Synonyms
MAL; MAL-14; MAL-28; Upper-extremity MAL
Definition
The MAL is a scripted, structured interview to measure real-world upper extremity function. It was developed to measure the effects of constraint-induced movement therapy on the more impaired arm following stroke.
The original MAL consists of 14 activities of daily living (ADLs) such as using a towel, brushing teeth, and picking up a glass. For a specified time period poststroke, the individual is asked about the extent of the activity performed and how well it was performed by the more impaired arm.
The response scale ranges from 0 (never used) to 5 (same as pre-stroke). The mean of the scores for frequency of the activity comprises the Amount of Use (AOU) scale; the mean of the scores for how well the activity was performed comprises the Quality of Movement (QOM) scale. Ideally, ratings are obtained from the individual with a stroke as well as a knowledgeable informant (caregiver).
After the initial rating of the MAL,...
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References and Readings
Taub, E., Miller, N. E., Novack, T. A., Cook, E. W., Fleming, W. C., Nepomuceno, C. S., et al. (1993). Technique to improve chronic motor deficit after stroke. Archives of Physical Medicine Rehabilitation, 74, 347–354.
Taub, E., Morris, D. M., Bowman, M., & Uswatte, G. (2000). Upper-extremity Motor Activity Log [manual]. Available from Edward Taub, Psychology Department, UAB, CH415, 1530 3rd Avenue S., Birmingham AL, 35294.
Uswatte, G., Taub, E., Morris, D., Vignolo, M., & McCulloch, K. (2005). Reliability and validity of the upper-extremity Motor Activity Log-14 for measuring real world arm use. Stroke, 36, 2493–2496.
Uswatte, G., Taub, E., Morris, D., Light, K., & Thompson, P. A. (2006). The Motor Activity Log-28: Assessing daily use of the hemiparetic arm after stroke. Neurology, 67, 1189–1194.
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Bushnik, T. (2018). Motor Activity Log. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_1948
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DOI: https://doi.org/10.1007/978-3-319-57111-9_1948
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