多发性硬化症痉挛量表88的评估:一个简短的报告。

IF 2.3 Q1 REHABILITATION Rehabilitation Process and Outcome Pub Date : 2019-01-16 eCollection Date: 2019-01-01 DOI:10.1177/1179572718823510
Jenny Freeman, Terry Gorst, Jodielin Ofori, Jonathan Marsden
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引用次数: 2

摘要

背景:多发性硬化症痉挛量表88 (MSSS-88)旨在记录痉挛患者的经历和影响,但对临床评定的痉挛措施的评估有限。目的:评价mssss -88量表的收敛效度和反应性。设计:纵向研究。单位:大学实验室。研究对象:34例多发性硬化症患者。方法:多发性硬化症(MS);n = 34)完成了自我报告的12项多发性硬化症步行量表、多发性硬化症痉挛量表、Barthel指数和临床医生评定的Ashworth量表,以及基于实验室的踝关节痉挛测量。在两个时间点(平均间隔8.75±3.8个月)评估20名参与者的痉挛测量反应性。结果:MS患者(平均年龄55.1±8.1岁;扩展残疾量表范围4.5-7.0),mssss -88的痉挛症状特异性子量表(僵硬和痉挛)与临床医生评定的Ashworth量表有很强的显著相关性(r = 0.52-0.53;结论:我们的研究结果为该措施的收敛效度提供了额外的支持。
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Evaluation of the Multiple Sclerosis Spasticity Scale 88: A Short Report.

Background: The Multiple Sclerosis Spasticity Scale 88 (MSSS-88) is designed to capture the patient experience and impact of spasticity, but there is limited evaluation against clinician-rated measures of spasticity.

Objective: To evaluate the convergent validity and responsiveness of the MSSS-88.

Design: Longitudinal study.

Setting: University Laboratory.

Subjects: Thirty-four people with multiple sclerosis.

Methods: People with multiple sclerosis (MS; n = 34) completed the self-reported 12-item Multiple Sclerosis Walking Scale, Multiple Sclerosis Spasticity Scale, Barthel Index alongside the clinician-rated Ashworth Scale, and a laboratory-based measure of ankle spasticity. Spasticity measure responsiveness was evaluated in 20 participants at two time points, an average of 8.75 ± 3.8 months apart.

Results: In people with MS (mean age 55.1 ± 8.1 years; Expanded Disability Scale range 4.5-7.0), spasticity symptom specific subscales of the MSSS-88 (stiffness and spasms) showed strong and significant correlations with the clinician-rated Ashworth Scale (r = 0.52-0.53; P < .01). Responsiveness of the MSSS-88 was comparable to a laboratory-based measure of ankle spasticity.

Conclusions: Our findings lend additional support to the convergent validity of this measure.

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