PDF(Pubmed)
Abstract：
BACKGROUND: Assessment of upper limb function is critical in the rehabilitation process of people with Parkinson\'s Disease (PD), and universally validated outcome measures are needed to allow comparisons across the practice. Moreover, the study of psychometric properties of the same tool on different clinical populations guarantees the possibility of reliably evaluating the same rehabilitation treatment in people with different clinical conditions.
OBJECTIVE: The aim of this research was to evaluate the psychometric characteristics of the Italian adaptation of the Jebsen Taylor Hand Function Test (JTHFT) in individuals with PD.
METHODS: The reliability and validity of the test were assessed in accordance with international standards. Internal consistency was measured using Cronbach\'s alpha, and test-retest reliability was determined via the intraclass correlation coefficient (ICC). The construct validity and cross-cultural validity of the test were evaluated using Pearson\'s correlation coefficient with three assessment tools on upper limb function, independence, and quality of life, with hand grip power measured by a dynamometer and an Italian pangram. Finally, responsiveness after a one month of rehabilitation treatment was measured using the Wilcoxon rank test.
RESULTS: Fifty-two Italian people with PD were recruited. Cronbach\'s alpha values ranged from 0.556 (non-dominant hand) to 0.668 (dominant hand); ICC values ranged from 0.754 to 0.988. Construct validity showed that several statistically significant correlations were detected. Wilcoxon\'s test showed that the assessment tool can detect a change in this population after treatment.
CONCLUSIONS: The JTHFT is a reliable, valid, and respondent tool to evaluate the upper limb and hand functionalities in PD patients. It should be added to the toolkit for measuring upper limb performance in this population, adding value to clinical evaluation and ensuring comparable results for different clinical populations and different countries.
OBJECTIVE: The aim of this research was to evaluate the psychometric characteristics of the Italian adaptation of the Jebsen Taylor Hand Function Test (JTHFT) in individuals with PD.
METHODS: The reliability and validity of the test were assessed in accordance with international standards. Internal consistency was measured using Cronbach\'s alpha, and test-retest reliability was determined via the intraclass correlation coefficient (ICC). The construct validity and cross-cultural validity of the test were evaluated using Pearson\'s correlation coefficient with three assessment tools on upper limb function, independence, and quality of life, with hand grip power measured by a dynamometer and an Italian pangram. Finally, responsiveness after a one month of rehabilitation treatment was measured using the Wilcoxon rank test.
RESULTS: Fifty-two Italian people with PD were recruited. Cronbach\'s alpha values ranged from 0.556 (non-dominant hand) to 0.668 (dominant hand); ICC values ranged from 0.754 to 0.988. Construct validity showed that several statistically significant correlations were detected. Wilcoxon\'s test showed that the assessment tool can detect a change in this population after treatment.
CONCLUSIONS: The JTHFT is a reliable, valid, and respondent tool to evaluate the upper limb and hand functionalities in PD patients. It should be added to the toolkit for measuring upper limb performance in this population, adding value to clinical evaluation and ensuring comparable results for different clinical populations and different countries.
摘要：
背景：评估上肢功能在帕金森病（PD）患者的康复过程中至关重要，并且需要普遍验证的结果度量，以允许在整个实践中进行比较。此外，同一工具对不同临床人群的心理测量特性的研究保证了在不同临床状况的人群中可靠地评估相同康复治疗的可能性。
目的：这项研究的目的是评估PD患者对意大利适应JebsenTaylor手功能测试（JTHFT）的心理测量特征。
方法：按照国际标准评估测试的信度和效度。内部一致性是用克朗巴赫的阿尔法测量的，通过组内相关系数(ICC)确定重测信度。使用Pearson相关系数和三种上肢功能评估工具对测试的结构效度和跨文化效度进行评估。独立性,和生活质量，用测力计和意大利pangram测量的手握力。最后,使用Wilcoxon秩检验测量康复治疗1个月后的反应性.
结果：招募了52名患有PD的意大利人。Cronbach的α值范围为0.556（非优势手）至0.668（优势手）；ICC值范围为0.754至0.988。结构效度表明，检测到几个具有统计学意义的相关性。Wilcoxon检验表明，评估工具可以检测到治疗后该人群的变化。
结论：JTHFT是一种可靠的，有效,以及评估PD患者上肢和手功能的响应工具。应将其添加到用于测量该人群上肢性能的工具包中，增加临床评估的价值，并确保不同临床人群和不同国家的可比结果。
目的：这项研究的目的是评估PD患者对意大利适应JebsenTaylor手功能测试（JTHFT）的心理测量特征。
方法：按照国际标准评估测试的信度和效度。内部一致性是用克朗巴赫的阿尔法测量的，通过组内相关系数(ICC)确定重测信度。使用Pearson相关系数和三种上肢功能评估工具对测试的结构效度和跨文化效度进行评估。独立性,和生活质量，用测力计和意大利pangram测量的手握力。最后,使用Wilcoxon秩检验测量康复治疗1个月后的反应性.
结果：招募了52名患有PD的意大利人。Cronbach的α值范围为0.556（非优势手）至0.668（优势手）；ICC值范围为0.754至0.988。结构效度表明，检测到几个具有统计学意义的相关性。Wilcoxon检验表明，评估工具可以检测到治疗后该人群的变化。
结论：JTHFT是一种可靠的，有效,以及评估PD患者上肢和手功能的响应工具。应将其添加到用于测量该人群上肢性能的工具包中，增加临床评估的价值，并确保不同临床人群和不同国家的可比结果。
