Stephen Van Lew, Daniel Geller, Rachel Feld-Glazman, Nettie Capasso, Adrienne Dicembri, Genevieve Pinto Zipp; Development and Preliminary Reliability of the Functional Upper Extremity Levels (FUEL). Am J Occup Ther 2015;69(6):6906350010. https://doi.org/10.5014/ajot.2015.016006
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© 2020 American Occupational Therapy Association
OBJECTIVE. The Functional Upper Extremity Levels (FUEL) is a new classification tool to assess a person’s upper-extremity functional and physical performance after sustaining a stroke. The aim of this preliminary study was to develop the tool and determine its content validity and interrater reliability.
METHOD. Forty-four licensed occupational therapists ranging in years of experience from 6 mo to 16 yr participated in this study. A two-phase study was conducted: (1) constructing the FUEL and determining its content validity and (2) ascertaining its interrater reliability.
RESULTS. We found that the FUEL had initial content validity and substantial interrater reliability (Fleiss κ = .754).
CONCLUSION. The FUEL can be a useful clinical and research tool in occupational therapy for the assessment and classification of upper-extremity function for people after stroke. Further studies with larger samples and comparison studies with other similar tools are required to support the tool’s reliability and validity.
The use of the FUEL can benefit occupational therapists by requiring minimal setup and equipment to classify UE function after stroke.
The FUEL has been proven to be a reliable and valid tool in the assessment and classification of UE function after stroke.
This study has produced preliminary psychometric results that should be further studied.
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