The CAHAI evaluates the functional ability of the paretic arm and hand to perform tasks.
13
30 minutes
Initially reviewed by Dorian Rose and the Stroke Edge Taskforce of the Neurolgy Section of the APTA. Updated by Maggie Bland PT,DPT,NCS and Nancy Byl, PT, MPH, PhD, FAPTA and the StrokEdge II Task Force of the Neurology Section of the APTA in 2016.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
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Abbreviations: |
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HR |
Highly Recommend |
|
R |
Recommend |
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LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
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NR |
Not Recommended |
Recommendations for use based on acuity level of the patient:
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Acute (CVA < 2 months post) (SCI < 1 month post) (Vestibular < 6 months post) |
Subacute (CVA 2 to 6 months) (SCI 3 to 6 months) |
Chronic (> 6 months) |
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StrokEDGE |
NR |
NR |
NR |
Recommendations based on level of care in which the assessment is taken:
|
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Acute Care |
Inpatient Rehabilitation |
Skilled Nursing Facility |
Outpatient Rehabilitation |
Home Health |
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StrokEDGE |
NR |
NR |
NR |
NR |
NR |
Recommendations for entry-level physical therapy education and use in research:
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Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Appropriate for use in intervention research studies? (Y/N) |
Is additional research warranted for this tool (Y/N) |
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StrokEDGE |
No |
Yes |
No |
Not reported |
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Upper Extremity Paralysis
(Barreca et al, 2005)
Upper Extremity Paralysis:
("Psychometric properties: Reliability")
Upper Extremity Paralysis:
(Barreca et al, 2005)
Upper Extremity Paralysis:
("Psychometric properties: Reliability")
(Schuster, 2010; n = 23 patients (Mean age 69.4, SD 12.9: 6 females; Mean time post-stroke: 1.5y (2.5y))
(Barreca et al, 2006) Comparison of the CAHAI-13 to other measures in people 20-108 days post-stroke
("Psychometric properties: Reliability")
Excellent Internal consistency: r=0.98
(Barreca et al. , 2006)
Excellent correlation with Action Reach Arm Test: r=0 .93
Excellent correlation with Chedoke-McMaster Stroke
(Baker, et al 2011) Systematic review of key assessment of hand/arm outcome tools to measure change following robotic therapy in stroke rehabilitation (45 measures identified)
Chedoke Arm and Hand Inventory was one of 3 measures that met all domains of the ICF framework and incorporated a mixture of clinical-rated and patient reported outcome measures
None of the scales were considered to be sufficient on their own to capture all important outcome domains
(Schuster et al, 2010; n = 23 post stroke patients with minimal motor function in the upper extremity, 26 days[EE1] to 8 years post-stroke, validation of the CAHAI in German; CAHAI-G)
Excellent correlation between the Chedoke-McMaster Stroke Assessment subscale hand and CAHAI-G 13 (r = .74)
Excellent correlation between the Chedoke-McMaster Stroke Assessment subscale arm and CAHAI-G 13 (r = .67)
Excellent reliability (ICC = 0.99) for CAHAI-G 13
[EE1]New
Baker K, Cano SJ, Playford D. Outcome measurement in stroke: A scale selection strategy (2011) Stroke ; 42:1787-1794.
Barreca, S., Gowland, C. K., et al. (2004). "Development of the Chedoke Arm and Hand Activity Inventory: theoretical constructs, item generation, and selection." Top Stroke Rehabil 11(4): 31-42.
Barreca, S. R., Stratford, P. W., et al. (2005). "Test-retest reliability, validity, and sensitivity of the Chedoke arm and hand activity inventory: a new measure of upper-limb function for survivors of stroke." Arch Phys Med Rehabil 86(8): 1616-1622.
Schuster, C., Hahn, S. & Ettlin, T. (2010). Objectively-assessed outcome measures: a translation and cross-cultural adaptation procedure applied to the Chedoke McMaster Arm and Hand Activity Inventory (CAHAI). BMC Medical Research Methodology, 10, 106.
Barreca SR, Stratford PW, Masters LM, Lambert CL, Griffiths J (2006). Comparing 2 versions of the Chedoke Arm and Hand Activity Inventory with the Action Research Arm Test. Phys Ther; 86:245-253.
Schuster, C., Hahn, S., Ettlin, T. (2010). “Objectively-assessed outcome measures: a translation and cross-cultural adaptation procedure applied to the Chedoke McMaster Arm and Hand Activity inventory (CAHAI).” BMC Med Res Methodol 10: 106.
Sivan, M., O’Connor, R.J., et al. (2011). “Systematic review of outcome measures used in the evaluation of robot-assisted upper limb exercise in stroke.” J Rehabil Med 43: 181-189.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.