Validity of the TEMPA for the measurement of upper limb function in multiple sclerosis

Objective: To investigate concurrent and construct validity of the TEMPA (Test d'Evaluation de la performance des Membres Supérieurs des Personnes Âgées) in patients with upper limb dysfunction due to multiple sclerosis. Subjects: Forty-three patients with upper limb dysfunction due to multiple sclerosis. Design: Patients performed upper limb tests and were assessed on measures of functional independence. Setting: National Multiple Sclerosis Centre, Melsbroek, Belgium. Main outcome measures: TEMPA, Jebsen Handfunction Test, Nine Hole Peg Test, Functional Independence Measure (FIM) and activities of daily living (ADL) self-questionnaire. Results: The correlation between TEMPA and Jebsen Handfunction and the Nine Hole Peg test respectively is good (0.56–0.87) and high (0.79–0.9). The correlation between TEMPA and the FIM and ADL self-questionnaire was moderate (0.44–0.61) although mostly higher than the correlation between the Jebsen Handfunction and the Nine Hole Peg test respectively and the measures of functionality (0.22–0.55/0.1–0.47). Conclusions: This study provides data supporting the concurrent validity of the TEMPA with the Jebsen Handfunction and the Nine Hole Peg Test in patients with multiple sclerosis. The results suggest construct validity of the TEMPA for the measurement of functionality during activities of daily life in patients with upper limb dysfunction due to multiple sclerosis.

[1]  J. Fischer,et al.  Intrarater and interrater reliability of the MS functional composite outcome measure , 2000, Neurology.

[2]  D. Wade,et al.  Measurement in neurological rehabilitation. , 1992, Current opinion in neurology and neurosurgery.

[3]  D Rudman,et al.  An instrument evaluation framework: description and application to assessments of hand function. , 1998, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[4]  Richard W. Bohannon,et al.  Criterion validity of lower extremity Motricity Index scores , 2000, Clinical rehabilitation.

[5]  L. Provinciali,et al.  A multidimensional assessment of multiple sclerosis: relationships between disability domains , 1999, Acta neurologica Scandinavica.

[6]  B Pentland,et al.  Rater reliability of Fahn's tremor rating scale in patients with multiple sclerosis. , 1998, Archives of physical medicine and rehabilitation.

[7]  R. Hébert,et al.  Upper extremity performance test for the elderly (TEMPA): normative data and correlates with sensorimotor parameters. Test d'Evaluation des Membres Supérieurs de Personnes Agées. , 1995, Archives of physical medicine and rehabilitation.

[8]  D. Gravel,et al.  Maximal grip force in chronic stroke subjects and its relationship to global upper extremity function , 1999, Clinical rehabilitation.

[9]  S. Teunis,et al.  of hand function , 1975 .

[10]  J. Sim,et al.  Measurement validity in physical therapy research. , 1993, Physical therapy.

[11]  B. Sharrack,et al.  The psychometric properties of clinical rating scales used in multiple sclerosis. , 1999, Brain : a journal of neurology.

[12]  F. van Wijck,et al.  Assessing Motor Deficits in Neurological Rehabilitation: Patterns of Instrument Usage , 2001, Neurorehabilitation and neural repair.

[13]  R. H. Jebsen,et al.  An objective and standardized test of hand function. , 1969, Archives of physical medicine and rehabilitation.

[14]  Philip Rowe,et al.  Functional Human Movement: Measurement and Analysis , 1999 .

[15]  L. Turner-Stokes,et al.  The use of standardized outcome measures in rehabilitation centres in the UK , 1997, Clinical rehabilitation.

[16]  J. Desrosiers,et al.  Validity of the TEMPA: A Measurement Instrument for Upper Extremity Performance , 1994 .

[17]  Réjean Hébert,et al.  Development and Reliability of an Upper Extremity Function Test for the Elderly: The TEMPA , 1993 .

[18]  P. Bain,et al.  Evaluation of three different ways of assessing tremor in multiple sclerosis , 2000, Journal of neurology, neurosurgery, and psychiatry.

[19]  J. Simon,et al.  Comparing the ability of various compositive outcomes to discriminate treatment effects in MS clinical trials , 1998, Multiple sclerosis.

[20]  G. Demeurisse,et al.  Motor evaluation in vascular hemiplegia. , 1980, European neurology.

[21]  G. Rice,et al.  Ondansetron, a 5-HT3 antagonist, improves cerebellar tremor. , 1997, Journal of neurology, neurosurgery, and psychiatry.

[22]  V. Mathiowetz,et al.  Adult Norms for the Nine Hole Peg Test of Finger Dexterity , 1985 .

[23]  J. Kurtzke.  Rating neurologic impairment in multiple sclerosis , 1983, Neurology.

[24]  C D Marsden,et al.  Accuracy of self-reported disability in patients with parkinsonism. , 1989, Archives of neurology.

[25]  D. Wade.  Measurement in neurologic rehabilitation. , 1993, Current opinion in neurology.

[26]  C. Granger,et al.  Functional assessment scales: a study of persons with multiple sclerosis. , 1990, Archives of physical medicine and rehabilitation.