Utility of Chedoke arm hand activity inventory in the Indian population: mixed method research sequential explanatory

ABSTRACT

Background: One of the most common manifestations of stroke is hand function affectation. This can have a negative impact on daily, social and leisure activities. A formal evaluation protocol will be able to identify specific needs of a patient. The objective was to find out the stability of the Chedoke arm hand activity inventory in sub-acute and chronic stroke patients in India Method.Methods: This was an observational study with sample size 29 and the sampling was convenience sampling. Participant criteria were sub-acute and chronic stroke patients, male and female, patients who follow commands, stable vitals, CMSA score of hand and leg function with stage 3, foot with stage 2, postural control with 6 or 7 and ability to walk 25 meters indoor. Recurrent stroke and hand dysfunction due to any reason other than stroke were excluded. Twenty-nine stroke patients, sub-acute and chronic where CMSA score taken prior to administration of CAHAI. A score of 1-7 for each task in CAHAI 13, total score of minimum 13 and maximum 91 with other considerations where “unsafe for the patient” was considered as score 1. Data analysis were done using SPSS version 22.0 and Pearson’s correlation coefficient.Results: A total of 29 participants included where the test retest reliability was r=0.98 with significance <0.001.Conclusions: CAHAI found to be a highly reliable outcome measure.