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要旨:医学的リハビリテーションでは,患者の視点に立った治療効果を検討することが重要となってきている.本研究は回復期の脳卒中片麻痺患者14名を対象に,上肢機能障害の変化に関する患者の主観的アウトカムであるGlobal Rating of Change Scale(以下,GRC)の信頼性と妥当性を検討することを目的とした.結果,GRCは高い再評価信頼性を示し(κ:0.74),Fugl-Meyer AssessmentやWolf Motor Function Testの得点変化と高い相関(ρ:0.74~0.84),およびMotor Activity Logと関連性を認め,併存的妥当性を有していた.
It is important to examine the patient oriented effectiveness of treatment in rehabilitation medicine. The aim of this study was to investigate the reliability and validity of Global Rating of Change Scale (GRC) on the treatment effectiveness for post-stroke upper extremity dysfunctions. The first and second self-rating scores of the GRC closely paralleled each other (κ:0.74), and were closely related to the Fugl-Meyer Assessment, the Wolf Motor Function Test and the Motor activity log (ρ:0.74-0.84). These results provide preliminary support for test-retest reliability and concurrent validity of GRC for individuals after stroke.
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