Psychometric Comparisons of 2 Versions of the Fugl-Meyer Motor Scale and 2 Versions of the Stroke Rehabilitation Assessment of Movement

被引:98
作者
Hsueh, I-Ping [1 ,2 ]
Hsu, Miao-Ju [3 ,4 ]
Sheu, Ching-Fan [5 ]
Lee, Su [4 ]
Hsieh, Ching-Lin [1 ,2 ]
Lin, Jau-Hong [3 ,4 ]
机构
[1] Natl Taiwan Univ, Coll Med, Sch Occupat Therapy, Taipei, Taiwan
[2] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Taipei, Taiwan
[3] Kaohsiung Med Univ, Coll Hlth Sci, Fac Phys Therapy, Kaohsiung 807, Taiwan
[4] Kaohsiung Med Univ Hosp, Dept Rehabil, Kaohsiung, Taiwan
[5] Natl Cheng Kung Univ, Inst Cognit Sci, Tainan 70101, Taiwan
关键词
Stroke; Motor recovery; Outcome measures; Psychometrics;
D O I
10.1177/1545968308315999
中图分类号
R74 [神经病学与精神病学];
学科分类号
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.
引用
收藏
页码:737 / 744
页数:8
相关论文
共 37 条
[1]   The Stroke Rehabilitation Assessment of Movement (STREAM):: A comparison with other measures used to evaluate effects of stroke and rehabilitation [J].
Ahmed, S ;
Mayo, NE ;
Higgins, J ;
Salbach, NM ;
Finch, L ;
Wood-Dauphinée, SL .
PHYSICAL THERAPY, 2003, 83 (07) :617-630
[2]  
Barreca Susan, 2004, Top Stroke Rehabil, V11, P31
[3]   Smallest real difference, a link between reproducibility and responsiveness [J].
Beckerman, H ;
Roebroeck, ME ;
Lankhorst, GJ ;
Becher, JG ;
Bezemer, PD ;
Verbeek, ALM .
QUALITY OF LIFE RESEARCH, 2001, 10 (07) :571-578
[4]  
Brunnstrom S, 1966, Phys Ther, V46, P357
[5]   INVESTIGATION OF A NEW MOTOR-ASSESSMENT SCALE FOR STROKE PATIENTS [J].
CARR, JH ;
SHEPHERD, RB ;
NORDHOLM, L ;
LYNNE, D .
PHYSICAL THERAPY, 1985, 65 (02) :175-180
[6]   ADMISSION MOTOR IMPAIRMENT AS A PREDICTOR OF PHYSICAL-DISABILITY AFTER STROKE REHABILITATION [J].
CHAE, J ;
JOHNSTON, M ;
KIM, HY ;
ZOROWITZ, R .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1995, 74 (03) :218-223
[7]  
Cohen J., 1983, Statistical power analysis for the behavioral sciences
[8]  
Colton T, 1974, STAT MED
[9]   Reliability of scores on the stroke rehabilitation assessment of movement (STREAM) measure [J].
Daley, K ;
Mayo, N ;
Wood-Dauphinée, S .
PHYSICAL THERAPY, 1999, 79 (01) :8-23
[10]  
Daley K, 1997, PHYSIOTHER CAN, V49, P269