Rasch analysis of the London Handicap Scale in stroke patients: a cross-sectional study

Park, Eun‐Young; Choi, Yoo-Im

doi:10.1186/1743-0003-11-114

Cited by 12 publications

(5 citation statements)

References 41 publications

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“…Furthermore, if the distribution ranges of an individual attribute and item difficulty are similar, item difficulty can be considered adequate. 37 ) Figure 3 shows that the range of distribution of a person’s ability level was wider than that of the item difficulty distribution; the reason for this was that subjects who could not move the affected arm at all and those with little paresis were both included. Ceiling effects and floor effects were therefore found in the present study.…”

Section: Discussionmentioning

confidence: 99%

Development of a New Daily Activities Scale for the Affected Hand after Stroke

Matsuoka

Watanabe

Kawaguchi

et al. 2020

PRM

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Objectives: There are few scales that reflect the function of the stroke-affected arm as it relates to the performance of daily activities while also indicating the difficulty of scale items. In this study, we developed the Activities Specific Upper-extremity Hemiparesis Scale (ASUHS) to evaluate daily activities performable by the affected arm after stroke. We also clarified the validity, reliability, and item difficulty of the scale. Methods: The participants were 145 patients with stroke who were consecutively admitted to a convalescent rehabilitation ward. The unidimensionality of ASUHS was assessed by principal component analysis. Analyses of item discrimination and content validity were conducted to assess the overall validity. Reliability was evaluated by assessing internal consistency and inter-rater reliability. Item difficulties were determined by Rasch analysis. Results: Unidimensionality, high discrimination, and good content validity were shown for all items. ASUHS consists of a dominant hand scale and non-dominant hand scale. Both scales showed good internal consistency (Cronbach’s α coefficient = 0.99) and substantial inter-rater reliability (Cohen’s Kappa coefficient = 0.74 and 0.75, respectively). Item difficulty was determined as being in the range –8.71 to +5.18 logit. Conclusions: This study suggested good validity and reliability of ASUHS. Furthermore, because the item difficulties of daily activities performed by the affected arm were clarified, therapists can use ASUHS to identify the process that should be the next focus for training. Consequently, therapists may be able to train patients in daily activities that match the affected arm’s ability step by step rather than determining training activities empirically.

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Section: Discussionmentioning

confidence: 99%

Development of a New Daily Activities Scale for the Affected Hand after Stroke

Matsuoka

Watanabe

Kawaguchi

et al. 2020

PRM

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“…Penyintas stroke memerlukan layanan rehabilitasi serta perawatan dan dukungan jangka panjang. Sebagian besar pasien dengan yang selamat dari stroke tidak dapat kembali pulih ke tingkat fungsi mereka sebelum terjadi stroke (Park & Choi, 2014).…”

Section: Pendahuluanunclassified

Pengaruh Edukasi Latihan Pasien Paska Stroke dan Kemandirian Aktivitas Kehidupan Sehari-hari

