Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, Korea University College of Medicine, Guro-gu, Seoul, Korea.
Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, Dongdaemun-gu, Seoul, Korea.
Medicine (Baltimore). 2023 Mar 17;102(11):e33261. doi: 10.1097/MD.0000000000033261.
The reaching performance scale for stroke evaluates reach-to grasp movement of the upper extremity and compensatory movements. The objective of the study was to translate and cross-culturally adapt the reaching performance scale for stroke into Korean and assess its reliability and validity. An expert committee supervised the forward and backward translation and the final translated Korean version of reaching performance scale for stroke (K-RPSS). Ninety-eight individuals (mean age 63.63 ± 13.13 years), with hemiplegia after stroke (97.82 ± 191.50 weeks) were evaluated independently by physiatrist and occupational therapist using K-RPSS. Degree of the motor impairment and functional status of patients were evaluated with the Fugl-Meyer assessment for upper limb and manual function test. The K-RPSS demonstrated excellent intra-rater (intraclass correlation coefficient = 0.9865), inter-rater (intraclass correlation coefficient 0.9866) reliability, and internal consistency (Cronbach α = 0.977 for total score). The validity of K-RPSS was confirmed with strong correlation with Fugl-Meyer assessment and manual function test. The K-RPSS had ceiling effect and the 3 points is the score change needed to indicate a change in a patient. K-RPSS has been shown to be a reliable and valid tool for assessing the compensation and movement quality of the upper limb and trunk when performing a reach-to grasp task. The K-RPSS is expected to be used widely by Korean speaking clinicians and researchers.
脑卒中上肢运动功能评定量表用于评估上肢的伸手抓握运动和代偿运动。本研究的目的是将脑卒中上肢运动功能评定量表翻译成韩文并进行跨文化适应性检验,评估其信度和效度。一个专家委员会对其进行了正向和反向翻译,最终形成脑卒中上肢运动功能评定量表韩文版(K-RPSS)。98 名个体(平均年龄 63.63 ± 13.13 岁)在脑卒中后出现偏瘫(97.82 ± 191.50 周),由物理治疗师和作业治疗师分别使用 K-RPSS 进行评估。患者的运动障碍程度和功能状态采用上肢 Fugl-Meyer 评估和手功能测试进行评估。K-RPSS 具有极好的内部一致性(组内相关系数 = 0.9865)、组间一致性(组内相关系数 0.9866)和内部一致性(总分 Cronbach α = 0.977)。K-RPSS 与 Fugl-Meyer 评估和手功能测试具有很强的相关性,从而验证了其效度。K-RPSS 具有天花板效应,需要 3 分的得分变化才能表明患者的变化。K-RPSS 是一种可靠且有效的工具,可用于评估上肢和躯干在进行伸手抓握任务时的代偿和运动质量。预计该量表将在韩国讲者的临床医生和研究人员中广泛使用。