The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
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Volume 30, Issue 5
Displaying 1-5 of 5 articles from this issue
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1993 Volume 30 Issue 5 Pages 293-294
    Published: May 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.293
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1993 Volume 30 Issue 5 Pages 295-309
    Published: May 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.295
    JOURNAL FREE ACCESS
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  • Stroke Impairment Assessment Set (SIAS)
    (2) Reliability and Validity of Motor Function Assessment Items of SIAS
    Kazuhisa DOMEN, Eiichi SAITOH, Shigeru SONODA, Naoichi CHINO, Akio KIM ...
    1993 Volume 30 Issue 5 Pages 310-314
    Published: May 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.310
    JOURNAL FREE ACCESS
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    The purpose of this study was to evaluate the validity and reliability of motor function assessment items of Stroke Impairment Assessment Set (SIAS).
    We examined the inter-rater reliability of the SIAS motor assessment items by comparing the independent scoring of 20 stroke patients by 2 physicians. The kappa statistics ranged from 0.83 to 0.95, and Spearman's correlation coefficients ranged from 0.84 to 0.93. Inter-rater reliability of Brunnstrom stage and Motricity Index were comparable to SIAS. These results demonstrated the reliability of SIAS motor assessment tests as a method of evaluating motor function of the hemiplegic limbs.
    To study the concurrent validity of the SIAS motor assessment test, we correlated each item with other motor assessment scales; Motricity Index and Brunnstrom stage. Every SIAS motor item was highly correlated with the other two motor assessment scales. Spearman's correlation coefficients ranged from 0.76 to 0.95 (N=65). These results indicated that the validity of the SIAS motor assessment test was satisfactory. Since patients in the same Brunnstrom stage were devided into 3-4 different levels by SIAS, SIAS motor assessment test would be more sensitive than Brunnstrom stage to detect the recovery of motor function. To confirm this, we need further longitudinal study.
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  • Stroke Impairment Assessment Set (SIAS)
    (3) Observation of Motor Recovery
    Kazuhisa DOMEN, Eiichi SAITOH, Shigeru SONODA, Naoichi CHINO, Akio KIM ...
    1993 Volume 30 Issue 5 Pages 315-318
    Published: May 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.315
    JOURNAL FREE ACCESS
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    To study the sensitivity of existing motor assessment scales in detecting the improvement of motor function in the hemiplegics, we examined 24 stroke patients at 2-4 weeks, 4-8 weeks and 8-42 weeks after onset with motor assessment items of Stroke Impairment Assessment Set (SIAS-M), Motricity Index (MI) and Brunnstrome stage (BS). Many patients who seemed to have plateaued according to BS actually improved in their motor function when evaluated with SIAS-M or MI. Seventeen of the 24 patients improved in ambulation when assessed with Functional Independence Measure (FIM) score. Among these 17 patients, 11 (64.7%) showed no change in BS, while only 5 (29.4%) remained unchanged in SIAS-M. These results indicated that motor function actually recovered with improvement of walking ability, and SIAS-M was sensitive enough to detect the change while BS was not. We concluded that SIAS-M is more sensitive than BS in detecting motor recovery.
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  • [title in Japanese]
    1993 Volume 30 Issue 5 Pages 319-346
    Published: May 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.319
    JOURNAL FREE ACCESS
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