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Assessment of Scales of Disability and Handicap for Stroke Patients
Stroke 22:1242-1244, Wolfe,C.D.A.,et al, 1991
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Article Abstract
There was no evidence of a systematic difference between the first and second measurements.Repeatability was assessed using a K statistic with quadratic disagreement weights(Kw)to take account of extreme differences. This measure was very good for both Barthel(Kw=0.98)and Rankin(Kw=0.95) scales.There was also excellent agreement between raters for the Barthel scale(Kw>/=0.88),but some indication of disagreement(Kw=0.75)between raters for the Rankin scale.Analysis of variance confirmed these findings. A conversion from the Barthel to the Rankin scale can be derived by assigning the most common Rankin score for the subjects with a given Barthel score,producing a Kw of 0.91 for agreement.The Barthel scale is a more reliable and less subjective scale for assessing disability,from which a Rankin handicap score can then be derived to enable those managing stroke patients to assess aspects of handicap as well as disability.
Related Tags
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Barthel index
cerebrovascular accident
disability rating scale,neurological
disability,neurological
stroke disability scale
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