U-Rate-UE; Measuring perceived recovery of the affected upper extremity in adults post-stroke.

To establish initial validity of 'U-Rate-UE', a single-question scale regarding perceived recovery of the stroke affected upper extremity (UE). A retrospective longitudinal study of data collected at rehabilitation admission, 6-weeks, 6-months since stroke. Stroke rehabilitation and community-based PARTICIPANTS: A convenience sample of 87 individuals, median (interquartile range) age 71.5 (65-80) years, 15.0 (12-20) days post-stroke INTERVENTIONS: Not applicable. The affected UE was assessed using the Fugl-Meyer Motor Assessment, grip strength, Action Research Arm Test, the Box and Block Test (BBT) and The Rating of Everyday Arm-Use in the Community and Home. Participants also rated how much they perceive that their affected UE recovered from the stroke using U-Rate-UE; 0-100 (no to full recovery). Longitudinal changes in U-Rate-UE ratings were assessed. In addition, at 6-weeks and 6-months post-stroke, the change in BBT was calculated and participants were grouped into achieved/did not achieve the Minimal Detectible Change (MDC). Correlations between U-Rate-UE to the other UE assessments were assessed at all 3-timepoints. Significant changes in U-Rate-UE were seen over time (p<.05). At 6-weeks and 6-months, participants who achieved BBT-MDC rated their recovery significantly higher than participants who did not. U-Rate-UE was moderately-strongly significantly correlated to UE assessments (rho=.61-.85, p<.001). The U-Rate-UE is supported for use with UE assessments contributing to comprehensive clinical understanding of the recovery of the affected UE in adults post-stroke.

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