PMID- 35652348
OWN - NLM
STAT- MEDLINE
DCOM- 20221214
LR  - 20230105
IS  - 1557-9042 (Electronic)
IS  - 0897-7151 (Linking)
VI  - 39
IP  - 23-24
DP  - 2022 Dec
TI  - Minimal Clinically Important Difference of Graded Redefined Assessment of 
      Strength, Sensibility, and Prehension Version 1 in Acute Cervical Traumatic 
      Spinal Cord Injury.
PG  - 1645-1653
LID - 10.1089/neu.2021.0500 [doi]
AB  - The Graded Redefined Assessment of Strength, Sensibility, and Prehension Version 
      1 (GRASSP v1) is a validated measure of upper extremity impairment shown to be 
      sensitive and responsive for traumatic cervical spinal cord injury (SCI) in both 
      North American (NA) and European (EU) cohorts. The minimal clinically important 
      difference (MCID) is the quantitative change in an assessment scale that patients 
      perceive as being beneficial. Our aim was to establish the MCID of all subtests 
      of the GRASSP v1 for cervical SCI. We prospectively analyzed 127 patients from NA 
      and EU for up to six months after motor complete and incomplete cervical SCI 
      using the GRASSP v1, Spinal Cord Independence Measure, and International 
      Standards of Neurological Classification of Spinal Cord Injury. We used a patient 
      global rating of change and the anchor-based method to calculate MCID of GRASSP 
      v1 at six months post-injury. The MCID was established for the whole group, 
      dividing the sample by "better" and "much better." Improvement in GRASSP v1 
      Strength and Prehension Performance scores of 13 and 3 are the MCID for the 
      better category, and 19 and 7 are the MCID for the much better category, 
      respectively. The MCID was also established for the motor complete and incomplete 
      groups. Improvement in GRASSP v1 Strength and Prehension Performance scores of 12 
      and 6 are the MCID for the motor complete group, and 17 and 12 are the MCID for 
      the motor incomplete group, respectively. The GRASSP v1 Strength subscore is the 
      most sensitive for detecting meaningful clinical change in patients and is most 
      closely related to measures of independence. Thus, use of GRASSP v1 Strength and 
      Prehension Performance as measures of change is substantiated by this study.
FAU - Kalsi-Ryan, Sukhvinder
AU  - Kalsi-Ryan S
AD  - Toronto Rehabilitation Institute-UHN, Toronto, Ontario, Canada.
AD  - University of Toronto, Toronto, Ontario, Canada.
AD  - Department of Physical Therapy, Toronto, Ontario, Canada.
AD  - Rehabilitation Sciences Institute, Toronto, Ontario, Canada.
FAU - Balbinot, Gustavo
AU  - Balbinot G
AD  - Toronto Rehabilitation Institute-UHN, Toronto, Ontario, Canada.
FAU - Wang, Justin Zhang
AU  - Wang JZ
AD  - University of Toronto, Toronto, Ontario, Canada.
AD  - Department of Surgery, Toronto, Ontario, Canada.
FAU - Abel, Rainer
AU  - Abel R
AD  - Spinal Cord Injury Centre, Hohe Warte, Bayreuth, Germany.
AD  - European Multicenter Study about Human Spinal Cord Injury, Zurich, Switzerland.
FAU - Bolliger, Marc
AU  - Bolliger M
AD  - Spinal Cord Injury Centre, University Hospital Balgrist, Zurich, Switzerland.
FAU - Curt, Armin
AU  - Curt A
AD  - Spinal Cord Injury Centre, University Hospital Balgrist, Zurich, Switzerland.
FAU - Fehlings, Michael G
AU  - Fehlings MG
AD  - University of Toronto, Toronto, Ontario, Canada.
AD  - Department of Surgery, Toronto, Ontario, Canada.
AD  - Krembil Neuroscience Centre, Toronto, Ontario, Canada.
FAU - Jin, Daniel
AU  - Jin D
AD  - Toronto Rehabilitation Institute-UHN, Toronto, Ontario, Canada.
AD  - University of Waterloo, Waterloo, Ontario, Canada.
FAU - Verrier, Mary
AU  - Verrier M
AD  - Toronto Rehabilitation Institute-UHN, Toronto, Ontario, Canada.
AD  - University of Toronto, Toronto, Ontario, Canada.
AD  - Department of Physical Therapy, Toronto, Ontario, Canada.
AD  - Rehabilitation Sciences Institute, Toronto, Ontario, Canada.
FAU - Velstra, Inge-Marie
AU  - Velstra IM
AD  - European Multicenter Study about Human Spinal Cord Injury, Zurich, Switzerland.
AD  - Swiss Paraplegic Centre, Knotwil, Switzerland.
LA  - eng
GR  - CIHR/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220714
PL  - United States
TA  - J Neurotrauma
JT  - Journal of neurotrauma
JID - 8811626
SB  - IM
MH  - Humans
MH  - Disability Evaluation
MH  - *Spinal Cord Injuries/diagnosis/rehabilitation
MH  - Upper Extremity
MH  - *Neck Injuries
MH  - *Cervical Cord
OTO - NOTNLM
OT  - graded and redefined assessment of strength, sensibility, and prehension
OT  - minimal clinically important difference
OT  - minimal detectable difference
OT  - spinal cord injuries
EDAT- 2022/06/03 06:00
MHDA- 2022/12/15 06:00
CRDT- 2022/06/02 05:03
PHST- 2022/06/03 06:00 [pubmed]
PHST- 2022/12/15 06:00 [medline]
PHST- 2022/06/02 05:03 [entrez]
AID - 10.1089/neu.2021.0500 [doi]
PST - ppublish
SO  - J Neurotrauma. 2022 Dec;39(23-24):1645-1653. doi: 10.1089/neu.2021.0500. Epub 
      2022 Jul 14.