Reliability of the Spinal Cord Assessment Tool for Spastic Reflexes
Abstract Objective To assess the reliability of the Spinal Cord Assessment Tool for Spastic Reflexes (SCATS). Design Observational reliability study of the SCATS. Setting Inpatient rehabilitation unit at an education and research hospital. Participants Subjects (N=47) between the ages of 18 and 88 y...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2017-06, Vol.98 (6), p.1113-1118 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Akpinar, Pinar, MD Atici, Arzu, MD Ozkan, Feyza U., MD Aktas, Ilknur, MD Kulcu, Duygu G., MD Kurt, Kubra Neslihan, MD |
| description | Abstract Objective To assess the reliability of the Spinal Cord Assessment Tool for Spastic Reflexes (SCATS). Design Observational reliability study of the SCATS. Setting Inpatient rehabilitation unit at an education and research hospital. Participants Subjects (N=47) between the ages of 18 and 88 years with spinal cord injury (SCI) and with American Spinal Injury Association Impairment Scale grades from A to D with spasticity, who were at least 6 months postinjury. Interventions Not applicable. Main Outcome Measures Interrater and test-retest reliability of the SCATS. Results The SCATS had substantial to almost perfect interrater agreement (κ=.669–1.000) between the 2 physiatrists. Test-retest agreement of the SCATS was also substantial to almost perfect (κ=.614–1.000) as well. There was a significant correlation between the SCATS clonus scores and the Modified Ashworth scores of the hip, knee, and ankle. No correlation was found between SCATS extensor spasm scores and Modified Ashworth scores. The SCATS flexor spasm scores were only correlated significantly with the ankle plantar flexor Modified Ashworth scores ( P |
| doi_str_mv | 10.1016/j.apmr.2016.09.119 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835445749</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0003999316311443</els_id><sourcerecordid>1835445749</sourcerecordid><originalsourceid>FETCH-LOGICAL-c444t-480eeb5dcc8e3c9966bfb5e60fb4d107038998ff8192b858f99c02fbb3d482bd3</originalsourceid><addsrcrecordid>eNqFkV9rFDEUxYModlv9Aj7IPPoy0_yb2QSKUBa1QkFoK_gWJpkbzDYzWXNnxf32ZtjWhz7Up5tLzjlwf4eQd4w2jLLufNv0uzE3vLwbqhvG9AuyYq3gteLsx0uyopSKWmstTsgp4rasXSvYa3LC12spKe9WZHMDMfQ2xDAfquSr-SdUt7sw9bHapDxUl4iAOMI0V3cpxcqnXP57nIOrbsBH-AP4hrzyfUR4-zDPyPfPn-42V_X1ty9fN5fXtZNSzrVUFMC2g3MKhNO666y3LXTUWzkwuqZCaa28V0xzq1rltXaUe2vFIBW3gzgjH465u5x-7QFnMwZ0EGM_Qdqj4bRYJWOt_q-UKdFK2a7lIuVHqcsJMYM3uxzGPh8Mo2bhbLZm4WwWzoZqUzgX0_uH_L0dYfhneQRbBBdHARQgvwNkgy7A5GAIGdxshhSez__4xO5imILr4z0cALdpn0tF5Q6D3FBzuzS9FM06wZiUQvwFugminQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835445749</pqid></control><display><type>article</type><title>Reliability of the Spinal Cord Assessment Tool for Spastic Reflexes</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Akpinar, Pinar, MD ; Atici, Arzu, MD ; Ozkan, Feyza U., MD ; Aktas, Ilknur, MD ; Kulcu, Duygu G., MD ; Kurt, Kubra Neslihan, MD</creator><creatorcontrib>Akpinar, Pinar, MD ; Atici, Arzu, MD ; Ozkan, Feyza U., MD ; Aktas, Ilknur, MD ; Kulcu, Duygu G., MD ; Kurt, Kubra Neslihan, MD</creatorcontrib><description>Abstract Objective To assess the reliability of the Spinal Cord Assessment Tool for Spastic Reflexes (SCATS). Design Observational reliability study of the SCATS. Setting Inpatient rehabilitation unit at an education and research hospital. Participants Subjects (N=47) between the ages of 18 and 88 years with spinal cord injury (SCI) and with American Spinal Injury Association Impairment Scale grades from A to D with spasticity, who were at least 6 months postinjury. Interventions Not applicable. Main Outcome Measures Interrater and test-retest reliability of the SCATS. Results The SCATS had substantial to almost perfect interrater agreement (κ=.669–1.000) between the 2 physiatrists. Test-retest agreement of the SCATS was also substantial to almost perfect (κ=.614–1.000) as well. There was a significant correlation between the SCATS clonus scores and the Modified Ashworth scores of the hip, knee, and ankle. No correlation was found between SCATS extensor spasm scores and Modified Ashworth scores. The SCATS flexor spasm scores were only correlated significantly with the ankle plantar flexor Modified Ashworth scores ( P <.05). Conclusions The SCATS is a reliable tool for assessing spasm activity and spastic hypertonia in patients with SCI.