COSMIN database

Psychometric properties of upper extremity outcome measures validated by Rasch analysis: a systematic review

Hong, I. and Bonilha, H. S.
The aim of this study was to provide a systematic review of psychometric studies of upper extremity (UE) outcome measures validated by Rasch analysis and assess the extent to which their measurement areas cover the domains of the International Classification of Functioning, Disability and Health model. A literature search from 1966 to 2014 was performed using PubMed, CINAHL, Scopus, PsycINFO, Ovid/MEDLINE, ERIC, and Cochrane library. Fourteen keywords indicating 'upper extremity', 'psychometric properties', and 'outcome measures' were used. From a total of 1039 studies, 17 UE impairment outcome measures that fulfilled the inclusion criteria were selected and reviewed. The instruments targeted adults with various neurological or orthopedic conditions (i.e. stroke, upper and lower extremity impairments, and back pain). Twelve instruments targeted the body structure/function domain and 11 instruments targeted the activity domain of the International Classification of Functioning, Disability and Health model. Only two instruments targeted the participation domain. All outcome measures showed reasonably sound psychometric properties, including construct validity (good fit statistic), moderate to high reliability (r=0.86-0.99), and sound dimensionality (unidimensional). The reviewed psychometric properties of UE outcome measures are useful for clinicians in deciding which measures to use to assess patients' UE impairments.
Int J Rehabil Res
Publication year:
Biological and physiological variables:
Biological and physiological variables
Symptom status:
Physical state
Functional status:
Physical functioning
Role functioning
Social functioning
Adults (18-65)
Diseases of and symptoms related to the musculoskeletal system and connective tissue
Diseases of and symptoms related to the nervous system
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
6 - Clinical rating scales
7 - Observations
AMAT-9 - 9-item version of the Arm Motor Ability Test
ARAT - Action Research Arm Test   
DA-CAT-2 - New Activity Measure for Post-Acute Care Daily Activity CAT
DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified)   
FMA-UE - Fugl–Meyer Assessment of the upper extremity
ICF-AM - ICF-Activity Measure
M-ASES - Modified American Shoulder and Elbow Surgeons questionnaire
MESUPES - Motor Evaluation Scale for Upper Extremity in Stroke Patients
OPTIMAL - Outpatient Physical Therapy Improvement in Movement Assessment Log
RMA - Rivermead Motor Assessment
SAL - Stroke Arm Ladder
STREAM - Stroke Rehabilitation Assessment of Movement
S-WMFT - Short form of the Wolf Motor Function Test
UEFI -Upper Extremity Functional Index