學院

醫學院

系所

職能治療學系

題名

Validity and responsiveness of the Revised Nottingham Sensation Assessment for outcome evaluation in stroke rehabilitation

作者

Wu, C-Y., Chuang, I-C., Ma, H-I., Lin, K-C.*, & Chen, C-L.

期刊名稱

American Journal of Occupational Therapy

發表日期

2016

著作性質

原著

語文

英文

關鍵字

sensation; stroke

摘要

Objectives  To establish the concurrent validity, predictive validity, and responsiveness of the revised Nottingham Sensation Assessment (rNSA) during rehabilitation in individuals with stroke.

Method  The study recruited 147 patients with stroke. The main measure was the rNSA, and outcome measures were the Fugl-Meier Assessment (FMA) sensory subscale (FMA-S) and motor 31 subscale (FMA-M), and the Nottingham Extended Activities of Daily Living (NEADL).

Results  Correlation coefficients were good to excellent between the rNSA and the FMA-S. The rNSA proprioception measure was a strong predictor for the FMA-S. The rNSA stereognosis and tactile-pinprick measures for the proximal upper limb were predictors for FMA-M and NEADL, respectively. Responsiveness was moderate to large for three subscales of the rNSA (standardized response mean = 0.51–0.83).

Conclusion  The results of our study might support the concurrent validity, predictive validity, and responsiveness of the rNSA for individuals with stroke. We recommended the use of all of the rNSA sensory modalities to represent concurrent somatosensory function, motor performance, and participation in activities of daily living. In contrast, the specific sensory modality of the rNSA could predict functional and participation conditions. That is, after an intervention, proprioception could possibly predict somatosensory functions, and stereognosis and tactile-pinprick for proximal upper limb could possibly predict motor performance and daily activities, respectively. The tactile sensation subscale of the rNSA was more responsive in detecting a change after an intervention for stroke rehabilitation than the proprioception and stereognosis subscales.