Rader M A, Alston J B, Ellis D W
Mediplex Rehab-Camden, NJ.
Brain Inj. 1989 Apr-Jun;3(2):141-7. doi: 10.3109/02699058909004545.
The research reported here consisted of a series of three studies of the use of a sensory stimulation protocol and assessment scale with brain-injured patients at either Level II or Level III on the Ranchos Los Amigos Cognitive Scale. In the first study, a pilot project with six patients addressed the hypotheses that: (1) immediate changes in responsiveness occur as a result of sensory stimulation; (2) variables such as positioning and level of contact have an effect on responsiveness; and (3) these changes can be measured. The second study established acceptable concurrent validity (n = 20), test-retest (n = 20) reliability and inter-rater reliability (n = 19) values for the procedures. The third study assessed whether change in responsiveness occurs over time secondary to sensory stimulation. General Responsiveness measures for 19 patients were obtained and then remeasured after 3 months. No significant differences in mean General Responsiveness values were found using the t-test for related measures procedure. Relationships were reviewed between General Responsiveness and amount of treatment per day, frequency of family visits, pre-morbid education, age, time since injury and neurological status. No differences were found between those patients who improved and those who did not improve.
本文所报告的研究包括三项系列研究，针对在Rancho Los Amigos认知量表上处于II级或III级的脑损伤患者，使用了一种感觉刺激方案和评估量表。在第一项研究中，一个有六名患者参与的试点项目探讨了以下假设：（1）感觉刺激会导致反应性立即发生变化；（2）诸如体位和接触程度等变量对反应性有影响；（3）这些变化可以被测量。第二项研究确定了该程序可接受的同时效度（n = 20）、重测信度（n = 20）和评分者间信度（n = 19）值。第三项研究评估了感觉刺激后反应性的变化是否会随时间发生。获取了19名患者的一般反应性测量值，然后在3个月后重新测量。使用相关测量程序的t检验，未发现平均一般反应性值有显著差异。对一般反应性与每日治疗量、家庭探访频率、病前教育程度、年龄、受伤时间和神经状态之间的关系进行了审查。在病情改善的患者和未改善的患者之间未发现差异。
