Functional assessment is a foundation for rehabilitation treatment, which contributes to the development of the rehabilitation program and the improvement of rehabilitation outcomes. However, there are only few assessment scales with unvaried domains for upper extremity function after stroke.

To develop the Chinese version of Upper Extremity Performance Test (TEMPA) and to explore its reliability and validity in stroke patients.

We translated and revised the English version of TEMPA to a Chinese version according to the Brislin's translation procedures of forward-translation, back-translation, review, cultural adaptation and a pre-test. Then from August 2021 to January 2022, the Chinese version of TEMPA, Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Simple Test for Evaluating Hand Function (STEF) were used to evaluate the upper limb function of 40 patients with stroke recruited from Department of Rehabilitation, Tangshan Workers' Hospital. One week after the first evaluation, the Chinese version of TEMPA (TEMPA-C) was used to evaluate their upper limb function again. The test intra-rater reliability and inter-rater reliability of each dimension of the TEMPA-C were tested by intraclass correlation coefficient (ICC). The internal consistency reliability of TEMPA-C was tested by Cronbach's α. The total score of each dimension and item score of TEMPA-C and the scores of FMA-UE and STEF were analyzed by Pearson correlation analysis to test criterion validity of TEMPA.

The ICC for the intra-rater reliability and the inter-rater reliability of the TEMPA-C functional rating total score was 0.992, and 0.982, respectively. The ICC for the intra-rater reliability and the inter-rater reliability of the TEMPA-C task analysis total score was 0.998 and 0.999, respectively. The Cronbach's α of the TEMPA-C functional rating dimension was 0.858. The score for performing each of the 9 tasks of the TEMPA-C execution speed dimension was negatively correlated with the score of the affected side of STEF, and the correlation coefficient ranged from -0.785 to -0.460. The total score of the TEMPA-C functional rating dimension was positively correlated with the scores of FMA-UE, FMA-UE wrist-hand part and the affected side of STEF, so was the total score of the TEMPA-C task analysis dimension, and the correlation coefficients were all above 0.7.

The TEMPA-C was highly reliable and valid, and could be used in measuring the function of upper extremity in patients with stroke.

功能评估是康复治疗的基础，可协助临床制订康复方案，提高康复效率。目前用于脑卒中后上肢功能评估的量表较少且维度单一。

汉化上肢功能测试量表（TEMPA），并评价该量表在脑卒中患者中的信度和效度。

遵循Brislin原则，按照直译、回译、审查、文化调试、预试验的程序对英文版TEMPA进行翻译及修订，形成中文版TEMPA。于2021年8月至2022年1月招募在唐山市工人医院康复科就诊的40例脑卒中患者，评价者分别用中文版TEMPA、上肢运动功能Fugl-Meyer评定法（FMA-UE）、简易上肢功能评定量表（STEF）对患者上肢功能进行评估，并于首次评估后1周内，使用TEMPA进行第2次评估。采用组内相关系数（ICC）检验TEMPA各维度的评估者内信度和评估者间信度；采用Cronbach's α系数检验TEMPA的内部一致性信度；对患者的中文版TEMPA各维度总分和各条目得分分别与FMA-UE、STEF得分进行Pearson相关分析，检验TEMPA的效标效度。

TEMPA功能评级总分的评估者内信度ICC=0.992，TEMPA功能评级总分的评估者间信度ICC=0.982。TEMPA任务分析总分的评估者内信度ICC=0.998，TEMPA任务分析总分的评估者间信度ICC=0.999。TEMPA功能评级维度的Cronbach's α系数为0.858。TEMPA 9项任务在执行速度维度得分与STEF患侧得分呈负相关（P<0.05），相关系数为-0.785~-0.460。TEMPA功能评级维度总分、任务分析维度总分与FMA-UE、FMA-UE腕手部分分数、STEF患侧得分均呈正相关（P<0.05），相关系数均在0.7以上。

中文版TEMPA具有良好的信度和效度，可用于测量脑卒中患者上肢功能。