Usefulness of the scale for assessment and rating of ataxia (SARA)
Usefulness of the scale for assessment and rating of ataxia (SARA)
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DOI：
10.1016/j.jns.2007.09.021
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发表时间：
2008-03-15
影响因子：
4.4
通讯作者：
Sasaki, Hidenao
中科院分区：
文献类型：
--
作者：
Yabe, Ichiro;Matsushima, Masaaki;Sasaki, Hidenao
在这项研究中，我们研究了共济失调评估和评级量表（SARA）在评估27例脊髓小脑变性患者小脑共济失调中的有用性和有效性。两名神经科医生之间SARA评分的评分者间可靠性较高。SARA评分与Barthel指数和国际共济失调评定量表（ICARS）评分显著相关。ICARS和SARA评分与通过身体稳定性测定法测量的总行走长度（TLT）或身体摇摆的均方根面积（RMS）无关。对每名患者进行SARA检查所需的时间约为4分钟，是ICARS所需时间的三分之一。我们的研究结果表明，SARA是有用的评价小脑共济失调患者在日常检查和身体摇摆分析稳定性的影响因素以外的小脑共济失调，如肌无力，这应该考虑到身体摇摆分析时，用于评估小脑共济失调的严重程度。(C)2007 Elsevier B.V.保留所有权利。
In this study, we examined the usefulness and validity of the Scale for the Assessment and Rating of Ataxia (SARA) in assessing cerebellar ataxia in 27 patients with spinocerebellar degeneration. The inter-rater reliability of the SARA scores between the two neurologists was high. The scores on SARA correlated significantly with the Barthel index and scores on the International Cooperative Ataxia Rating Scale (ICARS). Scores on ICARS and SARA did not correlate with the total length traveled (TLT) or the root mean square area (RMS) of body sways measured by body stabilometry. The time required to examine each patient for SARA was approximately 4 min, one-third the time required for ICARS. Our results indicate that SARA is useful for the evaluation of cerebellar ataxic patients in daily examinations and that body sway analysis by stabilometry is influenced by factors other than cerebellar ataxia, such as muscle weakness, which should be taken into account when body sway analysis is used to evaluate the severity of cerebellar ataxia. (C) 2007 Elsevier B.V. All rights reserved.