{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T22:45:27Z","timestamp":1769121927443,"version":"3.49.0"},"reference-count":35,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM"],"abstract":"<jats:p>Objective: Post-stroke limitations in arm\u2013hand activities are prevalent, yet a system for categorizing these limitations like the Functional Ambulation Categories (FAC) is lacking. The Arm-Hand-Activities-Scale (AHAS) was developed and psychometric properties of this classification were investigated.\nDesign: Mixed methods to examine comprehensibility, inter-rater reliability, correlations with the Fugl-Meyer Assessment (FMA) and the Action Research Arm Test (ARAT), and sensitivity to change.\nSubjects\/Patients: 76 professionals answered a comprehensibility questionnaire and 85 professionals an inter-rater reliability questionnaire.\nMethods: For comprehensibility and inter-rater reliability, standardized video sequences of each category were assessed. Cut-off values were identified by comparing the AHAS categories with the FMA (n\u2009=\u200910) and the ARAT (n\u2009=\u200971). For sensitivity-to-change studies, 71 stroke patients were followed for 4 weeks of inpatient rehabilitation. Spearman correlation coefficients were calculated to examine the relationship between AHAS, FMA, and ARAT outcomes. A Wilcoxon signed-rank test was applied for sensitivity to change. \nResults: The results on comprehensibility of the AHAS categories and the FMA cutoff values were highly consistent. Inter-rater reliability was good to excellent. A significant and strong correlation was found between ARAT and AHAS. The Wilcoxon signed-rank test for sensitivity to change was also significant.\nConclusion: The AHAS provides a quick and simple classification system to assess the severity of arm\u2013hand activity limitations after stroke This may help in selecting appropriate treatment strategies.<\/jats:p>","DOI":"10.2340\/jrm.v58.44414","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:21:29Z","timestamp":1769062889000},"page":"jrm44414","source":"Crossref","is-referenced-by-count":0,"title":["Establishing levels of arm\u2013hand activities in stroke patients: the arm-hand-activities-scale (AHAS)"],"prefix":"10.2340","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1910-8939","authenticated-orcid":false,"given":"Christina","family":"Hebenstreit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8322-4627","authenticated-orcid":false,"given":"Miriam","family":"Binter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Wissel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6508-5055","authenticated-orcid":false,"given":"Klemens","family":"Fheodoroff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"139396","doi-asserted-by":"crossref","unstructured":"Franck JA, Smeets R, Seelen HAM. 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