Objective: This study investigated the inter- and intra-rater reliability of the Australian Spasticity Assessment Scale (ASAS) in adults with unilateral hypertonia following acquired brain injury. The ASAS has been sh...Objective: This study investigated the inter- and intra-rater reliability of the Australian Spasticity Assessment Scale (ASAS) in adults with unilateral hypertonia following acquired brain injury. The ASAS has been shown to be superior to other clinical tools for the assessment of spasticity in children with cerebral palsy but reliability has not been previously examined in adults. Method: Four muscle groups were rated on one occasion by four assessors using the ASAS in sixteen adults with unilateral hypertonia following acquired brain injury. Twelve participants returned one week later for reassessment by the same assessors. Results: Overall inter-rater reliability of the ASAS using a quadratic weighted Kappa was moderate (Kqw 0.58) with ranges from moderate to good (Kqw 0.42 - 0.70). Agreement between raters was greatest for soleus muscle and least for wrist flexors. Overall intra-rater reliability of each of the four raters was moderate to good (Kqw 0.48 - 0.79). Agreement within raters was greatest for soleus muscle and least for biceps muscle. Conclusions: The ASAS may represent an appropriate alternative to the clinical scales currently used to assess spasticity;however inter and intra-rater reliability data from this investigation are lower than those which have previously been reported by experienced users of the ASAS in children with cerebral palsy. Further investigation with a larger sample size is warranted before any firm conclusions may be drawn about the reliability and validity of this tool to assess spasticity in adults with acquired brain injury.展开更多
目的:通过对脊髓损伤步行指数量表(Walking Index for Spinal Cord InjuryⅡ,WISCI-Ⅱ)的翻译和编制,进行心理学考评,检测其信度,建立中国人群适用的脊髓损伤步行功能评估专表。方法:按照入组及排除标准选取中山大学附属第三医院康复科...目的:通过对脊髓损伤步行指数量表(Walking Index for Spinal Cord InjuryⅡ,WISCI-Ⅱ)的翻译和编制,进行心理学考评,检测其信度,建立中国人群适用的脊髓损伤步行功能评估专表。方法:按照入组及排除标准选取中山大学附属第三医院康复科入住的30例脊髓损伤患者,平均年龄42.7岁,其中颈段脊髓损伤13例、胸段9例、腰段8例。两名治疗师分别进行两次评估,对结果进行等级间相关系数分析,检验其重测信度及评估者间信度。结果:中文版WISCI-Ⅱ的重测信度相关系数范围评估者A为0.981~0.996(P<0.01),评估者B为0.969~0.993(P<0.01);评估者间信度相关系数范围第一天ICC为0.966~0.992(P<0.01),第二天ICC为0.950~0.989(P<0.01)。结论:中文版脊髓损伤步行指数量表作为脊髓损伤患者步行功能临床评估工具,具有良好的重测信度和评估者间信度。展开更多
文摘Objective: This study investigated the inter- and intra-rater reliability of the Australian Spasticity Assessment Scale (ASAS) in adults with unilateral hypertonia following acquired brain injury. The ASAS has been shown to be superior to other clinical tools for the assessment of spasticity in children with cerebral palsy but reliability has not been previously examined in adults. Method: Four muscle groups were rated on one occasion by four assessors using the ASAS in sixteen adults with unilateral hypertonia following acquired brain injury. Twelve participants returned one week later for reassessment by the same assessors. Results: Overall inter-rater reliability of the ASAS using a quadratic weighted Kappa was moderate (Kqw 0.58) with ranges from moderate to good (Kqw 0.42 - 0.70). Agreement between raters was greatest for soleus muscle and least for wrist flexors. Overall intra-rater reliability of each of the four raters was moderate to good (Kqw 0.48 - 0.79). Agreement within raters was greatest for soleus muscle and least for biceps muscle. Conclusions: The ASAS may represent an appropriate alternative to the clinical scales currently used to assess spasticity;however inter and intra-rater reliability data from this investigation are lower than those which have previously been reported by experienced users of the ASAS in children with cerebral palsy. Further investigation with a larger sample size is warranted before any firm conclusions may be drawn about the reliability and validity of this tool to assess spasticity in adults with acquired brain injury.
文摘目的:通过对脊髓损伤步行指数量表(Walking Index for Spinal Cord InjuryⅡ,WISCI-Ⅱ)的翻译和编制,进行心理学考评,检测其信度,建立中国人群适用的脊髓损伤步行功能评估专表。方法:按照入组及排除标准选取中山大学附属第三医院康复科入住的30例脊髓损伤患者,平均年龄42.7岁,其中颈段脊髓损伤13例、胸段9例、腰段8例。两名治疗师分别进行两次评估,对结果进行等级间相关系数分析,检验其重测信度及评估者间信度。结果:中文版WISCI-Ⅱ的重测信度相关系数范围评估者A为0.981~0.996(P<0.01),评估者B为0.969~0.993(P<0.01);评估者间信度相关系数范围第一天ICC为0.966~0.992(P<0.01),第二天ICC为0.950~0.989(P<0.01)。结论:中文版脊髓损伤步行指数量表作为脊髓损伤患者步行功能临床评估工具,具有良好的重测信度和评估者间信度。
