Responsiveness of 2 Scales to Evaluate Lateropulsion or Pusher Syndrome Recovery After Stroke
Responsiveness of 2 Scales to Evaluate Lateropulsion or Pusher Syndrome Recovery After Stroke
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DOI：
10.1016/j.apmr.2011.06.017
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发表时间：
2012-01-01
影响因子：
4.3
通讯作者：
Punt, T. David
中科院分区：
文献类型：
--
作者：
Clark, Ellen;Hill, Keith D.;Punt, T. David
克拉克E，希尔KD，庞特TD。2个量表评价卒中后侧移或推送综合征恢复的反应性。Arch Phys Med Rehabil 2012;93：149- 55.目的：分析卒中后侧倾人群对2种结局指标变化的反应性。侧向推进描述了中风后的一种非典型平衡问题，患者主动将自己推向瘫痪侧。次要目的是测量lateropulsion的发病率和评估的网站最常见的参与lateropulsion.Design：脑卒中患者进行筛选lateropulsion入院康复。每2周使用2个量表对表现出侧移的患者进行评估，以测量进展。方差分析和标准化反应平均值（SRM）被用来分析每个scale.Setting的变化：康复和老年units.Participants：前瞻性目的性样本中风患者（N=43），表现出从一个连续的160个入院样本入院侧推。为了进行比较，回顾性收集了43例未显示侧移的卒中患者的数据，按年龄（+/-5岁）和性别进行匹配。干预措施：不适用。主要结果测量：侧移的发生率计算为卒中患者入院的百分比。变化的反应性进行了测量，使用伯克侧推量表（BLS），量化侧推的严重程度，和姿势评估量表中风（PASS），测量姿势abilities.Results：160中风患者，26.9%显示侧推（平均年龄，72岁，51%的男性）。BLS和PASS有高水平的测量反应性（BLS SRM =1.48和2.24; PASS SRM =1.76和1.87）在4周和8 weeon.Conclusions：BLS和PASS是响应量表，以监测康复过程中的进展和恢复。由于超过25%的接受康复治疗的卒中患者可能表现出侧移，这两种量表在监测进展和设计未来的干预研究中可能是有价值的。
Clark E, Hill KD, Punt TD. Responsiveness of 2 scales to evaluate lateropulsion or pusher syndrome recovery after stroke. Arch Phys Med Rehabil 2012;93:149-55.Objectives: To analyze responsiveness to change of 2 outcome measures in the lateropulsion population after stroke. Lateropulsion describes an atypical balance problem after stroke where patients actively push themselves toward their paretic side. Secondary aims were to measure the incidence of lateropulsion and evaluate the site of the brain most commonly involved in lateropulsion.Design: Stroke patients were screened for lateropulsion on admission to rehabilitation. Those demonstrating lateropulsion were assessed every 2 weeks using 2 scales to measure progress. Analysis of variance and the standardized response mean (SRM) were used to analyze change for each scale.Setting: Rehabilitation and geriatric units.Participants: Prospective purposive sample of stroke patients (N=43) demonstrating lateropulsion on admission from a consecutive admission sample of 160. To allow comparison, data from 43 stroke patients who did not display lateropulsion were collected retrospectively, matched on age (+/- 5y) and sex.Interventions: Not applicable.Main Outcome Measures: Incidence of lateropulsion was calculated as a percentage of stroke patients admitted. Responsiveness to change was measured by using the Burke Lateropulsion Scale (BLS), to quantify severity of lateropulsion, and the Postural Assessment Scale for Stroke (PASS), which measures postural abilities.Results: Of 160 stroke patients, 26.9% displayed lateropulsion (mean age, 72y; 51% men). The BLS and PASS had high levels of measurement responsiveness (BLS SRM =1.48 and 2.24; PASS SRM =1.76 and 1.87) at 4 and 8 weeks, respectively.Conclusions: The BLS and PASS are responsive scales to monitor progress and recovery during rehabilitation. As more than 25% of stroke patients admitted to rehabilitation may exhibit lateropulsion, these 2 scales could be valuable in monitoring progress and designing future intervention studies.