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2016.09.119</identifier><identifier>PMID: 27744026</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ankle Joint - physiopathology ; Female ; Hip Joint - physiopathology ; Humans ; Knee Joint - physiopathology ; Male ; Middle Aged ; Muscle hypertonia ; Muscle Hypertonia - etiology ; Muscle Hypertonia - rehabilitation ; Muscle spasticity ; Muscle Spasticity - etiology ; Muscle Spasticity - rehabilitation ; Observer Variation ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities - standards ; Rehabilitation ; Rehabilitation Centers ; Reproducibility of Results ; Spasm ; Spinal cord injuries ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - rehabilitation ; Young Adult</subject><ispartof>Archives of physical medicine and rehabilitation, 2017-06, Vol.98 (6), p.1113-1118</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2016 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-480eeb5dcc8e3c9966bfb5e60fb4d107038998ff8192b858f99c02fbb3d482bd3</citedby><cites>FETCH-LOGICAL-c444t-480eeb5dcc8e3c9966bfb5e60fb4d107038998ff8192b858f99c02fbb3d482bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999316311443$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27744026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akpinar, Pinar, MD</creatorcontrib><creatorcontrib>Atici, Arzu, MD</creatorcontrib><creatorcontrib>Ozkan, Feyza U., MD</creatorcontrib><creatorcontrib>Aktas, Ilknur, MD</creatorcontrib><creatorcontrib>Kulcu, Duygu G., MD</creatorcontrib><creatorcontrib>Kurt, Kubra Neslihan, MD</creatorcontrib><title>Reliability of the Spinal Cord Assessment Tool for Spastic Reflexes</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objective To assess the reliability of the Spinal Cord Assessment Tool for Spastic Reflexes (SCATS). Design Observational reliability study of the SCATS. Setting Inpatient rehabilitation unit at an education and research hospital. Participants Subjects (N=47) between the ages of 18 and 88 years with spinal cord injury (SCI) and with American Spinal Injury Association Impairment Scale grades from A to D with spasticity, who were at least 6 months postinjury. Interventions Not applicable. Main Outcome Measures Interrater and test-retest reliability of the SCATS. Results The SCATS had substantial to almost perfect interrater agreement (κ=.669–1.000) between the 2 physiatrists. Test-retest agreement of the SCATS was also substantial to almost perfect (κ=.614–1.000) as well. There was a significant correlation between the SCATS clonus scores and the Modified Ashworth scores of the hip, knee, and ankle. No correlation was found between SCATS extensor spasm scores and Modified Ashworth scores. The SCATS flexor spasm scores were only correlated significantly with the ankle plantar flexor Modified Ashworth scores ( P <.05). Conclusions The SCATS is a reliable tool for assessing spasm activity and spastic hypertonia in patients with SCI.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle Joint - physiopathology</subject><subject>Female</subject><subject>Hip Joint - physiopathology</subject><subject>Humans</subject><subject>Knee Joint - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle hypertonia</subject><subject>Muscle Hypertonia - etiology</subject><subject>Muscle Hypertonia - rehabilitation</subject><subject>Muscle spasticity</subject><subject>Muscle Spasticity - etiology</subject><subject>Muscle Spasticity - rehabilitation</subject><subject>Observer Variation</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities - standards</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Reproducibility of Results</subject><subject>Spasm</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Young Adult</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV9rFDEUxYModlv9Aj7IPPoy0_yb2QSKUBa1QkFoK_gWJpkbzDYzWXNnxf32ZtjWhz7Up5tLzjlwf4eQd4w2jLLufNv0uzE3vLwbqhvG9AuyYq3gteLsx0uyopSKWmstTsgp4rasXSvYa3LC12spKe9WZHMDMfQ2xDAfquSr-SdUt7sw9bHapDxUl4iAOMI0V3cpxcqnXP57nIOrbsBH-AP4hrzyfUR4-zDPyPfPn-42V_X1ty9fN5fXtZNSzrVUFMC2g3MKhNO666y3LXTUWzkwuqZCaa28V0xzq1rltXaUe2vFIBW3gzgjH465u5x-7QFnMwZ0EGM_Qdqj4bRYJWOt_q-UKdFK2a7lIuVHqcsJMYM3uxzGPh8Mo2bhbLZm4WwWzoZqUzgX0_uH_L0dYfhneQRbBBdHARQgvwNkgy7A5GAIGdxshhSez__4xO5imILr4z0cALdpn0tF5Q6D3FBzuzS9FM06wZiUQvwFugminQ</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Akpinar, Pinar, MD</creator><creator>Atici, Arzu, MD</creator><creator>Ozkan, Feyza