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A simple bedside test for upper extremity impairment after stroke: Validation of the Utrecht Arm/Hand Test
Disability & Rehabilitation, 07/31/09

Kruitwagen-van Reenen ET et al. – The Utrecht Arm/hand Test (UAT) is a simple, valid, and reliable bedside test for the evaluation of upper extremity impairment after stroke.

Methods

Study of the intra- and inter-rater reliability, criterion validity and responsiveness of UAT
Study 1 (N = 29): Repeat administration of UAT at admission and discharge
Comparison with scores on the Fugl-Meyer test (FM), Action Research Arm test (ARA) and Self-Care scale of the Functional Independence Measure (FIM)
Study 2 (N = 192): Administration of the UAT and Frenchay Arm Test at admission (FAT) and discharge
Computation of Spearman correlations between UAT and FAT and comparison of the Effect Size and the Standardised Response Mean of both measures

Results

Study 1: Spearman correlations between UAT and FM were 0.93 at admission and 0.94 at discharge
Correlations with ARA and FIM also high: 0.90 and 0.76 at admission, and 0.89 and 0.73 at discharge
Inter-rater and intra-rater reliability were excellent
Study 2: Correlations between UAT and FAT were 0.93 at admission and 0.90 at discharge
Mean UAT score improved from 3.7 at admission up to 4.6 at discharge
Better effect size and standardized response mean of UAT vs FAT

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