Evaluates the functional ability of paretic arm and hand to perform tasks. The Chedoke Arm and Hand Activity Inventory (CAHAI) is used to assess functional ability of the paretic arm and hand.[1]. Top Stroke Rehabil. Jul-Aug;18(4) doi: /tsr Chedoke Arm and Hand Activity Inventory-9 (CAHAI-9): perceived clinical utility.

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Compromised upper-limb functional status plays a prominent role in the degree of disability experienced by people who have had a stroke. Ms Masters provided project management, data collection, and clerical support. The intra- and interrater reliability of the Action Research Hans test: The longitudinal validity component applied a strong group construct validation design that made use of the clinical history of the condition being studied.

Table 3 contains the convergent cross-sectional construct validity correlation coefficients with the ARAT. Treatment Recommendations of the Consensus Panel.

If the intended application of the CAHAI-9 is to predict CAHAI scores and change scores for a patient, our findings suggest that there is too much error to accomplish this with a high level unventory precision. During the past 3 decades, there has been a substantial increase in the number of outcome measures for people with stroke.

Retrieved from ” https: The CAHAI was administered to the participants by their treating therapist at their initial visit and following completion acitvity their rehabilitation had. A noted barrier to the successful implementation of standardized outcome measures is the time it takes to administer and score the measures.

Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. Thank you for submitting a comment on this article. International Classification of Diseases, Clinical Modification. You have entered an invalid code. One hundred five participants who experienced their first stroke fulfilled the eligibility criteria: Random assignment determined whether the treating therapist or the research therapist would complete the assessment first and which measure, the CAHAI or the ARAT, was administered first by the research therapist.


The acgivity on or accessible through Physiopedia is for informational purposes only. Mr Stratford provided data analysis. Careful cehdoke of the theoretical constructs underpinning the CAHAI has resulted in a tool that is consistent with the current frameworks of motor learning and performance.

Administration and Scoring Manual

Accordingly, we split the difference. Over the years, there has been dissatisfaction with the ability to assess recovery in the paretic upper limb of people who have had a stroke. From its conception, the CAHAI was designed specifically to assess upper-limb function in people with stroke, whereas the ARAT was derived from a measure, designed into assess upper-limb dysfunction in the general neurological population.

Prior to the study, written guidelines for the ARAT were developed from the literature. Given that the ARAT is an established measure, simply showing equivalence between the measures with no additional benefit of the CAHAI would add to the plethora of measures with no added value to clinicians or researchers.

Twenty-one occupational therapists actively working in stroke settings were recruited by convenience sampling from 8 hospitals and participated in semistructured focus groups. In a previously reported pilot study of 39 patients, we found the ROC curve areas to be 0. For this reason, we framed our first research question to ask whether the longitudinal validity of scores on the CAHAI versions was superior to that of scores on the ARAT.

Applying these assumptions, a sample size of 50 people with stroke per group, or in total, were required. Receiver operating characteristic 19 curve analysis was applied to determine whether the known group longitudinal validity coefficients—expressed as the area under the ROC curve—of the 2 CAHAI versions exceeded that of the ARAT.


Chedoke Arm and Hand Activity Inventory (CAHAI)

Oxford University Press is a department of the University of Oxford. Administration times vary with the selected version, approximately minutes.

Copyright Thomas Land Publishers Inc www. Accessed April 20, Management of the Post Stroke Arm and Hand: In most cases Physiopedia articles are a secondary source and so should not be used as references.

Related articles in Google Scholar. The Chedoke Arm and Hand Activity Inventory-9 CAHAI-9 is an activity-based assessment developed to include relevant functional tasks and to be sensitive to clinically important changes in upper limb function. The Chedoke Arm and Hand Activity Inventoryy CAHAI is a new, validated upper-limb measure that uses a 7-point quantitative scale in order to assess functional recovery of the arm and hand after a stroke.

This study acttivity approved by the research ethics boards of the participating hospitals.

Email alerts New issue alert. The longitudinal validity analysis produced the following ROC curve areas: Add comment Close comment form modal. Please check for further notifications by email.

This dissatisfaction has led to the development and application of numerous outcome measures. A performance test for assessment of upper limb function in physical rehabilitation and research.

The transcripts were analyzed thematically. Written informed consent was obtained from each participant or his or her substitute decision maker. Receiver operating characteristic curves, Pearson product moment coefficient of correlation, and regression analyses were used.

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