U., MD</creator><creator>Aktas, Ilknur, MD</creator><creator>Kulcu, Duygu G., MD</creator><creator>Kurt, Kubra Neslihan, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Reliability of the Spinal Cord Assessment Tool for Spastic Reflexes</title><author>Akpinar, Pinar, MD ; Atici, Arzu, MD ; Ozkan, Feyza U., MD ; Aktas, Ilknur, MD ; Kulcu, Duygu G., MD ; Kurt, Kubra Neslihan, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-480eeb5dcc8e3c9966bfb5e60fb4d107038998ff8192b858f99c02fbb3d482bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle Joint - physiopathology</topic><topic>Female</topic><topic>Hip Joint - physiopathology</topic><topic>Humans</topic><topic>Knee Joint - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle hypertonia</topic><topic>Muscle Hypertonia - etiology</topic><topic>Muscle Hypertonia - rehabilitation</topic><topic>Muscle spasticity</topic><topic>Muscle Spasticity - etiology</topic><topic>Muscle Spasticity - rehabilitation</topic><topic>Observer Variation</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities - standards</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>Reproducibility of Results</topic><topic>Spasm</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akpinar, Pinar, MD</creatorcontrib><creatorcontrib>Atici, Arzu, MD</creatorcontrib><creatorcontrib>Ozkan, Feyza U., MD</creatorcontrib><creatorcontrib>Aktas, Ilknur, MD</creatorcontrib><creatorcontrib>Kulcu, Duygu G., MD</creatorcontrib><creatorcontrib>Kurt, Kubra Neslihan, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akpinar, Pinar, MD</au><au>Atici, Arzu, MD</au><au>Ozkan, Feyza U., MD</au><au>Aktas, Ilknur, MD</au><au>Kulcu, Duygu G., MD</au><au>Kurt, Kubra Neslihan, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability of the Spinal Cord Assessment Tool for Spastic Reflexes</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>98</volume><issue>6</issue><spage>1113</spage><epage>1118</epage><pages>1113-1118</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objective To assess the reliability of the Spinal Cord Assessment Tool for Spastic Reflexes (SCATS). Design Observational reliability study of the SCATS. Setting Inpatient rehabilitation unit at an education and research hospital. Participants Subjects (N=47) between the ages of 18 and 88 years with spinal cord injury (SCI) and with American Spinal Injury Association Impairment Scale grades from A to D with spasticity, who were at least 6 months postinjury. Interventions Not applicable. Main Outcome Measures Interrater and test-retest reliability of the SCATS. Results The SCATS had substantial to almost perfect interrater agreement (κ=.669–1.000) between the 2 physiatrists. Test-retest agreement of the SCATS was also substantial to almost perfect (κ=.614–1.000) as well. There was a significant correlation between the SCATS clonus scores and the Modified Ashworth scores of the hip, knee, and ankle. No correlation was found between SCATS extensor spasm scores and Modified Ashworth scores. The SCATS flexor spasm scores were only correlated significantly with the ankle plantar flexor Modified Ashworth scores ( P <.05). Conclusions The SCATS is a reliable tool for assessing spasm activity and spastic hypertonia in patients with SCI.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27744026</pmid><doi>10.1016/j.apmr.2016.09.119</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Ankle Joint - physiopathology Female Hip Joint - physiopathology Humans Knee Joint - physiopathology Male Middle Aged Muscle hypertonia Muscle Hypertonia - etiology Muscle Hypertonia - rehabilitation Muscle spasticity Muscle Spasticity - etiology Muscle Spasticity - rehabilitation Observer Variation Physical Medicine and Rehabilitation Physical Therapy Modalities - standards Rehabilitation Rehabilitation Centers Reproducibility of Results Spasm Spinal cord injuries Spinal Cord Injuries - complications Spinal Cord Injuries - rehabilitation Young Adult |
| title | Reliability of the Spinal Cord Assessment Tool for Spastic Reflexes |
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