当前位置: X-MOL 学术Neurorehabilit. Neural Repair › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Development of a Comprehensive Outcome Measure for Motor Coordination, Step 2: Reliability and Construct Validity in Chronic Stroke Patients
Neurorehabilitation and Neural Repair ( IF 4.2 ) Pub Date : 2021-01-07 , DOI: 10.1177/1545968320981943
Roni Molad 1, 2 , Sandra R Alouche 1, 2, 3 , Marika Demers 1, 2, 4 , Mindy F Levin 1, 2
Affiliation  

Background A comprehensive scale assessing motor coordination of multiple body segments was developed using a 3-phase content validation process. The Comprehensive Coordination Scale (CCS) evaluates motor coordination defined as the ability to produce context-dependent movements of multiple effectors in both spatial and temporal domains. The scale assesses motor coordination in individuals with neurological injuries at 2 levels of movement description: the motor performance level describes end point movements (ie, hand, foot), and the movement quality level describes limb joints/trunk movements contributing to end point movement. Objective To determine measurement properties of the scale in people with chronic stroke. Methods Standardized approaches determined the internal consistency (factor loadings), intrarater and interrater reliability (interclass correlation coefficient), measurement error (SEM; minimal detectable change [MDC]), construct validity, and interpretability (ie, ceiling and floor effects) of the CCS. Results Data from 30 patients with chronic stroke were used for the analysis. The internal consistency of the scale was high (0.94), and the scale consisted of separate factors characterizing end point motor performance and movement quality. Intrarater (intraclass correlation coefficient [ICC] = 0.97-0.97) and interrater (ICC=0.76-0.98) reliability of the whole scale and subscales were good to excellent. The CCS had an SEM of 1.80 points (total score = 69 points) and an MDC95 of 4.98 points. The CCS total score was related to Fugl-Meyer Assessment total and motor scores and had no ceiling or floor effects. Conclusions The CCS scale has strong measurement properties and may be a useful measure of spatial and temporal coordination deficits in chronic stroke survivors.

中文翻译:

运动协调综合结果测量的开发,第 2 步:慢性中风患者的可靠性和结构有效性

背景 使用三阶段内容验证过程开发了评估多个身体节段的运动协调性的综合量表。综合协调量表 (CCS) 评估运动协调,定义为在空间和时间域中产生多个效应器的上下文相关运动的能力。该量表在 2 个运动描述水平上评估神经损伤个体的运动协调性:运动表现水平描述终点运动(即手、脚),运动质量水平描述导致终点运动的肢体关节/躯干运动。目的确定量表在慢性脑卒中患者中的测量特性。方法 标准化方法确定内部一致性(因子载荷),CCS 的评价者内和评价者间信度(类间相关系数)、测量误差(SEM;最小可检测变化 [MDC])、结构有效性和可解释性(即天花板和地板效应)。结果 来自 30 名慢性卒中患者的数据用于分析。该量表的内部一致性很高(0.94),并且该量表由表征终点运动性能和运动质量的独立因素组成。评分者内(组内相关系数[ICC] = 0.97-0.97)和评分者间(ICC=0.76-0.98)的整个量表和分量表的信度从好到极好。CCS 的 SEM 为 1.80 分(总分 = 69 分),MDC95 为 4.98 分。CCS 总分与 Fugl-Meyer 评估总分和运动得分相关,没有天花板或地板效应。
更新日期:2021-01-07
down
wechat
bug