Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES)

The Motor Evaluation Scale for Upper Extremity in Stroke Patients
MESUPES Evaluation Summary
 

What does the tool measure? The MESUPES measures quality of movement performance of the hemiparetic arm and hand in patients with stroke.
What types of clients can the tool be used for? The MESUPES was developed for use with adults with stroke.
Is this a screening or assessment tool? Assessment tool
Time to administer 10 minutes (range 5-15min)
ICF Domain

Body function/structure
Activity

Versions Final version (Van de Winckel et al., 2006) = 17 items (total score /58; MESUPES-arm score /40; MESUPES-hand score /18)
Languages

Available online on StrokEngine:

  • Catalan
  • Dutch (Flemish)
  • English
  • French
  • German
  • Italian
  • Portuguese
  • Spanish
  • Swedish
Measurement Properties
Reliability

Internal consistency
One study has reported on the internal consistency of the MESUPES using Principal Component Analysis and Rasch analysis. Results showed high person separation indices and unidimensionality within subtests.

Intra-rater
No studies have reported on the intra-rater reliability of the MESUPES.

Inter-rater
Two studies have reported on the inter-rater reliability of the MESUPES in patients with subacute to chronic stroke and reported good to very good agreement between raters for subtests; moderate to very high item reliability; and sufficient absolute reliability of the total score.

Test-retest reliability
Two studies have reported on the test-retest reliability of the MESUPES in patients with subacute to chronic stroke and reported good to very good agreement over 24-48 hours.

Validity

Content
One study investigated validity of the 17-item MESUPES and reported unidimensionality of the arm and hand scales.

Criterion
Predictive Validity
No studies have reported on predictive validity of the MESUPES.

Concurrent Validity
One study examined concurrent validity of the MESUPES and reported high correlations with the Modified Motor Assessment Scale (MMAS).

Construct
Known Groups
No studies have reported on known group validity of the MESUPES.

Convergent/Discriminant Validity
No studies have reported on convergent/discriminant validity of the MESUPES.

Floor/Ceiling Effects –     No studies have reported on the floor/ceiling effects of the MESUPES. 
Does the tool detect change in patients? –    No studies have reported on the sensitivity or specificity of the MESUPES.
–     1 study reported MDC scores of 8, 7 and 5 (95%, 90% and 80% CI, respectively)
Acceptability Administration of the MESUPES is easy and fast. The measure is inexpensive and requires minimal standard equipment.
Feasibility The MESUPES requires no specialized training to administer. However, the MESUPES should only be administered by clinicians with knowledge of stroke and clinical assessment of tone, muscle contraction and movement.
How to obtain the tool? See the measure