Research Article  |   March 2014
Responsiveness of the Manual Ability Measure—36 (MAM–36): Changes in Hand Function Using Self-Reported and Clinician-Rated Assessments
Author Affiliations
  • Christine C. Chen, MA, MS, ScD, OTR/L, FAOTA, is Associate Professor, Department of Rehabilitation and Regenerative Medicine (Occupational Therapy), College of Physicians and Surgeons, Columbia University, 710 West 168th Street, Eighth Floor, New York, NY 10032; ccc2114@columbia.edu
  • Orit Palmon, MS, OTR, is Adjunct Lecturer, Department of Occupational Therapy, University of Haifa, Haifa, Israel, and Occupational Therapist, Linn Medical Center, Clalit Medical Services, Haifa, Israel
  • Debbie Amini, EdD, OTR/L, CHT, is Assistant Professor, Department of Occupational Therapy, East Carolina University, Greenville, NC
Article Information
Hand and Upper Extremity / Rehabilitation, Disability, and Participation
Research Article   |   March 2014
Responsiveness of the Manual Ability Measure—36 (MAM–36): Changes in Hand Function Using Self-Reported and Clinician-Rated Assessments
American Journal of Occupational Therapy, March/April 2014, Vol. 68, 187-193. doi:10.5014/ajot.2014.009258
American Journal of Occupational Therapy, March/April 2014, Vol. 68, 187-193. doi:10.5014/ajot.2014.009258
Abstract

OBJECTIVE. To examine the responsiveness of the Manual Ability Measure–36 (MAM–36) compared with a clinician-administered functional assessment.

METHOD. The MAM–36 was administered to 46 patients (Cohort A, n = 20; Cohort B, n = 26) with various upper-extremity conditions. All patients received occupational therapy intervention for 2–37 wk and were retested at discharge. Additionally, the Smith Hand Function Test (SHFT), including task performance speeds and grip strength measurements, was administered to Cohort B at intake and discharge.

RESULTS. Manual ability improved significantly at discharge in all patients. Patients also showed significant improvement on the SHFT. The correlation between gain in MAM–36 and gain in grip strength was moderate. The standardized response mean for the MAM–36 was 1.18.

CONCLUSION. The MAM–36 was responsive to changes in hand function in patients receiving occupational therapy services. MAM–36 results correlated positively with improvements in task performance speeds and grip strength.