Validity and reliability of selective control of upper extremity scale (SCUES) in patients with chronic stroke.

IF 2.1 4区医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2024-10-01 Epub Date: 2023-12-23 DOI:10.1080/09638288.2023.2291551

Didem Boz Sönmez, Esra Giray, Arzu Atıcı, Özge Gülsüm Illeez, Pınar Akpınar, Feyza Ünlü Özkan, Ilknur Aktaş

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Abstract

Purpose: The aim of this study is to investigate the validity and reliability of the Selective Control of Upper Extremity Scale (SCUES) in patients with stroke.

Materials and methods: Forty-two patients with stroke aged 18-75 years, were included in the study. Patients were video-recorded while SCUES was administered. The videos were scored to determine the intrarater and inter-rater reliability. Fugl Meyer Assessment of Upper Extremity (FMA-UE), Box and Block test (BBT) and Brunnstrom Stages of Motor Recovery were measured to evaluate validity of SCUES. Spearman correlation analysis was used to assess the validity of SCUES. Intraclass correlation coefficient (ICC), Kappa (κ) and weighted Kappa (κ_w) were calculated to determine intrarater and inter-rater reliability.

Results: There were significant positive high correlations between SCUES and FMA-UE and BBT and Brunnstrom upper extremity proximal and distal values (rho = 0.944, p = 0.01; rho = 0,875, p = 0.01; rho = 0.84, p = 0.01, rho = 0.82, p = 0.01; respectively) showing validity of SCUES. The ICC value of inter-rater reliability of SCUES was 0,99 (%95 CI: 0,989-0,997, p = 0,001) showing excellent reliability. κ and κ w values for inter-rater and intrarater reliability of individual SCUES items were above 0.7 indicating excellent reliability. ICC of SCUES and FMA-UE indicated excellent intrarater reliability (ICC = 0,99; %95 CI: 0,989-0,997, p = 0,001; ICC = 0.943; %95 CI: 0.9-0.97, p = 0,0001, consecutively).

Conclusions: SCUES showed similar validity and reliability with FMA-UE and SCUES can be used in the evaluation of upper extremity selective motor control in patients with stroke.

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慢性中风患者上肢选择性控制量表（SCUES）的有效性和可靠性。

目的：本研究旨在调查脑卒中患者上肢选择性控制量表（SCUES）的有效性和可靠性：研究对象包括 42 名中风患者，年龄在 18-75 岁之间。在对患者进行 SCUES 施测时对其进行录像。对视频进行评分，以确定评分者内部和评分者之间的可靠性。为了评估 SCUES 的有效性，对 Fugl Meyer 上肢评估 (FMA-UE)、Box and Block 测试 (BBT) 和 Brunnstrom 运动恢复阶段进行了测量。斯皮尔曼相关分析用于评估 SCUES 的有效性。计算了类内相关系数（ICC）、卡帕（κ）和加权卡帕（κw），以确定评分者内部和评分者之间的可靠性：SCUES与FMA-UE、BBT和Brunnstrom上肢近端和远端值之间存在明显的正相关（分别为rho = 0.944，p = 0.01；rho = 0.875，p = 0.01；rho = 0.84，p = 0.01，rho = 0.82，p = 0.01），显示了SCUES的有效性。SCUES 的评分者间信度 ICC 值为 0.99 (%95 CI: 0.989-0.997, p = 0.001)，显示出极佳的信度。SCUES 单个项目的评分者间和评分者内部信度 κ 和 κ w 值均高于 0.7，显示出极佳的信度。SCUES 和 FMA-UE 的 ICC 显示了极佳的内部信度（ICC = 0,99；%95 CI：0,989-0,997，p = 0,001；ICC = 0.943；%95 CI：0.9-0.97，p = 0,0001，连续）：SCUES与FMA-UE具有相似的有效性和可靠性，可用于评估脑卒中患者的上肢选择性运动控制能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.