脊髓损伤躯干评估量表(TASS)的反应性和最小临床重要差异。

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2025-01-01 Epub Date: 2022-07-01 DOI:10.1080/10790268.2022.2087138
Hiroki Sato, Kazuhiro Miyata, Kenichi Yoshikawa, Shuhei Chiba, Masafumi Mizukami
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引用次数: 0

摘要

目的确认脊髓损伤躯干评估量表(TASS)的反应性和最小临床重要差异(MCID):我们对两家医疗机构收治的 48 名日本脊髓损伤(SCI)患者(年龄为 64.1 ± 10.4 岁,其中 28 人患有四肢瘫痪)进行了入院、住院 1 个月和出院时的 TASS、SCI 患者躯干控制测试(TCT-SCI)运动评分、功能独立性测量运动评分(mFIM)和全球变化量表(GRCS)评估。我们通过确定 TASS 和其他评估得分变化的相关系数来评估 TASS 的反应性。我们通过五种基于锚的方法计算了MCID:一个月时,TASS 和其他评估的变化呈弱相关,出院时呈中度相关。结论:我们的研究结果证实,TASS 和其他评估的变化在 1 个月时呈弱相关,出院时呈中度相关:我们的研究结果证实,TASS评分的变化与参与者上肢和下肢功能以及日常生活活动的变化存在弱到中等程度的相关性。使用基于锚点的方法确定 TASS 的 MCID,可以更好地解释 SCI 患者躯干功能的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Responsiveness and minimal clinically important differences of the Trunk Assessment Scale for Spinal Cord injury (TASS).

Objective: To confirm the responsiveness and minimal clinically important differences (MCIDs) of the Trunk Assessment Scale for Spinal Cord Injury (TASS).

Participants and methods: We evaluated 48 Japanese individuals with spinal cord injury (SCI) (age 64.1 ± 10.4 yrs, 28 with tetraplegia) admitted to two institutions at admission, at 1 month of hospitalization, and at discharge with the TASS, the Trunk Control Test in individuals with an SCI (TCT-SCI) motor score, the Functional Independence Measure motor score (mFIM), and the Global Rating of Change Scale (GRCS). We assessed the TASS responsiveness by determining the correlation coefficients for the changes in the TASS' and other assessments' scores. We calculated the MCIDs by five anchor-based methods.

Results: The changes in the TASS and those in the other assessments were weakly correlated at 1 month and moderately correlated at discharge. The TASS MCIDs were observed at 1 month and at discharge.

Conclusion: Our findings confirmed that the change in TASS scores had weak-to-moderate correlations with the changes in the participants' upper- and lower-limb function and activities of daily living. Using the MCID for the TASS determined by anchor-based methods may lead to a better interpretation of changes in the trunk function of individuals with SCIs.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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