Validating the Fatigue Scale for Motor and Cognitive Function (FSMC) in chronic stroke

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2023-12-21 DOI:10.3233/nre-230189
Hui-Ting Goh, Jill Stewart, Kevin Becker
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Abstract

BACKGROUND: Post-stroke fatigue can manifest as both physical and mental fatigue. The Fatigue Scale for Motor and Cognitive Functions (FSMC) evaluates fatigue on the motor and cognitive domains separately, however, the psychometric properties of this measure in stroke have not been reported. OBJECTIVE: To determine the internal consistency, test-retest reliability, and concurrent validity of the FSMC in chronic stroke. METHODS: Thirty-four participants with chronic stroke (55.26±12.27 years of age; 59.53±89.21 months post-stroke) completed the FSMC on two separate visits. Internal consistency and reliability of the FSMC were examined using Cronbach’s alpha and two-way mixed effects intraclass correlation coefficients (ICC), respectively. Correlation between the FSMC and the Fatigue Severity Scale and Visual Analog Scale-Fatigue was used to assess concurrent validity. RESULTS: Internal consistency was excellent (Cronbach’s alpha >  0.9) and reliability was moderate to good (ICC = 0.72–0.81) for all FSMC scores. The FSMC demonstrated moderate to good concurrent validity with the Fatigue Severity Scale (ρ= 0.66–0.72) but only fair concurrent validity with the Visual Analog Scale-Fatigue (ρ= 0.37–0.44). CONCLUSION: The FSMC is a valid and reliable measure of post-stroke fatigue and may be a useful tool to examine physical fatigue and cognitive fatigue in chronic stroke.
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验证慢性中风患者运动和认知功能疲劳量表(FSMC)
背景:脑卒中后的疲劳可表现为身体和精神疲劳。运动和认知功能疲劳量表(FSMC)可分别评估运动和认知领域的疲劳,但该量表在脑卒中中的心理测量特性尚未见报道。目的:确定 FSMC 在慢性中风患者中的内部一致性、重测可靠性和并发有效性。方法:34 名慢性脑卒中患者(55.26±12.27 岁;卒中后 59.53±89.21 个月)在两次不同的访问中完成了 FSMC。分别使用克朗巴赫α和双向混合效应类内相关系数(ICC)检验了FSMC的内部一致性和可靠性。为了评估并发效度,还使用了 FSMC 与疲劳严重程度量表和疲劳视觉模拟量表之间的相关性。结果:FSMC所有评分的内部一致性极佳(Cronbach's alpha > 0.9),可靠性为中等至良好(ICC = 0.72-0.81)。FSMC与疲劳严重程度量表(ρ= 0.66-0.72)的并发效度为中等至良好,但与疲劳视觉模拟量表(ρ= 0.37-0.44)的并发效度一般。结论:FSMC 是一种有效且可靠的卒中后疲劳测量方法,可作为检查慢性卒中患者躯体疲劳和认知疲劳的有用工具。
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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
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