■这项研究的目的是调查中风患者的上肢选择性控制量表(SCUES)的有效性和可靠性。
■42名年龄在18-75岁的中风患者,包括在研究中。在施用SCUES的同时对患者进行视频记录。对视频进行评分以确定评分者内部和评分者之间的可靠性。FuglMeyer上肢评估(FMA-UE),测量了方框和方框测试(BBT)和Brunnstrom运动恢复阶段,以评估SCUES的有效性。采用Spearman相关分析评估SCUES的效度。组内相关系数(ICC),计算Kappa(κ)和加权Kappa(κw)以确定评估者内部和评估者之间的可靠性。
■SCUES与FMA-UE,BBT和Brunnstrom上肢近端和远端值之间存在显着的正相关(rho=0.944,p=0.01;rho=0.875,p=0.01;rho=0.84,p=0.01,rho=0.82,p=0.01;分别),显示了SCUES的有效性。SCUES的评估者间可靠性的ICC值为0,99(%95CI:0,989-0,997,p=0,001),显示出出色的可靠性。单个SCUES项目的评估者和内部可靠性的κ和κw值高于0.7,表明可靠性良好。SCUES和FMA-UE的ICC显示出出色的内部可靠性(ICC=0,99;%95CI:0,989-0,997,p=0,001;ICC=0.943;%95CI:0.9-0.97,p=0,0001,连续)。
■SCUES显示出与FMA-UE相似的效度和信度,SCUES可用于评估中风患者的上肢选择性运动控制。
上肢选择性控制量表(SCUES)从中风患者上肢运动控制的现有结果评估工具中脱颖而出,可以评估各种选择性运动功能的量化指标。SCUES不仅评估躯干或目标关节以外的其他关节的伴随运动,还评估镜像运动的存在。随着评估运动的动态范围有限。SCUES在中风患者中似乎有效且可靠,表明其在评估上肢选择性运动控制和评估旨在增强选择性运动控制的干预措施的结果方面的潜在用途。
UNASSIGNED: The aim of this study is to investigate the validity and reliability of the Selective Control of Upper Extremity Scale (SCUES) in patients with stroke.
UNASSIGNED: Forty-two patients with stroke aged 18-75 years, were included in the study. Patients were video-recorded while SCUES was administered. The videos were scored to determine the intrarater and inter-rater reliability. Fugl Meyer Assessment of Upper Extremity (FMA-UE), Box and Block test (BBT) and Brunnstrom Stages of Motor Recovery were measured to evaluate validity of SCUES. Spearman correlation analysis was used to assess the validity of SCUES. Intraclass correlation coefficient (ICC), Kappa (κ) and weighted Kappa (κw) were calculated to determine intrarater and inter-rater reliability.
UNASSIGNED: There were significant positive high correlations between SCUES and FMA-UE and BBT and Brunnstrom upper extremity proximal and distal values (rho = 0.944, p = 0.01; rho = 0,875, p = 0.01; rho = 0.84, p = 0.01, rho = 0.82, p = 0.01; respectively) showing validity of SCUES. The ICC value of inter-rater reliability of SCUES was 0,99 (%95 CI: 0,989-0,997, p = 0,001) showing excellent reliability. κ and κ w values for inter-rater and intrarater reliability of individual SCUES items were above 0.7 indicating excellent reliability. ICC of SCUES and FMA-UE indicated excellent intrarater reliability (ICC = 0,99; %95 CI: 0,989-0,997, p = 0,001; ICC = 0.943; %95 CI: 0.9-0.97, p = 0,0001, consecutively).
UNASSIGNED: SCUES showed similar validity and reliability with FMA-UE and SCUES can be used in the evaluation of upper extremity selective motor control in patients with stroke.
The Selective Control of Upper Extremity Scale (SCUES) stands out from existing outcome assessment tools for upper extremity motor control in stroke patients by enabling the evaluation of various quantifiers of selective motor function.SCUES assesses not only the accompanying movements of the trunk or additional joints beyond the targeted joint but also the presence of mirror movements, along with assessing the limited dynamic range of motion.SCUES appears valid and reliable in patients with stroke, indicating its potential use in evaluating upper extremity selective motor control and assessing the outcomes of interventions aimed at enhancing selective motor control.