Work 2012. 10.1016/j.cps.2007.10.001. Test-retest reliability and internal consistency of Spanish SPADI and 0000076897 00000 n Results: The factor structure was one-dimensional. Spanish Cross-Cultural Adaptation and Validation of the Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire in Handball Players. articles published under an open access Creative Common CC BY license, any part of the article may be reused without However, over the last two decades region specific PROs that represent the three key body regions, of the upper limb, lower limb and spine have been used more frequently in the assessment of a musculoskeletal patients functional status [5]. Writingoriginal draft preparation: J.M.-M. 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). ; Michener, L.A.; Burkett, B.; Neller, A. 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. ; Bartlett, M.; Bartlett, M.S. 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]. 0000098017 00000 n The test-retest reliability or reproducibility was also high with the values (0.92 to 0.95) in-line with those found for the original instrument (0.90 to 0.96) [8]. Cross-cultural adaptation, reliability and validity of the Turkish version of the Upper Limb Functional Index (ULFI). 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. Bravini, E.; Franchignoni, F.; Giordano, A.; Sartorio, F.; Ferriero, G.; Vercelli, S.; Foti, C. Classical Test Theory and Rasch Analysis Validation of the Upper Limb Functional Index in Subjects with Upper Limb Musculoskeletal Disorders. 0000072036 00000 n 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. Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index. 0000088903 00000 n A4fUW#"b]x"x~|_QJ-6j=!OV^O% Pu1oA ?\oWG7G=],7 xZKs6WVS &$C(Ee~.NCVx]Qez;Wlfax@ofw3#J-3&dj56X\>2J@VG9!NyJ_f0M?ck4aN03kYI%/lQ k$Rv\p ,ZAxKa[:SV[TK3imT/MG~(|Z7-%2.H;YSZ, ; +%Hj4]?|5p}H$qEd_R g#mNxJ[8-u1G^.fog(o 0000075574 00000 n ; Marshall, P.W.M. Book The Upper Extremity Functional Index (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Arthritis Care Res (Hoboken) 2011,11(63):174188. The determined values were satisfactory and supportive of the findings of the ULFI as a 3-point scale, particularly in the areas of internal consistency, factor structure and reliability. Participants (n = 126) with various upper limb conditions of >12 weeks duration completed the ULFI-Sp, QuickDASH and the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3 L). Not only a direct and reverse translation methodology was applied, also a specialist in the field as detailed and recommended in the specialized scientific literature (Figure1) [43, 44]. Google Scholar, Beaton DE, Wright JG, Katz JN, Group UEC: Development of the QuickDASH: comparison of three item-reduction approaches. Chicago: Scientific Software International; 2007. The psychometric properties of the Spanish version of the ULFI are reported here for the first time. The Upper Limb Functional Index: Development and Determination of Reliability, Validity, and Responsiveness. 0000157982 00000 n 10.2106/JBJS.D.02060, Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C: Measuring the whole or the parts? ; Hutchings, H.A. Nesvold, I.-L.; Foss, S.D. Development and Initial Validation of a New Regional Outcome Measure: The Upper Limb Disability Questionnaire (ULDQ), 2003. 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 [. Shamley, D.; Robb, K. An Early Warning Surveillance Programme for Detecting Upper Limb Deterioration after Treatment for Breast Cancer: A Novel Technology Supported System. The ULFI was cross-culturally adapted to Spanish through double forward and backward translations, the psychometric properties were then validated. ; Dunn, L.; Elboim, C.; Schmidt, B.; Hamolsky, D.; Levine, J.D. Quality of Life: The Assessment, Analysis and Interpretation of Patient-Reported Outcomes, LISREL 10 for Windows [Computer Software], Functionality and Quality of Life with Parkinsons Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study, Objectively-Assessed Ultraviolet Radiation Exposure and Sunburn Occurrence, Acceptance of CaregiverPatient Support to Latinx Coping with Advanced Cancer (CASA) Intervention: A Caregiver Case Study, Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China, The Role of Physical Activity in Primary Care, http://www.who.int/cancer/detection/breastcancer/en/, https://researchers.cdu.edu.au/en/studentTheses/development-and-initial-validation-of-a-new-regional-outcome-meas, http://www-01.ibm.com/software/analytics/spss/products/statistics/, https://creativecommons.org/licenses/by/4.0/, Assistance with personal care and hygiene, Difficult opening, holding, pushing or pressing. Correspondence to Int. The purpose of this study was the adaptation and validation of a Spanish-version (SFI-Sp) with cultural and linguistic equivalence. Value Health. Finally, factor analysis by CFA was tested in the analyses. ^o_on/* G jTIr.1Urc~cz"SJ v8;' g /TF!o-+zlTuRYf.~?E=. Today, do you or would you have any difficulty at all with: 2023 Mar 21;11(6):912. doi: 10.3390/healthcare11060912. J Occup Environ Med 1997,39(12):11951202. 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. These regional PRO measures are argued to provide greater sensitivity and improved representation of the individuals functional status than joint or condition specific measures [79]. ; Alfano, C.M. Roldn-Jimnez, C.; Pajares, B.; Ruiz-Medina, S.; Trinidad-Fernndez, M.; Gonzlez-Snchez, M.; Ribelles, N.; Garca-Almeida, J.M. 0000157317 00000 n The effect of arm dominance on the positive minimal clinically important difference (pMCID) has not been determined for both versions of UEFI. A two stage . This may have been partially attributed to patient burden as the QuickDASH was the final questionnaire completed. Aytar A, Yuruk ZO, Tuzun EH, Baltaci G, Karatas M, Eker L. J Back Musculoskelet Rehabil. 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. 10.1007/BF02310555. 2014 May 17;12:75. doi: 10.1186/1477-7525-12-75. Adv Orthop. ; van Laarhoven, H.W.M. The QuickDASH data was unavailable for analysis due to excessive missing responses. Cross-sectional convergent validity was determined by the association (Pearson's r) between Time 1 measures of function and pain. 10.2106/JBJS.J.01744. Translation, cross-cultural adaptation and psychometric properties of ; van der Windt, D.A.W.M. Stock SR, Streiner D: The impact of neck and upper limb musculoskeletal disorders on the lives of affected workers: development of a new functional status index. 0000097773 00000 n Schmitz, K.H. . A physiotherapist (CRJ) supervised the procedure. The procedure of cross-cultural adaptation of a scale has been used in previous studies for different scales to be applied in the Spanish context [43, 44] Harris, S.R. Microsoft Word - Upper Extremity Functional Scale - Spanish version.doc Author: Cheryl Beloro Created Date: 11/20/2010 4:03:37 PM . The correlation between the ULFI total score and the regression score obtained from the one-factor solution MLE was also high ( = 0.996). The ULFI-Sp is a valid upper limb outcome measure with similar psychometric properties to the English language version.