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Related Experiment Videos

The scale for contraversive pushing: A reliability and validity study.

Marco Baccini1, Matteo Paci, Lucio A Rinaldi

  • 1Department of Geriatric Rehabilitation, Florence, Italy.

Neurorehabilitation and Neural Repair
|November 4, 2006
PubMed
Summary
This summary is machine-generated.

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The Scale for Contraversive Pushing (SCP) shows good reliability and validity for diagnosing pusher behavior (PB) after stroke, especially with a modified criterion. This aids mobility training for stroke survivors.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Assessment

Background:

  • Pushing behavior towards the hemiplegic side complicates post-stroke mobility training.
  • Accurate identification of pusher behavior (PB) is crucial for effective rehabilitation.

Purpose of the Study:

  • To evaluate the internal consistency, interrater reliability, and validity of the Scale for Contraversive Pushing (SCP).
  • To determine the effectiveness of the SCP in diagnosing PB in stroke patients.

Main Methods:

  • Twenty-six recent stroke patients diagnosed with PB were assessed using the SCP by two independent testers.
  • Agreement with clinical diagnosis was assessed using Cohen kappa; interrater reliability via intraclass correlation coefficient.
  • Internal consistency and subscore correlations were evaluated using Cronbach's alpha and Pearson's coefficients.

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Main Results:

  • Initial agreement between SCP and clinical diagnosis was low but became almost perfect with a modified criterion.
  • The SCP demonstrated good to excellent interrater reliability for both subscores and the total score.
  • Very high internal consistency and strong correlations between subscores and the total score were observed.

Conclusions:

  • The Scale for Contraversive Pushing (SCP) is a reliable and valid tool for diagnosing pusher behavior (PB) in stroke patients.
  • A modified cutoff criterion improves the diagnostic accuracy of the SCP.
  • Findings support the use of the SCP in clinical practice to guide mobility training.