Adams S A, Pickering R M, Ashburn A, Lincoln N B
University Rehabilitation Research Unit, Southampton, UK.
Clin Rehabil. 1997 Feb;11(1):52-9. doi: 10.1177/026921559701100108.
To examine the scalability of the Rivermead Motor Assessment (RMA) with nonacute stroke patients in the community.
This was a prospective study of the patients after discharge from hospital. All subjects were assessed on the RMA at six and 12 months after discharge home from hospital. Coefficients of scalability and reproducibility were calculated for each of the three sections of the RMA at each assessment.
Subjects were nonacute stroke patients aged 65 years and over, nonacute stroke patients aged under 65 years, and a selected group of those aged under 65 years.
Only the items in the gross function section met scaling criteria with nonacute strokes in both age groups, which suggests that the items in this section were in appropriate order of difficulty. The items in the leg and trunk section were not in hierarchical order and were in fact closer to scaling if the present order were reversed.
The clinical and research value of the RMA, as an ordered scale, are questioned. Changes in treatment styles and philosophies may mean that some of the items themselves are out-dated.
研究社区中非急性卒中患者使用里弗米德运动评估量表（RMA）的可扩展性。
这是一项针对出院患者的前瞻性研究。所有受试者在出院回家后6个月和12个月时接受RMA评估。每次评估时，对RMA三个部分中的每一部分计算可扩展性和可重复性系数。
受试者包括65岁及以上的非急性卒中患者、65岁以下的非急性卒中患者以及一组选定的65岁以下患者。
仅总体功能部分的项目在两个年龄组中与非急性卒中均符合量表制定标准，这表明该部分项目的难度顺序合适。腿部和躯干部分的项目未按层次顺序排列，实际上如果颠倒当前顺序则更接近量表制定标准。
RMA作为一种有序量表的临床和研究价值受到质疑。治疗方式和理念的变化可能意味着其中一些项目本身已经过时。
