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KMID : 0357220090210040031
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Journal of Korean Society Physical Therapy
2009 Volume.21 No. 4 p.31 ~ p.36
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A Reliability Study of the Scale for Contraversive Pushing in Stroke Patients
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Kim Chung-Sun
Chang Jong-Sung
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Abstract
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Purpose: Pusher syndrome in stroke patients is the tendency to push strongly toward the paretic side with the non-affected limbs. The purpose of this study was to estimated inter-rater and intra-rater reliability of the Scale for Contraversive Pushing (SCP).
Methods: Fourteen patients in the acute phase after stroke onset were diagnosed with pusher syndrome. Two physical therapists randomly assessed the same patients on different occasions on the same day. Almost all patients were assessed on more than one day. The inter-rater and intra-rater reliability of the SCP was estimated by calculation of the intraclass correlation coefficient (ICC).
Results: The intra-rater reliability of the SCP ranged from 0.87 to 0.97; the inter-rater reliability of the SCP ranged from 0.71 to 0.99 in sitting and standing positions. These results show good reliability for the calculated variables.
Conclusion: The results provide support for the use of the SCP in assessing pusher syndrome based on its reliability in stroke patients. It may use the standardized clinical assessments in clinical implication.
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KEYWORD
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Assessment, Pusher syndrome, Reliability, Stroke
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