Baccini, Marco
(M Baccini, PT, MSc, is Physical Therapist, Unit of Functional Reeducation, Azienda Sanitaria di Firenze, and Director, Motion Analysis Laboratory, Piero Palagi Hospital, Florence, Italy. He also is a consultant for the Rehabilitation Center of the Filippo Turati Foundation, Gavinana Pistoia, Italy, and a contractor professor in physical therapy (first and second degrees) at Florence University, F)
,
Paci, Matteo
(M Paci, PT, MSc, is Physical Therapist, Villa Fiorita Hospital, Prato, Italy, and is a contractor professor in physical therapy (first degree) at Florence University.)
,
Nannetti, Luca
(L Nannetti, MD, is Specialist in Geriatrics and Geriatrician, Azienda Sanitaria, 4 di Prato, Prato, Italy.)
,
Biricolti, Claudia
(C Biricolti, PT, MSc, is Physical Therapist, Unit of Functional Reeducation, Azienda Sanitaria di Firenze, Piero Palagi Hospital, and Bobath Instructor (I.B.I.T.A.) and a contractor professor in physical therapy (first degree) at Florence University.)
,
Rinaldi, Lucio A
(LA Rinaldi, PT, MSc, is Assistant Professor and Director, Motion An)
Background and PurposeConsiderable disagreement exists among researchers with regard to the prevalence, pathophysiology, and treatment of “pusher behavior” (PB), partly because of different testing procedures. This study was primarily aimed at establishing cutoff scores for and the const...
Background and PurposeConsiderable disagreement exists among researchers with regard to the prevalence, pathophysiology, and treatment of “pusher behavior” (PB), partly because of different testing procedures. This study was primarily aimed at establishing cutoff scores for and the construct validity of the Scale for Contraversive Pushing (SCP). The prevalence of PB in people with right- and left-brain lesions also was investigated.Subjects and MethodsThe study subjects were 105 consecutive patients with recent stroke. Two methods were used to diagnose PB: clinical examination and SCP score with 3 different cutoff points-an SCP total score of greater than 0 (Crit_1), subscores in each section of the scale of greater than 0 (Crit_2), and subscores in each section of the scale of ≥1 (Crit_3). Clinical and SCP diagnoses were independently made by different examiners. The Cohen κ coefficient was used to determine the agreement between clinical and SCP diagnoses. The construct validity of the SCP was estimated by calculation of Spearman rank correlation coefficients for SCP and balance, mobility, and functional scores.ResultsThe agreement between clinical and SCP diagnoses was low (κ=.212) when Crit_1 was used. Crit_2 led to the highest agreement with the clinical diagnosis (κ=.933). However, only Crit_3, although globally less accurate (κ=.754), ensured no false-positive results. The construct validity of the SCP was demonstrated by significant (P<.001) moderate to high correlations with mobility (rho=.595), functional (rho=.632), and balance (rho=.666) scores. The prevalence of PB was not influenced by the side of the lesion. A limitation of the study was that the reliability of the clinical examination method was not investigated.Discussion and ConclusionThe results support the validity of the SCP and suggest the need to choose different SCP cutoff criteria (Crit_2 or Crit_3) according to the aim of the evaluation.
Background and PurposeConsiderable disagreement exists among researchers with regard to the prevalence, pathophysiology, and treatment of “pusher behavior” (PB), partly because of different testing procedures. This study was primarily aimed at establishing cutoff scores for and the construct validity of the Scale for Contraversive Pushing (SCP). The prevalence of PB in people with right- and left-brain lesions also was investigated.Subjects and MethodsThe study subjects were 105 consecutive patients with recent stroke. Two methods were used to diagnose PB: clinical examination and SCP score with 3 different cutoff points-an SCP total score of greater than 0 (Crit_1), subscores in each section of the scale of greater than 0 (Crit_2), and subscores in each section of the scale of ≥1 (Crit_3). Clinical and SCP diagnoses were independently made by different examiners. The Cohen κ coefficient was used to determine the agreement between clinical and SCP diagnoses. The construct validity of the SCP was estimated by calculation of Spearman rank correlation coefficients for SCP and balance, mobility, and functional scores.ResultsThe agreement between clinical and SCP diagnoses was low (κ=.212) when Crit_1 was used. Crit_2 led to the highest agreement with the clinical diagnosis (κ=.933). However, only Crit_3, although globally less accurate (κ=.754), ensured no false-positive results. The construct validity of the SCP was demonstrated by significant (P<.001) moderate to high correlations with mobility (rho=.595), functional (rho=.632), and balance (rho=.666) scores. The prevalence of PB was not influenced by the side of the lesion. A limitation of the study was that the reliability of the clinical examination method was not investigated.Discussion and ConclusionThe results support the validity of the SCP and suggest the need to choose different SCP cutoff criteria (Crit_2 or Crit_3) according to the aim of the evaluation.
참고문헌 (28)
Steps to Follow: A Guide to the Treatment of Adult Hemiplegia Davies 1985 10.1007/978-3-642-96833-4
Arch Phys Med Rehabil Pedersen 77 25 1996 10.1016/S0003-9993(96)90215-4 Ipsilateral pushing in stroke: incidence, relation to neuropsychological symptoms, and impact on rehabilitation. The Copenhagen Stroke Study
Arch Phys Med Rehabil Perennou 83 570 2002 10.1053/apmr.2002.31198 Understanding the pusher behavior of some stroke patients with spatial deficit: a pilot study
Ann Readapt Med Phys Pérennou 48 198 2005 10.1016/j.annrmp.2004.10.004 Towards a better understanding and quantitative assessment of pushing, a postural behaviour caused by some strokes
Neurorehabil Neural Repair Karnath 4 370 2007 10.1177/1545968307300702 Letter to the Editor: Instructions for the Clinical Scale for Contraversive Pushing (SCP)
Neurorehabil Neural Repair Tyson 21 341 2007 10.1177/1545968306296966 The relationship between balance, disability, and recovery after stroke: predictive validity of the Brunel Balance Assessment
Scand J Rehabil Med Lindmark 20 103 1988 Evaluation of functional capacity after stroke as a basis for active intervention: presentation of a modified chart for motor capacity assessment and its reliability
Advances in Physiotherapy Lagerqvist 8 154 2006 10.1080/14038190600806596 Pusher syndrome: reliability, validity and sensitivity to change of a classification instrument
Phys Ther Binkley 79 371 1999 North American Orthopaedic Rehabilitation Research Network. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application
※ AI-Helper는 부적절한 답변을 할 수 있습니다.