PMID- 34252018 OWN - NLM STAT- MEDLINE DCOM- 20220923 LR - 20221018 IS - 1945-5119 (Electronic) IS - 1074-9357 (Linking) VI - 29 IP - 7 DP - 2022 Oct TI - Scale for contraversive pushing in stroke patients: pusher behavior vs Thalamic astasia differential diagnosis and psychometric properties. PG - 490-498 LID - 10.1080/10749357.2021.1950986 [doi] AB - BACKGROUND: : Few studies have investigated the psychometric properties of the Scale for Contraversive Pushing (SCP) in depth, and none have evaluated its ability to establish differential diagnosis between pusher behavior (PB) and thalamic astasia (TA). OBJECTIVES: : To study the ability of the SCP to establish differential diagnosis, its reliability, content, construct, and internal validity in the assessment of subacute stroke patients. METHODS: : 120 individuals were evaluated using the SCP over a four-week period of treatment. Intra- and inter-observer reliability, floor and ceiling effects, minimum detectable change (MDC), internal validity and sensitivity to change were explored. In addition, the Barthel Index and the Trunk Control Test were used to study their correlations with the SCP. RESULTS: : Discriminant validity provides evidence that the correlation between SCP items was large or moderate. Convergent validity demonstrated that the correlation of each item with the total score of the scale was high (at around 0.8). Sensitivity to change was large (W = 0.274). Intra- and inter-observer reliability were excellent (Intraclass Correlation Coefficient > 0.9; k > 0.8), except for items B standing and C sitting (k > 0.7). The MDC was 1.39, and ceiling (8.333%) and floor (15.833%) effects were adequate. Cronbach's alpha (alpha) was equal to 0.901 (0.874-0.924) and McDonald's Omega (omega) was equal to 0.883 (0.856-0.973), showing excellent internal consistency. CONCLUSIONS: : The SCP is a reliable and valid tool which can successfully establish differential diagnosis between PB and TA and evaluate the changes generated by physiotherapy treatment. FAU - Cuenca Zaldivar, Juan Nicolas AU - Cuenca Zaldivar JN AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. AD - School of Health Sciences, Francisco De Vitoria University, Pozuelo de Alarcon, Madrid,Spain. FAU - Caballero Nahum, Maria AU - Caballero Nahum M AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. FAU - Alcala-Zamora Marco, Isabel AU - Alcala-Zamora Marco I AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. FAU - Conde Rodriguez, Rocio AU - Conde Rodriguez R AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. FAU - Diaz Lopez, Marta AU - Diaz Lopez M AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. FAU - Manzano Carvajal, Alexandra AU - Manzano Carvajal A AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. FAU - Olmedo Carrillejo, Ana Maria AU - Olmedo Carrillejo AM AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. FAU - Monge Pereira, Esther AU - Monge Pereira E AD - Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Madrid, Spain. FAU - Monroy Acevedo, Alvaro AU - Monroy Acevedo A AD - Department of Rehabilitation, Guadarrama Hospital, Guadarrama, Madrid, Spain. LA - eng PT - Journal Article DEP - 20210712 PL - England TA - Top Stroke Rehabil JT - Topics in stroke rehabilitation JID - 9439750 SB - IM MH - Diagnosis, Differential MH - Humans MH - *Movement Disorders/diagnosis MH - Psychometrics MH - Reproducibility of Results MH - *Stroke/complications/diagnosis/therapy MH - *Stroke Rehabilitation MH - Surveys and Questionnaires OTO - NOTNLM OT - Pusher behavior OT - Thalamic astasia OT - assessment tools OT - physical therapy OT - reliability OT - validity EDAT- 2021/07/13 06:00 MHDA- 2022/09/24 06:00 CRDT- 2021/07/12 17:21 PHST- 2021/07/13 06:00 [pubmed] PHST- 2022/09/24 06:00 [medline] PHST- 2021/07/12 17:21 [entrez] AID - 10.1080/10749357.2021.1950986 [doi] PST - ppublish SO - Top Stroke Rehabil. 2022 Oct;29(7):490-498. doi: 10.1080/10749357.2021.1950986. Epub 2021 Jul 12.