{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:37:39Z","timestamp":1792409859656,"version":"4.4.0"},"reference-count":56,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>Background Numerous tools are available for evaluation of upper limb (UL) functions among stroke survivors. Despite the excellent psychometric properties, many require considerable amount of time, are resource-intensive, and often impractical for bedside evaluation. Objectives To develop and concurrently validate a simple, resource-efficient, and time-efficient bedside tool for evaluating UL function in stroke survivors. Methods Relevant literature review was carried out to conceptualize and define the theoretical framework of day-to-day UL movement tasks. Subsequently, an item pool of 18 UL movements was developed. A mini-Delphi method was employed to verify content validity. During the iterative rounds, 18-items were revised and refined to a 12-items scale. The final bedside upper limb evaluation tool (BUFET) scale underwent concurrent validation by correlating the scores with Wolf Motor Function Test (WMFT) scores using Spearman\u2019s correlation coefficient. Internal consistency was evaluated through Cronbach\u2019s alpha. Results Concurrent validity and internal consistency of the scale were supported by a high correlation coefficient (r = 0.937; p&lt;0.001) with WMFT and high Cronbach\u2019s alpha (0.948). Conclusions Newly developed BUFET was found to be a valid and reliable bedside tool in the evaluation of upper limb functions and can be administered in a resource and time-efficient manner.<\/ns4:p>","DOI":"10.12688\/f1000research.149935.1","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T13:00:44Z","timestamp":1717419644000},"page":"565","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study."],"prefix":"10.12688","volume":"13","author":[{"given":"Dhaval","family":"Pawani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8492-0661","authenticated-orcid":false,"given":"Abraham M.","family":"Joshua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshatha","family":"Nayak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijayakumar","family":"Palaniswamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7153-411X","authenticated-orcid":false,"given":"Prasanna","family":"Mithra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5801-6185","authenticated-orcid":false,"given":"Ashish John","family":"Prabhakar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sampath  Kumar","family":"Amaravadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"6621911-6621950","DOI":"10.1155\/2021\/6621950","article-title":"Motor Function Assessment of Upper Limb in Stroke Patients.","volume":"2021","author":"B Pan","year":"2021","journal-title":"J. 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Below are our responses to your clarifications:  \n<b>1. Will this scale classify the involvement of the hand as mild, moderate, and severe affection<\/b>?  \n<b>Author\u2019s Response<\/b>: While the current scale does not classify hand involvement into mild, moderate, and severe categories, we acknowledge its potential value. Our primary aim was to provide a functional assessment tool. However, future versions of the scale may explore incorporating severity classifications.  \n<b>2. Please do mention the instructions to the patient.<\/b> \n<b>Author\u2019s Response<\/b>: Thank you for your feedback regarding the patient instructions for the BUFET. We believe the instructions within the tool are already clear and do not require any changes. However, in response to your suggestion, we have added an overview of the scale's intended purpose and instructions for patients. This overview explains the goals of the BUFET, the types of tasks involved, and how patients should approach the evaluation.  The added overview ensures patients understand the scale's purpose and what is expected during its use. This information has been incorporated into the appendix of the manuscript and aligns with your recommendations to enhance the clarity and accessibility of the BUFET. . \n<b>3. Are the items culturally appropriate and sensitive for the intended population?<\/b>  \n<b>Author\u2019s Response<\/b>: Thank you for your thoughtful feedback regarding the cultural appropriateness of the BUFET. While the original development of the scale did not explicitly aim to test cultural sensitivity, we believe the current version is inherently culturally appropriate and sensitive for the intended population, based on the following considerations:  \n<b>Item Design and Universality<\/b>: The tasks included in the BUFET, such as salute, hand waving, and pointing the index finger, represent universally understood and culturally neutral gestures or actions. These tasks are commonly performed in daily life and do not require a specific cultural context for interpretation.  \n<b>Expert Validation:<\/b> During the development phase, the scale was reviewed by a diverse panel of rehabilitation experts, including neurologists and physiotherapists with extensive experience working within the intended population. This process ensured that all items were appropriate and relevant for the local cultural context.  We hope these responses address your concerns. Thank you for your valuable insights,  Sincerely, Dr Vijayakumar Palaniswamy","URL":"https:\/\/f1000research.com\/articles\/13-565\/v1#referee-comment-13012","order":1,"name":"referee-comment-13012","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.164449.r288418, Anuprita Kanitkar, Department of Applied Health Sciences, University of Manitoba, Winnipeg, MB, 02 Jan 2025, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/13-565\/v1#referee-response-288418","order":2,"name":"referee-response-288418","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}