Yamada Mai, Koyanagi Masahiko, Kawaguchi Miyo, Sato Yuki, Tsujihata Mitsuhiro, Higashi Toshio
Department of Health Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Department of Rehabilitation, Nagasaki Kita Hospital, Togitsuchou, Nishisonogigun, Nagasaki, Japan.
Br J Occup Ther. 2022 Jan;85(1):44-49. doi: 10.1177/0308022621998564. Epub 2021 May 5.
Apraxia has a major impact on activities of daily living in stroke patients. The proper assessment and treatment of apraxia is important for maintaining a good quality of life. We developed a short evaluation test for upper limb apraxia.
The present Screening Test of Gestures for Stroke consists of 10 items for each verbal instruction and imitation. Each item includes three meaningless gestures, three meaningful gestures and four pantomimes. The Screening Test of Gestures for Stroke is scored based on a 3-point system: 10, 5 or 0 (maximum score: 200). The test took approximately 2-5 min to complete. We recruited 65 patients admitted to our hospital with left hemisphere stroke and 50 healthy subjects.
The reliability of the Screening Test of Gestures for Stroke was as follows: the intraclass correlation coefficient of intra-rater reliability was 0.93 for both verbal instructions and imitations, and the intraclass correlation coefficient total scores for inter-rater reliability for verbal instructions and for imitations were 0.97 and 0.95, respectively. The alpha coefficient was ≥0.80.
The Screening Test of Gestures for Stroke is a reliable and valid bedside test that has a short assessment time, does not require special equipment and can evaluate upper limb apraxia in stroke patients from the acute to the chronic phase.
失用症对中风患者的日常生活活动有重大影响。正确评估和治疗失用症对于维持良好的生活质量很重要。我们开发了一种上肢失用症的简短评估测试。
目前的中风手势筛查测试包括针对每个言语指令和模仿的10个项目。每个项目包括三个无意义手势、三个有意义手势和四个哑剧动作。中风手势筛查测试基于三分制评分：10分、5分或0分（最高分：200分）。该测试大约需要2 - 5分钟完成。我们招募了65名入住我院的左半球中风患者和50名健康受试者。
中风手势筛查测试的信度如下：言语指令和模仿的评分者内信度的组内相关系数均为0.93，言语指令和模仿的评分者间信度的组内相关系数总分分别为0.97和0.95。阿尔法系数≥0.80。
中风手势筛查测试是一种可靠且有效的床边测试，评估时间短，不需要特殊设备，可评估中风患者从急性期到慢性期的上肢失用症。
