https://scholars.lib.ntu.edu.tw/handle/123456789/504375
標題: | Psychometric comparisons of 2 versions of the Fugl-Meyer motor scale and 2 versions of the strok rehabilitation assessment of movement | 作者: | I-PING HSUEH Hsu M.-J. Sheu C.-F. Lee S. CHING-LIN HSIEH Lin J.-H. |
公開日期: | 2008 | 卷: | 22 | 期: | 6 | 起(迄)頁: | 737-744 | 來源出版物: | Neurorehabilitation and Neural Repair | 摘要: | Objective. To provide empirical justification for selecting motor scales for stroke patients, the authors compared the psychometric properties (validity, responsiveness, test-retest reliability, and smallest real difference [SRD]) of the Fugl-Meyer Motor Scale (FM), the simplified FM (S-FM), the Stroke Rehabilitation Assessment of Movement instrument (STREAM), and the simplified STREAM (S-STREAM). Methods. For the validity and responsiveness study, 50 inpatients were assessed with the FM and the STREAM at admission and discharge to a rehabilitation department. The scores of the S-FM and the S-STREAM were retrieved from their corresponding scales. For the test-retest reliability study, a therapist administered both scales on a different sample of 60 chronic patients on 2 occasions. Results. Only the S-STREAM had no notable floor or ceiling effects at admission and discharge. The 4 motor scales had good concurrent validity (rho <.91) and satisfactory predictive validity (rho =.72-.77). The scales showed responsiveness (effect size d < 0.34; standardized response mean < 0.95; P <.0001), with the S-STREAM most responsive. The test-retest agreements of the scales were excellent (intraclass correlation coefficients <.96). The SRD of the 4 scales was 10% of their corresponding highest score, indicating acceptable level of measurement error. The upper extremity and the lower extremity subscales of the 4 showed similar results. Conclusions. The 4 motor scales showed acceptable levels of reliability, validity, and responsiveness in stroke patients. The S-STREAM is recommended because it is short, responsive to change, and able to discriminate patients with severe or mild stroke. Copyright ? 2008 The American Society of Neurorehabilitation. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-54249159994&doi=10.1177%2f1545968308315999&partnerID=40&md5=d6a6662a2ae57faf4697df1bfb225178 https://scholars.lib.ntu.edu.tw/handle/123456789/504375 |
ISSN: | 1545-9683 | DOI: | 10.1177/1545968308315999 | SDG/關鍵字: | adult; article; clinical article; concurrent validity; controlled study; female; fugl meyer motor scale; hospital admission; hospital discharge; hospital patient; human; intermethod comparison; male; predictive validity; psychometry; rating scale; simplified fugl meyer motor scale; Simplified Stroke Rehabilitation Assessment of Movement; stroke; Stroke Rehabilitation Assessment of Movement; test retest reliability; Activities of Daily Living; Aged; Female; Humans; Male; Middle Aged; Movement; Psychometrics; Recovery of Function; Reproducibility of Results; Retrospective Studies; Severity of Illness Index; Stroke; Treatment Outcome |
顯示於: | 職能治療學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。