Reliability and Validity of the Four-Point Pusher Score: An Assessment Tool for Measuring Lateropulsion and Pusher Behaviour in Adults after Stroke

Physiotherapy Canada. Physiothérapie Canada
Emmanuelle ChowKylie Hill

Abstract

Purpose: The authors determined the reliability and validity of the Four-Point Pusher Score (4PPS) among stroke survivors. Method: Stroke survivors were invited to participate within 48 hours of admission to a stroke rehabilitation unit in a tertiary hospital. Intrarater reliability was determined by examining scores assigned to the same patient by the same physiotherapist. Interrater reliability was determined by examining scores assigned to the same patient by two other physiotherapists. Validity was determined by examining associations with the Burke Lateropulsion Scale (BLS), Scale for Contraversive Pushing (SCP), and functional scales. Results: A total of 85 participants who were a median of 13 (interquartile range 9-21) days post-stroke completed this study. The weighted κ statistic for 4PPS intra- and interrater reliability was 0.97 (p < 0.001). Scores on the 4PPS were very strongly associated with scores on the BLS (rs = 0.95) and the SCP (rs = 0.86). Strong associations were evident between the 4PPS and the Berg Balance Scale (rs = -0.77), Chedoke-McMaster Stroke Assessment postural control scale (rs = -0.76), and FIM Motor sub-scale (rs = -0.64; all ps < 0.001). Conclusion: The 4PPS is a reliable and valid scal...Continue Reading

References

Jan 1, 1993·Stroke; a Journal of Cerebral Circulation·C GowlandN Plews
May 1, 1993·Archives of Physical Medicine and Rehabilitation·T A DoddsR A Deyo
May 1, 1996·Archives of Physical Medicine and Rehabilitation·R W Bohannon
Aug 26, 1998·Archives of Physical Medicine and Rehabilitation·K J KauranenH V Vanharanta
Feb 7, 2004·Clinical Rehabilitation·Michael A D'AquilaMichael Reding
Nov 6, 2004·Stroke; a Journal of Cerebral Circulation·Cynthia J DanellsWilliam E McIlroy
Mar 23, 2005·Neurology·Hans-Otto KarnathWilhelm Küker
Nov 4, 2006·Neurorehabilitation and Neural Repair·Marco BacciniLucio A Rinaldi
Feb 23, 2008·Physical Therapy·Lisa Blum, Nicol Korner-Bitensky
Mar 13, 2008·Neurorehabilitation and Neural Repair·Suzanne R BabyarMichael Reding
Jul 9, 2008·Disability and Rehabilitation·Matteo PaciLucio A Rinaldi
Jan 30, 2010·Best Practice & Research. Clinical Anaesthesiology·Andrew Padkin
Dec 28, 2011·Archives of Physical Medicine and Rehabilitation·Ellen ClarkT David Punt
Jul 31, 2013·Topics in Stroke Rehabilitation·Carmen KrewerEberhard Koenig
Oct 22, 2013·JAMA : the Journal of the American Medical Association·UNKNOWN World Medical Association
Sep 12, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Suzanne R BabyarMichael Reding
Jun 20, 2017·Journal of Neurologic Physical Therapy : JNPT·Ryan KoterJeffrey Hoder

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Citations

Mar 3, 2021·Topics in Stroke Rehabilitation·Jessica NolanBarbara Singer
Sep 26, 2020·Topics in Stroke Rehabilitation·Melissa BirnbaumKeith D Hill
May 27, 2021·Disability and Rehabilitation·Jessica NolanBarbara Singer
Aug 31, 2021·Physiotherapy Canada. Physiothérapie Canada·Joanna JenkinKylie Hill

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