Assessing the Motor Status Score: A Scale for the Evaluation of Upper Limb Motor Outcomes in Patients after Stroke  

Oleh:

Ferraro, Mark ; Demaio, Jennifer Hogan ; Krol, Jennifer ; Trudell, Chris ; Rannekleiv, Keren ; Edelstein, Lisa ; Christos, Paul ; Aisen, Mindy ; England, Jill ; Fasoli, Susan ; Krebs, HI ; Hogan, N. ; Volpe, Bruce T.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Neurorehabilitation and Neural Repair vol. 16 no. 3 (Sep. 2002), page 283–289.
Topik: Stroke; Motor impairment; Disability; Upper limb.
Fulltext: 283NNR163.pdf (64.78KB)

Isi artikel

The Motor Status Scale (MSS) measures shoulder, elbow (maximum score = 40), wrist, hand, and finger movements (maximum score = 42), and expands the measurement of upper extremity impairment and disability provided by the Fugl-Meyer (FM) score. This work examines the interrater reliability and criterion validity of the MSS performed in patients admitted to a rehabilitation hospital 21 ± 4 days after stroke. Using the MSS and the FM, 7 occupational therapists masked to each other’s judgments, evaluated 12 consecutive patients with stroke. Two therapists evaluated 6 additional patients on consecutive days. Intraclass correlation coefficients were significant for each group of raters for the shoulder/elbow and for the wrist/hand (P < 0.0001); test-retest measures were also significant for the shoulder/elbow (Pearson correlation coefficient r = 0.99, P < 0.004) and for the wrist/hand (Pearson correlation coefficient r = 0.99, P < 0.003). The internal item consistency for the overall MSS was significant (Cronbach alpha = 0.98, P < 0.0001). Finally the correlation between the MSS and the FM (R2 = 0.964) was significant (P < 0.0001). The MSS affords a reliable and valid assessment of upper limb impairment and disability following stroke.

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