Chen Peiming, Ng Shamay S, Lai Cynthia Y, Chan Samantha M, Lau C, Wong H, Liang Jacqueline H, Tam Christy S, Li J, Liu Tai-Wa, Wong Thomson W, So Billy C, Xu Richard H, Tse Mimi M
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Research Centre for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Hong Kong, China.
Eur J Phys Rehabil Med. 2025 Jun;61(3):411-424. doi: 10.23736/S1973-9087.25.08784-2. Epub 2025 Jul 14.
The aims of this study were to investigate the psychometric property of the Comprehensive Coordination Scale (CCS) in people with stroke.
Cross-sectional design.
University based neurorehabilitation laboratory.
Sixty-two people with stroke (33 men; mean ages=67.1±6.4 years; 8.8±4.9 years) and 31 healthy older adults (10 men, mean ages=65.9±4.2 years).
CCS was conducted on the subjects, followed with ARAT, BBS, LOS, MoCA, and SF-12muscle strength test, Fugl-Meyer Assessment of Lower Extremity (FMA-LE) and Upper Extremity (FMA-UE), muscle strength, Montreal Cognitive Assessment (MoCA), Action Research Arm Test (ARAT), Berg Balance Scale (BBS), Limit of Stability (LOS) test and 12-Item Short Form Survey (SF12).
There was a significant difference (P<0.001) of CCS score between people with stroke (mean difference=48.0±13.5) and healthy older adults (mean difference=62.9±12.1). CCS showed excellent test-retest reliability (intraclass correlation coefficient (ICC)=0.953). The CCS-Total Score showed a significant positive correlation with the average muscle strength of affected side (dorsiflexors, plantarflexors, elbow flexor, and elbow extensor), FMA-UE score, FMA-LE Score, BBS Score, ARAT Score, and LOS (EE and ME) (r=0.387-0.857, P<0.007) in this study. The CCS-total score of 62.5 (sensitivity 83.9%; specificity of 83.9%; AUC=0.892, P<0.001) was shown to distinguish the walking performance between people with stroke and healthy older adults.
The CCS is a reliable, valid and objective assessment tool for evaluating the motor coordination in people with stroke. The CCS exhibited good diagnostic power for distinguishing the coordination ability of individuals with stroke from that of healthy older adults.
Therefore, the CCS is recommended for use in clinical settings to provide a detailed and comprehensive assessment of motor coordination impairment in stroke survivors.
本研究旨在探讨综合协调量表（CCS）在中风患者中的心理测量特性。
横断面设计。
基于大学的神经康复实验室。
62名中风患者（33名男性；平均年龄=67.1±6.4岁；病程8.8±4.9年）和31名健康老年人（10名男性，平均年龄=65.9±4.2岁）。
对受试者进行CCS测试，随后进行ARAT、BBS、LOS、MoCA、SF - 12肌肉力量测试、下肢Fugl - Meyer评估（FMA - LE）和上肢Fugl - Meyer评估（FMA - UE）、肌肉力量、蒙特利尔认知评估（MoCA）、动作研究臂测试（ARAT）、伯格平衡量表（BBS）、稳定极限（LOS）测试和12项简短健康调查（SF12）。
中风患者的CCS评分（平均差异=48.0±13.5）与健康老年人（平均差异=62.9±12.1）之间存在显著差异（P<0.001）。CCS显示出极好的重测信度（组内相关系数（ICC）=0.953）。在本研究中，CCS总分与患侧平均肌肉力量（背屈肌、跖屈肌、肘屈肌和肘伸肌）、FMA - UE评分、FMA - LE评分、BBS评分、ARAT评分和LOS（EE和ME）呈显著正相关（r = 0.387 - 0.857，P<0.007）。CCS总分62.5（敏感性83.9%；特异性83.9%；AUC = 0.892，P<0.001）可区分中风患者和健康老年人之间行走能力的差异。
CCS是评估中风患者运动协调性的可靠、有效且客观评估工具。CCS在区分中风患者与健康老年人的协调能力方面具有良好的诊断能力。
因此，建议在临床环境中使用CCS，以对中风幸存者的运动协调障碍进行详细和全面的评估。
