Objective: The objective of the study was to estimate the internal and external responsiveness of the Reaching Performance Scale for Stroke (RPSS) in individuals with stroke. Design: Retrospective analysis of data from 4 randomized controlled trials. Setting: Recruitment locations spanning rehabilitation centers and hospitals in Canada, Italy, Argentina, Peru, and Thailand. Participants: Data from 567 participants (acute to chronic stroke; N=567) were available. Interventions: All 4 studies involved training using virtual reality for upper limb rehabilitation. Main outcome measures: RPSS and upper extremity Fugl-Meyer Assessment (FMA-UE) scores. Responsiveness was quantified for all data and across different stages of stroke. Internal responsiveness of the RPSS was quantified as effect-sizes calculated using post and preintervention change data. External responsiveness was quantified using orthogonal regressions between FMA-UE and RPSS scores. The area under the Receiver Operating Characteristic curve (AUC) was quantified based on the ability of RPSS scores to detect change above FMA-UE minimal clinically important different values across different stages of stroke. Results: The RPSS had high internal responsiveness overall and across the acute or subacute and chronic stages of stroke. For external responsiveness, orthogonal regression analyses indicated that change in FMA-UE scores had positive moderate correlations with both RPSS Close and Far Target scores for all data and across the acute or subacute and chronic stages of stroke (0.6<0.7). The AUC was acceptable for both targets (0.65
Responsiveness of the Reaching Performance Scale for Stroke / Sandeep K. Subramanian; Gita Margolese; Andrea Turolla; Gustavo Saposnik; Mindy F. Levin. - In: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION. - ISSN 0003-9993. - ELETTRONICO. - 104:10(2023), pp. 1588-1595. [10.1016/j.apmr.2023.04.020]
Responsiveness of the Reaching Performance Scale for Stroke
Andrea Turolla;
2023
Abstract
Objective: The objective of the study was to estimate the internal and external responsiveness of the Reaching Performance Scale for Stroke (RPSS) in individuals with stroke. Design: Retrospective analysis of data from 4 randomized controlled trials. Setting: Recruitment locations spanning rehabilitation centers and hospitals in Canada, Italy, Argentina, Peru, and Thailand. Participants: Data from 567 participants (acute to chronic stroke; N=567) were available. Interventions: All 4 studies involved training using virtual reality for upper limb rehabilitation. Main outcome measures: RPSS and upper extremity Fugl-Meyer Assessment (FMA-UE) scores. Responsiveness was quantified for all data and across different stages of stroke. Internal responsiveness of the RPSS was quantified as effect-sizes calculated using post and preintervention change data. External responsiveness was quantified using orthogonal regressions between FMA-UE and RPSS scores. The area under the Receiver Operating Characteristic curve (AUC) was quantified based on the ability of RPSS scores to detect change above FMA-UE minimal clinically important different values across different stages of stroke. Results: The RPSS had high internal responsiveness overall and across the acute or subacute and chronic stages of stroke. For external responsiveness, orthogonal regression analyses indicated that change in FMA-UE scores had positive moderate correlations with both RPSS Close and Far Target scores for all data and across the acute or subacute and chronic stages of stroke (0.6<0.7). The AUC was acceptable for both targets (0.65File | Dimensione | Formato | |
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