{"title":"Reliability and validity of the Chinese version of the stroke upper limb capacity scale.","authors":"Minqi Xia, Jingjing Ye, Yewen Dong, Lingdi Yang","doi":"10.1080/09638288.2025.2477283","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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).</p><p><strong>Materials and methods: </strong>Patients with hemiplegia after stroke (<i>n</i> = 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.</p><p><strong>Results: </strong>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 (<i>r</i> = 0.922, <i>p</i> < 0.001) and FMA-UE (<i>r</i> = 0.921, <i>p</i> < 0.001) at baseline. The WMFT and FMA at week 3 were as strong as those at baseline (<i>r</i> = 0.946, <i>p</i> < 0.001 and <i>r</i> = 0.952, <i>p</i> < 0.001, respectively). There was a strong longitudinal correlation between the changes in SULCS and WMFT and FMA-UE from baseline to week 3 (<i>r</i> = 0.745, <i>p</i> < 0.001 and <i>r</i> = 0.768, <i>p</i> < 0.001, respectively). No floor and ceiling effects were detected in any assessment.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-5"},"PeriodicalIF":2.1000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Disability and Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09638288.2025.2477283","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
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。
Reliability and validity of the Chinese version of the stroke upper limb capacity scale.
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.
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.
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