uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Responsiveness and validity of the Motor Activity Log in patients during the subacute phase after stroke
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
2010 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, no 14, 1184-1193 p.Article in journal (Refereed) Published
Abstract [en]

Purpose. To investigate the responsiveness and cross-sectional and longitudinal validity of the Motor Activity Log (MAL) in the subacute phase after stroke. Method. Data were collected pre-intervention, post-intervention, and at 3-month follow-up evaluations from 30 patients with stroke participating in a randomized trial of forced use. Assessments included MAL, the Fugl-Meyer test, the 16-hole peg test, grip strength, the Action Research Arm Test, and the Motor Assessment Scale. Measurements of responsiveness were effect size, standardized response mean (SRM), and responsiveness ratio (RR). Relationships between the MAL and the other measures were determined with Spearman correlations. Results. The MAL is responsive to change, with effect size, SRM, and RR> 1.0 at the 3-month follow-up, and SRM and RR> 1.0 at post-intervention. Correlations at the separate test occasions between MAL and the other measures were mostly close to 0.50, which shows fair to moderate construct validity. Correlations between changes in MAL and in the other measures were weaker than cross-sectional relationships. Conclusions. The MAL is a responsive measure of daily hand use in patients participating in rehabilitation in the subacute phase after stroke. Correlations of construct validity indicate that daily hand use may need to be measured separately from body function and activity capacity, in line with the underlying constructs of International Classification of Functioning, Disability and Health. To strengthen our findings, they should be repeated in larger samples of patients.

Place, publisher, year, edition, pages
2010. Vol. 32, no 14, 1184-1193 p.
Keyword [en]
Stroke, motor activity log, upper limb
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-135576DOI: 10.3109/09638280903437253ISI: 000278592900007OAI: oai:DiVA.org:uu-135576DiVA: diva2:377538
Available from: 2010-12-14 Created: 2010-12-07 Last updated: 2010-12-14Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text
By organisation
In the same journal
Disability and Rehabilitation
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 192 hits
ReferencesLink to record
Permanent link

Direct link