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Vol. 22. Num. 3.01 May 2018
Pages 175-254
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Vol. 22. Num. 3.01 May 2018
Pages 175-254
Original Research
DOI: 10.1016/j.bjpt.2017.09.010
Reliability, validity and description of timed performance of the Jebsen–Taylor Test in patients with muscular dystrophies
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Mariana Cunha Artilheiroa,
Corresponding author
artilheiro.m@gmail.com

Corresponding author at: Programa de Pós-Graduação em Ciências da Reabilitação, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51, CEP: 05360-000 São Paulo, SP, Brazil.
, Francis Meire Fáverob, Fátima Aparecida Caromanoa, Acary de Souza Bulle Oliveirab, Nelson Carvasc, Mariana Callil Voosa, Cristina dos Santos Cardoso de Sád
a Universidade de São Paulo (USP), Faculdade de Medicina (FMUSP), São Paulo, SP, Brazil
b Universidade Federal de São Paulo (UNIFESP), Departamento e Neurologia/Neurocirurgia, Departamento de Neurologia Clinica, São Paulo, SP, Brazil
c Instituto de Assistência Médica (IAMSPE), Programa de Pós-Graduação em Ciências da Saúde, São Paulo, SP, Brazil
d Universidade Federal de São Paulo (UNIFESP), Departamento de Ciências do Movimento Humano, Santos, SP, Brazil
Highlights

  • Jebsen–Taylor Test is reliable for evaluating people with Muscular Dystrophy.

  • Jebsen–Taylor Test is valid for assessing people with Muscular Dystrophy.

  • The internal consistency of the Jebsen–Taylor Test was found to be high.

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Statistics
Tables (5)
Table 1. Sample characteristics: mean and standard deviation of Muscular Dystrophy type, sex, upper limb dominance, age, Vignos Scale score and Mini-Mental State Examination score of 50 subjects with 5 Types of Muscular Dystrophy.
Table 2. Jebsen–Taylor Test subtests 1–6. Means and 95% confidence intervals (95% CI), means standard errors (SE) and intraclass correlation coefficients (ICC) of inter-rater reliability analysis for 50 subjects with 5 types of Muscular Dystrophy.
Table 3. Spearman correlation coefficients between the Performance of Upper Limb (PUL) Module domains (i.e. shoulder, elbow and wrist) and the Jebsen–Taylor Test subtests (JTT) (1–6) for 50 subjects with 5 types of Muscular Dystrophy.
Table 4. Descriptive statistics of the Jebsen–Taylor Test for 50 ambulatory and non-ambulatory participants with Duchenne Muscular Dystrophy (DMD) and 4 other Muscular Dystrophy types (MD).a
Table 5. Classification of the non-dominant and dominant upper limb timed performance on the Jebsen–Taylor Test (JTT) of 36 ambulatory and non-ambulatory participants with Duchenne Muscular Dystrophy.
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Abstract
Background

The Jebsen–Taylor Test evaluates upper limb function by measuring timed performance on everyday activities. The test is used to assess and monitor the progression of patients with Parkinson disease, cerebral palsy, stroke and brain injury.

Objectives

To analyze the reliability, internal consistency and validity of the Jebsen–Taylor Test in people with Muscular Dystrophy and to describe and classify upper limb timed performance of people with Muscular Dystrophy.

Methods

Fifty patients with Muscular Dystrophy were assessed. Non-dominant and dominant upper limb performances on the Jebsen–Taylor Test were filmed. Two raters evaluated timed performance for inter-rater reliability analysis. Test–retest reliability was investigated by using intraclass correlation coefficients. Internal consistency was assessed using the Cronbach alpha. Construct validity was conducted by comparing the Jebsen–Taylor Test with the Performance of Upper Limb.

Results

The internal consistency of Jebsen–Taylor Test was good (Cronbach's α=0.98). A very high inter-rater reliability (0.903–0.999), except for writing with an Intraclass correlation coefficient of 0.772–1.000. Strong correlations between the Jebsen–Taylor Test and the Performance of Upper Limb Module were found (rho=−0.712).

Conclusion

The Jebsen–Taylor Test is a reliable and valid measure of timed performance for people with Muscular Dystrophy.

Keywords:
Muscular dystrophies
Upper extremity
Physical therapy
Disability evaluation

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