https://scholars.lib.ntu.edu.tw/handle/123456789/159356
標題: | Psychometric Properties of the Sensory Scale of the Fugl-Meyer Assessment in Stroke Patients | 作者: | LIN, JAU-HONG HUSEH, I-PING SHEU, CHING -FAN HSIEH, CHING-LIN 薛漪平 |
公開日期: | 2004 | 卷: | v.18 | 期: | n.4 | 起(迄)頁: | 391-397 | 來源出版物: | CLINICAL REHABILITATION | 摘要: | Objective: To examine the psychometric properties of thesensory scale of the Fugl-Meyer Assessment (FMA-S) in strokepatients with a broad range of neurological and functionalimpairment at times from 14 to 180 days after stroke.Subjects: A total of 176 first stroke patients onsecutivelyadmitted to a universitybased medical centre. Design: This prospective, longitudinal investigation wasbased on data collected at 14, 30, 90 and 180 days afterstroke.Main outcome measures: Reliability (inter-rater reliabilityand internal consistency), validity (convergent andpredictive validity) and responsiveness of the FMA-S wereexamined.Results: The inter- rater agreement of the total score of theFMA-S was excellent, with an intraclass correlationcoefficient of 0.93. The Cronbach’s alphas of the FMA-S atfour time points after stroke ranged from 0.94 to 0.98,indicating excellent internal consistency. However, the FMA-S showed a significant ceiling effect (more than 44. 4% ofthe subjects achieving the highest score), poor to moderateinter-rater reliability for light touch items ( weightedkappa ranging from 0.30 to 0.55), low to moderate validity ( Spearman’s rho ranging from 0.29 to 0.53), and low tomoderate responsiveness (standardized response mean rangingfrom 0.27 to 0.67) at different post-stroke stages ofrecovery.Conclusions: The psychometric properties of the FMA-S inmeasuring sensory function do not support its clinical usein stroke atients. Further studies on methods to improve thepsychometric properties of the FMA-S are needed. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/89347 |
顯示於: | 職能治療學系 |
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