Verification of the minimal clinically important difference of the Capabilities of Upper Extremity Test in patients with subacute spinal cord injury.

IF 1.5 4区 医学 Q3 CLINICAL NEUROLOGY
Journal of Spinal Cord Medicine Pub Date : 2025-07-01 Epub Date: 2023-11-06 DOI:10.1080/10790268.2023.2273586
Kazumasa Jimbo, Kazuhiro Miyata, Hiroshi Yuine, Kousuke Takahama, Tomohiro Yoshimura, Honoka Shiba, Taichi Yasumori, Naohisa Kikuchi, Hideki Shiraishi
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引用次数: 0

Abstract

Context: The number of patients with cervical spinal cord injury (CSCI) is increasing, and the Capabilities of Upper Extremity Test (CUE-T) is recommended for introduction in clinical trials. We calculated the minimal clinically important difference (MCID) of the CUE-T using an adjustment model with an interval of 1 month.

Design: This was a prospective study.

Setting: This study was conducted with participants from the Chiba Rehabilitation Center in Japan.

Participants: The participants were patients with subacute CSCI.

Interventions: The CUE-T and spinal cord independence measure (SCIM) III were performed twice within an interval of 1 month.

Outcome measures: The MCID was calculated using an adjustment model based on logistic regression analysis. The participants were classified into an improvement group and a non-improvement group based on the amount of change in the two evaluations using the 10-point SCIM III MCID as an anchor.

Results: There were 52 participants (56.8 ± 13.5 years old, 45 men/7 women) with complete or incomplete CSCI: 18 in the improvement group and 34 in the non-improvement group. A significant regression equation was obtained when calculating the MCID, and the total, hand, and side scores were 7.7, 2.0, and 3.7 points, respectively.

Conclusion: The calculated MCID of the CUE-T in this study was 7.7 points. The results of this study provide useful criteria for implementation in clinical trials. Future studies should use patient-reported outcomes, a more recommended anchor, and calculate the MCID using methods such as the patient's condition.

亚急性脊髓损伤患者上肢能力测试的最小临床重要差异的验证。
背景:颈脊髓损伤(CSCI)患者的数量正在增加,建议在临床试验中引入上肢能力测试(CUE-T)。我们使用间隔1个月的调整模型计算了CUE-T的最小临床重要差异(MCID)。设计:这是一项前瞻性研究。背景:本研究由日本千叶康复中心的参与者进行。参与者:参与者为亚急性CSCI患者。干预措施:在1个月内进行两次CUE-T和脊髓独立性测量(SCIM)III。结果测量:MCID使用基于逻辑回归分析的调整模型进行计算。基于使用10分SCIM III MCID作为锚的两次评估中的变化量,将参与者分为改善组和非改善组。结果:共有52名参与者(56.8 ± 13.5岁,45男/7女):改善组18例,非改善组34例。在计算MCID时获得了显著的回归方程,总分、手部和侧部得分分别为7.7分、2.0分和3.7分。结论:本研究计算的CUE-T的MCID为7.7分。这项研究的结果为临床试验的实施提供了有用的标准。未来的研究应使用患者报告的结果,更推荐的锚,并使用患者状况等方法计算MCID。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Spinal Cord Medicine
Journal of Spinal Cord Medicine 医学-临床神经学
CiteScore
4.20
自引率
5.90%
发文量
101
审稿时长
6-12 weeks
期刊介绍: For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.
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