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Validity, reliability, and sensitivity to motor impairment severity of a multi-touch app designed to assess hand mobility, coordination, and function after stroke

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Validity, reliability, and sensitivity to motor impairment severity of a multi-touch app designed to assess hand mobility, coordination, and function after stroke

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dc.contributor.author Mollà-Casanova, Sara es_ES
dc.contributor.author Llorens Rodríguez, Roberto es_ES
dc.contributor.author Borrego, Adrián es_ES
dc.contributor.author Salinas-Martinez, Barbara es_ES
dc.contributor.author Serra-Añó, Pilar es_ES
dc.date.accessioned 2022-02-04T19:03:38Z
dc.date.available 2022-02-04T19:03:38Z
dc.date.issued 2021-04-23 es_ES
dc.identifier.issn 1743-0003 es_ES
dc.identifier.uri http://hdl.handle.net/10251/180501
dc.description.abstract [EN] Background: The assessment of upper-limb motor impairments after stroke is usually performed using clinical scales and tests, which may lack accuracy and specificity and be biased. Although some instruments exist that are capable of evaluating hand functions and grasping during functional tasks, hand mobility and dexterity are generally either not specifically considered during clinical assessments or these examinations lack accuracy. This study aimed to determine the convergent validity, reliability, and sensitivity to impairment severity after a stroke of a dedicated, multi-touch app, named the Hand Assessment Test. Methods: The hand mobility, coordination, and function of 88 individuals with stroke were assessed using the app, and their upper-limb functions were assessed using the Fugl-Meyer Assessment for Upper Extremity, the Jebsen-Taylor Hand Function Test, the Box and Block Test, and the Nine Hole Peg Test. Twenty-three participants were further considered to investigate inter- and intra-rater reliability, standard error of measurement, and the minimal detectable change threshold of the app. Finally, participants were categorized according to motor impairment severity and the sensitivity of the app relative to these classifications was investigated. Results: Significant correlations, of variable strengths, were found between the measurements performed by the app and the clinical scales and tests. Variable reliability, ranging from moderate to excellent, was found for all app measurements. Exercises that involved tapping and maximum finger-pincer grasp were sensitive to motor impairment severity. Conclusions: The convergent validity, reliability, and sensitivity to motor impairment severity of the app, especially of those exercises that involved tapping and the maximum extension of the fingers, together with the widespread availability of the app, could support the use of this and similar apps to complement conventional clinical assessments of hand function after stroke. es_ES
dc.description.sponsorship This study has been co-funded by Fundacio la Marato de la TV3 (201701-10), the European Union through the Operational Program of the European Regional Development Fund (ERDF) of the Valencian Community 2014-2020 (IDIFEDER/2018/029), and Universitat de Valencia (INV19-01-13-07) es_ES
dc.language Inglés es_ES
dc.publisher Springer (Biomed Central Ltd.) es_ES
dc.relation.ispartof Journal of NeuroEngineering and Rehabilitation es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject App es_ES
dc.subject Assessment es_ES
dc.subject Hand es_ES
dc.subject Multi-touch technology es_ES
dc.subject Stroke es_ES
dc.subject Upper-limb es_ES
dc.subject.classification TEORIA DE LA SEÑAL Y COMUNICACIONES es_ES
dc.subject.classification INGENIERIA TELEMATICA es_ES
dc.title Validity, reliability, and sensitivity to motor impairment severity of a multi-touch app designed to assess hand mobility, coordination, and function after stroke es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1186/s12984-021-00865-9 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GV//IDIFEDER%2F2018%2F029/
dc.relation.projectID info:eu-repo/grantAgreement/UV//INV19-01-13-07/
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Instituto Universitario Mixto de Biomecánica de Valencia - Institut Universitari Mixt de Biomecànica de València es_ES
dc.description.bibliographicCitation Mollà-Casanova, S.; Llorens Rodríguez, R.; Borrego, A.; Salinas-Martinez, B.; Serra-Añó, P. (2021). Validity, reliability, and sensitivity to motor impairment severity of a multi-touch app designed to assess hand mobility, coordination, and function after stroke. Journal of NeuroEngineering and Rehabilitation. 18(1):1-15. https://doi.org/10.1186/s12984-021-00865-9 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1186/s12984-021-00865-9 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 15 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 18 es_ES
dc.description.issue 1 es_ES
dc.identifier.pmid 33892763 es_ES
dc.identifier.pmcid PMC8066975 es_ES
dc.relation.pasarela S\438071 es_ES
dc.contributor.funder Generalitat Valenciana
dc.contributor.funder Universitat de València
dc.contributor.funder European Regional Development Fund
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