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Titolo:
Reliability of a measure of post-stroke shoulder pain in patients with andwithout aphasia and/or unilateral spatial neglect
Autore:
Pomeroy, VM; Frames, C; Faragher, EB; Hesketh, A; Hill, E; Watson, P; Main, CJ;
Indirizzi:
Univ Manchester, Stroke Assoc Therapy Res Unit, Salford, Lancs, England Univ Manchester Salford Lancs England Res Unit, Salford, Lancs, England Univ Manchester, Med Stat Unit, Salford, Lancs, England Univ Manchester Salford Lancs England Stat Unit, Salford, Lancs, England Univ Manchester, Ctr Human Commun & Deafness, Salford, Lancs, England UnivManchester Salford Lancs England Deafness, Salford, Lancs, England Salford Royal Hosp NHS Trust, Dept Behav Med, Salford, Lancs, England Salford Royal Hosp NHS Trust Salford Lancs England lford, Lancs, England
Titolo Testata:
CLINICAL REHABILITATION
fascicolo: 6, volume: 14, anno: 2000,
pagine: 584 - 591
SICI:
0269-2155(200012)14:6<584:ROAMOP>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBLUXATION; SCALE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Pomeroy, VM Hope Hosp, Stroke Assoc Therapy Res Unit, Clin Sci Bldg,EcclesOld Rd, Salford M6 8HD, Lancs, England Hope Hosp Clin Sci Bldg,Eccles Old Rd Salford Lancs England M6 8HD
Citazione:
V.M. Pomeroy et al., "Reliability of a measure of post-stroke shoulder pain in patients with andwithout aphasia and/or unilateral spatial neglect", CLIN REHAB, 14(6), 2000, pp. 584-591

Abstract

Objective: To determine the inter/intra-rater reliability of expert physiotherapists (PTs) measuring post-stroke shoulder pain with 100 mm vertical visual analogue scales (VAS; intensity, frequency and affective response) and a categorical site-of-pain scale. Design: Three PTs independently rated subjects (normal clinical procedure but with a standardized starting position) on three days, at the same time of day, during one week in a randomized order determined by a nested latin square. Reliability for VAS scores was determined with the intraclass correlation coefficient (ICC) and for site-of-pain with the kappa statistic (kappa). Acceptable reliability was set at 0.75. The limits of agreement were also calculated. Setting: Community. Subjects: Thirty-three patients, mean time post stroke 42 months (range 7-360). Results: Mean inter-rater reliability was 0.79 for intensity, 0.75 for frequency and 0.62 for affective response (ICC). The limits of agreement were wide and rater bias was significant for 6/27 ratings. Mean intra-rater reliability was 0.70 for intensity, 0.77 for frequency and 0.69 for affective response (ICC). For site-of-pain inter-rater reliability ranged from 0.156 (kappa) to 0.385 (kappa) and intrarater reliability ranged from 0.300 (kappa) to 0.559 (kappa). Conclusions: Although inter-rater reliability was acceptable for intensityand frequency there was a consistently large systematic bias between pairsof raters. Agreement might be improved if a standardized assessment procedure was used and/or if training in pain behaviour interpretation was provided.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 09:46:04