Rosdiana,

Jannah

2023

IJOCS

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Stroke akan mengubah hidup secara fisik dan emosional. Kondisi tersebut diakibatkan karena kelemahan anggota badan, mati rasa atau kelumpuhan, gangguan komunikasi, gangguan penglihatan, dan gangguan pengabaian satu sisi yang terdampak. Modified Rankin Scale (mRS) adalah skala peringkat hasil global untuk pasien pasca stroke. Digunakan untuk mengkategorikan tingkat disabilitas seseorang dengan mengacu pada kegiatan sebelum mengalami stroke dalam melakukan aktivitas tertentu. Indeks Barthel adalah skala yang menunjukkan kemampuan untuk melakukan aktivitas kehidupan sehari hari. Latihan fisik setelah stroke dapat meningkatkan kemandirian dan memperbaiki kapasitas fungsional umum setelah stroke. Latihan fisik juga berpotensi memberikan manfaat psikososial, terutama melalui aktivitas kelompok. karena latihan fisik dan kebugaran kardiorespirasi merupakan salah satu faktor risiko terjadinya stroke. Latihan fisik dan olahraga memiliki peran mengurangi kemungkinan stroke berulang dan memperbaiki kondisi komorbiditas lainnya. Tujuan dari Program Kemitraan Wilayah (PKW) ini adalah memberikan edukasi dan latihan fisik pada penderita paska stroke. Hasilnya, didapatkan bahwa edukasi dan latihan rutin penderita post stroke meningkatkan tingkat kemandirian fungsional dan kemandirian dalam melakukan aktivitas sehari hari. Terjadi perubahan mRS di awal rawat jalan 47.37% mengalami disabilitas sedang – berat dan 2.11% mengalami disabilitas berat, setelah menjalani latihan fisik terjadi peningkatan 36.84% menjadi disabilitas ringan dan tidak ada lagi yang mengalami disabilitas berat. Dari penilaian Indeks Barthel didapatkan pada awal rawat jalan 47.37% ketergantungan berat, 47.37% ketergantungan total, setelah melakukan Latihan fisik terjadi peningkatan kemandirian 36.84% menjadi mandiri dan 57.89% menjadi kemandirian sedang, tidak ada lagi yang mengalami ketergantungan total.A stroke will change your life physically and emotionally. This condition is caused by weakness of the limbs, numbness or paralysis, communication disorders, vision problems, and neglect of one affected side. Modified Rankin Scale (mRS) is a global outcome rating scale for post-stroke patients. Used to categorize a person's level of disability by referring to activities before experiencing a stroke in carrying out certain activities. The Barthel Index is a scale that shows the ability to carry out daily life activities. Physical exercise after stroke can increase independence and improve general functional capacity after stroke. Physical exercise also has the potential to provide psychosocial benefits, especially through group activities because physical exercise and cardiorespiratory fitness are risk factors for stroke. Physical exercise and exercise have a role in reducing the possibility of recurrent stroke and improving other comorbid conditions. The aim of this Regional Partnership Program is to provide education and physical exercise to post-stroke sufferers. As a result, it was found that education and routine exercise for post-stroke sufferers increased the level of functional independence and independence in carrying out daily activities. There was a change in mRS at the beginning of the outpatient treatment, 47.37% experienced moderate - severe disability and 2.11% experienced severe disability, after undergoing physical exercise there was an increase of 36.84% to mild disability and no one else experienced severe disability. From the Barthel Index assessment, it was found that at the start of outpatient care, 47.37% were severely dependent, 47.37% were totally dependent, after doing physical exercise there was an increase in independence, 36.84% became independent and 57.89% became moderately independent, no one experienced total dependence anymore.

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“…Современные психометрические методы, такие как методика анализа данных, предложенная Rasch, обеспечивают более глубокое понимание измерительных свойств опросника качества жизни, функциональность категорий ответа, точность измерения. Таким образом, методика Rasch в настоящее время является «золотым стандартом» для оценки результатов тестирования пациентов [49][50][51].…”

Section: оценка качества тестированияunclassified

Quality of Life Change in Patients with Keratoconus. Literature Review

2022

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In recent years, ophthalmologists have paid great attention to keratoconus, as the disease is socially significant and affects the young working-age population. According to the literature and in clinical practice, it was found that patients with keratoconus have similar character traits, which are manifested to a greater or lesser extent in each patient. According to a number of authors, these patients have less adaptability, passive aggression, and paranoia. In addition, there is a tendency to disorganization of thinking, substance abuse and anxiety. The article considers clinical cases of Association of keratoconus with mental disorders and diseases such as schizophrenia, obsessive-compulsive disorder, Tourette’s syndrome. Examples of the occurrence of the disease after mechanical damage to the eyeball are given. This paper also describes changes in the quality of life of patients with this pathology, identified using different questionnaire options. The use of 18 different, most frequently used questionnaires to determine the impact of keratoconus on the patient’s quality of life is considered: specialized for keratoconus, General for eye pathology, and General medical for assessing mental functions. Using a specialized questionnaire for keratoconus, changes in the quality of life were evaluated in the following categories: visual acuity assessment, problems with near or far vision, restrictions on social interaction due to low vision, restriction of physical activity, dependence on others due to eye problems, deterioration of mental health associated with changes in the visual organ, driving problems, restrictions on visual fields, color perception and eye pain. General ophthalmological questionnaires were also used, in particular, to assess dry eye syndrome, visual impairment, contact lens use and their impact on quality of life, etc. In patients with keratoconus, other questionnaires were also used, for example, to assess the indicator of the state anxiety scale, selfassessment of depression. This article discusses the advantages and disadvantages of the questionnaires, their applicability directly to patients with keratoconus.

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Rasch analysis of the London Handicap Scale in stroke patients: a cross-sectional study

Cited by 12 publications

References 41 publications

Development of a New Daily Activities Scale for the Affected Hand after Stroke

Development of a New Daily Activities Scale for the Affected Hand after Stroke

Pengaruh Edukasi Latihan Pasien Paska Stroke dan Kemandirian Aktivitas Kehidupan Sehari-hari

Quality of Life Change in Patients with Keratoconus. Literature Review

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