PMID- 32238864
OWN - NLM
STAT- MEDLINE
DCOM- 20210628
LR  - 20221207
IS  - 1476-5624 (Electronic)
IS  - 1362-4393 (Linking)
VI  - 58
IP  - 9
DP  - 2020 Sep
TI  - Responsiveness of the Motor Capacities Scale to upper limb reconstructive surgery 
      in persons with tetraplegia due to cervical spinal cord injury.
PG  - 1004-1014
LID - 10.1038/s41393-020-0456-0 [doi]
AB  - STUDY DESIGN: Psychometric Study. OBJECTIVES: To assess responsiveness of the 
      Motor Capacities Scale (MCS) in people with tetraplegia who have undergone upper 
      limb reconstructive surgery. SETTINGS: Rehabilitation clinics in France. METHODS: 
      The MCS is an arm/hand function test with 31 basic tasks, subdivided into four 
      sub-categories (MCS A, MCS B, MCS C, and MCS D). Data were recorded 
      preoperatively and following full completion of the surgical program. The 
      Functional Independence Measure (FIM) and a ten-point numeric scale related to 
      patients' satisfaction with the overall surgical result were included. Data were 
      analyzed using responsiveness measures-the effect size (ES), the standardized 
      response mean (SRM), and the minimal clinically important difference (MCID). 
      RESULTS: Twenty-seven participants were included. Fourteen patients underwent 
      unilateral surgery and 13 bilateral surgery. ES and SRM were moderate or good 
      (ES/SRM of MCS B = 0.76/0.81, ES/SRM MCS C = 0.68/0.77, and ES/SRM MCS 
      D = 0.77/0.88). For MCS A and FIM, both SRM and ES showed a small degree of 
      responsiveness. For the MCS total score, the ES value indicated a moderate degree 
      of responsiveness while SRM was excellent. Total MCS score, MCS C subscore and 
      MCS D subscore showed significantly higher ES values in the "bilateral surgery" 
      group than in the "unilateral group". The estimation of MCIDs showed low 
      threshold values of MCS scores changes (total score and subscores) beyond which 
      the satisfaction rate is >6. CONCLUSIONS: This study provides evidence of 
      acceptable responsiveness of the MCS to changes using the SRM following upper 
      limb reconstruction in patients with tetraplegia.
FAU - Fattal, Charles
AU  - Fattal C
AD  - Department of PMR La Chataigneraie, Menucourt, France. 
      cfattal@lachataigneraie.fr.
FAU - Enjalbert, Michel
AU  - Enjalbert M
AD  - Department of PMR Centre Bouffard-Vercelli, Perpignan, France.
FAU - Teissier, Jacques
AU  - Teissier J
AD  - Surgical Clinic Beausoleil, Montpellier, France.
FAU - Coulet, Bertrand
AU  - Coulet B
AD  - Hand and Upper Limb Surgery Department, CHRU Lapeyronie, Montpellier, France.
FAU - Fachin-Martins, Emerson
AU  - Fachin-Martins E
AD  - NTAAI - Nucleo de Tecnologia Assistiva, Acessibilidade e Inovacao, Faculdade de 
      Ceilandia, Universidade de Brasilia, Brasilia, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20200401
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Adult
MH  - Cervical Cord/*injuries
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care/*standards
MH  - *Patient Satisfaction
MH  - Psychometrics/instrumentation/*standards
MH  - Quadriplegia/etiology/*surgery
MH  - Plastic Surgery Procedures
MH  - *Severity of Illness Index
MH  - Spinal Cord Injuries/*complications
MH  - Upper Extremity/*surgery
EDAT- 2020/04/03 06:00
MHDA- 2021/06/29 06:00
CRDT- 2020/04/03 06:00
PHST- 2019/10/25 00:00 [received]
PHST- 2020/03/17 00:00 [accepted]
PHST- 2020/03/16 00:00 [revised]
PHST- 2020/04/03 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2020/04/03 06:00 [entrez]
AID - 10.1038/s41393-020-0456-0 [pii]
AID - 10.1038/s41393-020-0456-0 [doi]
PST - ppublish
SO  - Spinal Cord. 2020 Sep;58(9):1004-1014. doi: 10.1038/s41393-020-0456-0. Epub 2020 
      Apr 1.