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An investigation of improving validity in upper limb measurements for people with tetraplegia using construct specification equations
Centre for Advanced Reconstruction of Extremities, Sahlgrenska University Hospital/Mölndal, Mölndal, Sweden, Department of Hand Surgery, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
RISE Research Institutes of Sweden, Safety and Transport, Measurement Technology.ORCID iD: 0000-0003-4349-500x
Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand.
Department of Plastic and Reconstructive Surgery, Austin Health, Melbourne, Australia, Epworth Health Care, Melbourne, VIC, Australia.
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2025 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 15, no 1, article id 28468Article in journal (Refereed) Published
Abstract [en]

The aim of this paper is two-fold: to investigate development of a Construct Specification Equation (CSE) for UL task difficulty,, and a CSE for person UL ability,, in support of the validity of these two constructs. Measurements of UL task difficulty,, and person UL ability, were derived from applying the Rasch model on the Tetraplegia Upper Limb Activity Questionnaire (TUAQ). The formulations of CSEs as explanations of the two constructs were done using Principal Component Regression (PCR). The CSE for UL task difficulty,, was to a large degree explained by the number of joints involved and the CSE for person UL ability,, was dominated by grasp-related variables. Pearson coefficients of 0.94 and 0.73 were obtained between UL task difficulty and UL person ability from the CSE, respectively, when correlated with each empirical measure. The present work has both explored and extended the methodology for using more qualitative explanatory variables. Specifically, for UL measurements for people with tetraplegia a good CSE for task difficulty,, supports the validity of TUAQ when measuring person UL ability. Additionally, the CSE formulated for person ability,, can be used both for validation purposes as well as a clinical tool.

Place, publisher, year, edition, pages
Nature Research , 2025. Vol. 15, no 1, article id 28468
Keywords [en]
Construct specification equation, Person ability, Rasch analysis, Task difficulty, TUAQ, Validation, adult, diagnosis, female, hand strength, human, male, middle aged, pathophysiology, physiology, principal component analysis, quadriplegia, questionnaire, reproducibility, upper limb, Humans, Reproducibility of Results, Surveys and Questionnaires, Upper Extremity
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Physiotherapy
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URN: urn:nbn:se:ri:diva-79320DOI: 10.1038/s41598-025-98626-4Scopus ID: 2-s2.0-105012436122OAI: oai:DiVA.org:ri-79320DiVA, id: diva2:2017200
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Article; Granskad

Available from: 2025-11-27 Created: 2025-11-27 Last updated: 2025-11-27Bibliographically approved

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Pendrill, LeslieMelin, Jeanette

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