Korean Version of the Scale for the Assessment and Rating of Ataxia in Ataxic Stroke Patients

Abstract

ObjectiveTo investigate the intra-rater and inter-rater reliability and usefulness of the Korean version of the Scale for the Assessment and Rating of Ataxia (K-SARA) in ataxic stroke patients.MethodsThe original SARA was translated into Korean, back translated to English, and compared to the original version. Stroke patients (n=60) with ataxia were evaluated using the K-SARA by one physiatrist and one occupational therapist. All subjects were rated twice. We divided the subjects into 5 groups by Functional Ambulation Category (FAC) and 3 groups based on the ataxia subscale of the National Institutes of Health Stroke Scale (NIHSS). The mean K-SARA scores representing each group of FAC and the ataxia subscale of NIHSS were compared.ResultsThe test-retest correlation coefficient of the K-SARA was 0.997 by the therapist and 1.00 by the physiatrist (p<0.001). The inter-rater correlation coefficient of the K-SARA was 0.985 (p<0.001). The ataxia subscale of NIHSS did not correlate with K-SARA. There was a significant difference in the mean K-SARA score by FAC (p<0.001).ConclusionK-SARA is a reliable and valid measure of ataxia in stroke patients in Korea.

A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke

“…The SARA is used to assess the severity and treatment effectiveness of cerebellar ataxia. Some studies have shown its usefulness in stroke individuals [ 25 , 26 ]. The total score ranges from 0 (no ataxia) to 40 (severe ataxia), and it is composed of the following 8 items [ 27 ]: 1 gait (0–8); 2 stance (0–6); 3 sitting (0–4); 4 speech disturbance (0–6); 5 finger chase (0–4); 6 nose finger test (0–4); 7 fast alternating hand movement (0–4); and 8 heel-shin slide (0–4); the four extremities are evaluated bilaterally, and the mean values are used to calculate the total score [ 26 ].…”

Instrumentos De Evaluación Fisioterapéutica en Población Adulta Y Pediátrica Utilizadas en La Práctica Clínica

“…En este tipo de Examinación aún existen discordancias con respecto a la forma de evaluación clínica, en cuanto a población adulta se reporta el uso de la escala MRC ( Medical research council) como una escala manual de fuerza (Paternostro-Sluga, 2008). Por el contrario, en población pediátrica se reporta el uso de Dinamometría manual, escala MRC, Daniels and Worthingham test, manual muscle test (MMT), estos test son aplicados en niños con patologías neuromusculares como espina bífida, distrofias musculares y parálisis cerebral (Defrasne Ait-Said, 2007) (Jain, 2006) (Lee-Valkov, 2003) (Mahony, 2009) (Nunes, 2016) (Tan, 2016) Marcha y locomoción En adultos, se reporta el uso de tecnología a través de plataforma de presión y fuerza las cuales permiten identificar anormalidades durante el patrón de marcha en factores cinéticos y cinemáticos (Condron, 2002) (Deschamps K. S., 2016) (Deschamps, 2015) (Wafai, 2015), además de eso se reporta el uso de las pruebas clínicas de la caminata de 10 metros la cual puede identificar anormalidad en la velocidad de la marcha (Amatachaya, 2014) (Peters, 2013) (Scivoletto, 2011) y el test Scale for the assessment and rating of Ataxia (SARA) el cual identifica perturbaciones en la marcha que afectan la realización de actividades de la vida diaria (Braga-Neto, 2010) (Kim, 2014) (Schwabova, 2014) (Tan S. N., 2013). Por el contrario, en pediatría se reporta el uso de la escala Pediatric Reach Test en la identificación de alteraciones de la estabilidad (Bartlett, 2003) (Rajendran, 2012).…”

Pathological Laughing and Crying following Midbrain Infarction: Case Report and Literature Review

“…Modified from Lauterbach et al 3) PLC: pathological laughing and crying. Modified from Kim et al 10) Table Ⅲ…”