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ORIGINAL ARTICLE
Year : 2016  |  Volume : 5  |  Issue : 4  |  Page : 235-246

Assessment of in-hand manipulation: Tool development


1 JSS College of Physiotherapy, Mysore, Karnataka, India
2 Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Karnataka, India
3 Sikkim Manipal College of Physiotherapy, Sikkim Manipal University, Sikkim, India

Correspondence Address:
Dr. Kavitha Raja
JSS College of Physiotherapy, MG Road, Mysore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.194092

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Objective: The aim of this study is to develop an assessment tool for in-hand manipulation skills (IHMS) and establish its psychometric properties. Design: Items are pooled based on literature and expert opinion. Content validation was performed by ten rehabilitation professionals. The test was administered to 123 typically developing, and 15 children with hand dysfunction-cerebral palsy (3), developmental coordination disorder (5), and Down syndrome (7). The latter group was given intervention, specific to upper extremity for 15 days, and test was readministered. Rasch analysis for rating scale structure, fit statistics, and dimension analysis was done. Results: Content validation was analyzed qualitatively. Suggestions were incorporated which consisted of instructions for scoring and test administration. The four-level ordinal rating scale was appropriate according to Rasch analysis. Of fifty items, three misfit items from translation subscale were removed based on fit statistics and clinical decision. The final test has 47 items. The tool had excellent inter-tester reliability and test stability and was responsive to change. Conclusion: Assessment of in-hand manipulation is a robust tool for clinical use in assessment IHMS.


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