Reliability and validity of the Chinese version of the stroke upper limb capacity scale.

IF 2 4区医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-03-11 DOI:10.1080/09638288.2025.2477283

Minqi Xia, Jingjing Ye, Yewen Dong, Lingdi Yang

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Abstract

Purpose: To evaluate the reliability and validity of the Chinese version of the Stroke Upper Limb Capacity Scale (SULCS) compared to the Wolf Motor Function Test (WMFT) and the Fugl-Meyer Assessment-Upper Extremity (FMA-UE).

Materials and methods: Patients with hemiplegia after stroke (n = 60). The intraclass correlation coefficient (ICC) and corresponding 95% confidence intervals (CI) were used to explore the reliability, and Spearman's correlation coefficient was used to analyze validity. Floor and ceiling effects were counted.

Results: The ICCs for inter-rater reliability and intra-rater reliability were ICC = 0.985 (95%CI = 0.966-0.992) and ICC = 0.982 (95%CI = 0.970-0.989), respectively. The SULCS demonstrated a strong correlation with the WMFT (r = 0.922, p < 0.001) and FMA-UE (r = 0.921, p < 0.001) at baseline. The WMFT and FMA at week 3 were as strong as those at baseline (r = 0.946, p < 0.001 and r = 0.952, p < 0.001, respectively). There was a strong longitudinal correlation between the changes in SULCS and WMFT and FMA-UE from baseline to week 3 (r = 0.745, p < 0.001 and r = 0.768, p < 0.001, respectively). No floor and ceiling effects were detected in any assessment.

Conclusions: Our analysis of the psychometric properties supports the use of the Chinese version of the SULCS to measure upper limb capacity in patients with hemiplegia after stroke.

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中文版中风上肢能力量表的信度和效度。

目的：评估中文版脑卒中上肢行为能力量表（SULCS）与沃尔夫运动功能测试（WMFT）和Fugl-Meyer评估-上肢（FMA-UE）的信度和效度：中风后偏瘫患者（n = 60）。采用类内相关系数（ICC）和相应的 95% 置信区间（CI）来探讨信度，采用斯皮尔曼相关系数来分析效度。计算了下限效应和上限效应：评分者间信度和评分者内部信度的 ICC 分别为 ICC = 0.985（95%CI = 0.966-0.992）和 ICC = 0.982（95%CI = 0.970-0.989）。SULCS 与 WMFT 有很强的相关性（r = 0.922，p r = 0.921，p r = 0.946，p r = 0.952，p r = 0.745，p r = 0.768，p 结论）：我们对心理测量学特性的分析支持使用中文版 SULCS 测量脑卒中偏瘫患者的上肢能力。

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.