Reliability and validity of a wheelchair collision test for screening behavioral assessment of unilateral neglect after stroke

Wang Qiang, Shigeru Sonoda, Miho Suzuki, Sayaka Okamoto, Eiichi Saito

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To examine the reliability and validity of a new wheelchair collision test (WCT) for screening behavioral unilateral neglect in people with stroke. Design: A total of 19 patients with left hemiplegia resulting from first-ever stroke (mean ± SD, 61.9 ± 25.8 days after onset) were examined with the WCT, whereby the patient was asked to propel a wheelchair to pass four round chairs arranged in two rows. Separate tests were done using two different distances between the chairs: 120 and 140 cm. The number of collisions with the chairs was recorded. The Catherine Bergego Scale was used to evaluate behavioral unilateral neglect. Because unilateral neglect has an unfavorable impact on rehabilitation, the FIM™ instrument was used to determine the function of daily activities. Results: Test-retest reliability ranged from 0.68 to 0.97 in different situations in the WCT. The rate of agreement tested by Kappa statistics between the WCT and Catherine Bergego Scale was higher when the distance between chairs was 120 cm than when the distance was 140 cm (0.68 vs. 0.58). Spearman's rank-correlation coefficient between the WCT and Catherine Bergego Scale was 0.72 (P < 0.001) if the distance between the chairs was 120 cm and 0.75 (P < 0.001) if the distance was 140 cm. The WCT and Catherine Bergego Scale correlated well with the FIM instrument. Spearman's rank-correlation coefficient between the Catherine Bergego Scale and FIM total score was -0.70 (P < 0.001). Conclusion: The WCT is a simple screening test with high test-retest reliability and validity to evaluate behavioral unilateral neglect.

Original languageEnglish
Pages (from-to)161-166
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume84
Issue number3
DOIs
Publication statusPublished - 01-03-2005

Fingerprint

Wheelchairs
Reproducibility of Results
Stroke
Nonparametric Statistics
Hemiplegia
Rehabilitation

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{75d6781c7ba24bd5b77d4683fbd37ec2,
title = "Reliability and validity of a wheelchair collision test for screening behavioral assessment of unilateral neglect after stroke",
abstract = "Objective: To examine the reliability and validity of a new wheelchair collision test (WCT) for screening behavioral unilateral neglect in people with stroke. Design: A total of 19 patients with left hemiplegia resulting from first-ever stroke (mean ± SD, 61.9 ± 25.8 days after onset) were examined with the WCT, whereby the patient was asked to propel a wheelchair to pass four round chairs arranged in two rows. Separate tests were done using two different distances between the chairs: 120 and 140 cm. The number of collisions with the chairs was recorded. The Catherine Bergego Scale was used to evaluate behavioral unilateral neglect. Because unilateral neglect has an unfavorable impact on rehabilitation, the FIM™ instrument was used to determine the function of daily activities. Results: Test-retest reliability ranged from 0.68 to 0.97 in different situations in the WCT. The rate of agreement tested by Kappa statistics between the WCT and Catherine Bergego Scale was higher when the distance between chairs was 120 cm than when the distance was 140 cm (0.68 vs. 0.58). Spearman's rank-correlation coefficient between the WCT and Catherine Bergego Scale was 0.72 (P < 0.001) if the distance between the chairs was 120 cm and 0.75 (P < 0.001) if the distance was 140 cm. The WCT and Catherine Bergego Scale correlated well with the FIM instrument. Spearman's rank-correlation coefficient between the Catherine Bergego Scale and FIM total score was -0.70 (P < 0.001). Conclusion: The WCT is a simple screening test with high test-retest reliability and validity to evaluate behavioral unilateral neglect.",
author = "Wang Qiang and Shigeru Sonoda and Miho Suzuki and Sayaka Okamoto and Eiichi Saito",
year = "2005",
month = "3",
day = "1",
doi = "10.1097/01.PHM.0000154902.79990.12",
language = "English",
volume = "84",
pages = "161--166",
journal = "American Journal of Physical Medicine and Rehabilitation",
issn = "0894-9115",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

Reliability and validity of a wheelchair collision test for screening behavioral assessment of unilateral neglect after stroke. / Qiang, Wang; Sonoda, Shigeru; Suzuki, Miho; Okamoto, Sayaka; Saito, Eiichi.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 84, No. 3, 01.03.2005, p. 161-166.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reliability and validity of a wheelchair collision test for screening behavioral assessment of unilateral neglect after stroke

AU - Qiang, Wang

AU - Sonoda, Shigeru

AU - Suzuki, Miho

AU - Okamoto, Sayaka

AU - Saito, Eiichi

PY - 2005/3/1

Y1 - 2005/3/1

N2 - Objective: To examine the reliability and validity of a new wheelchair collision test (WCT) for screening behavioral unilateral neglect in people with stroke. Design: A total of 19 patients with left hemiplegia resulting from first-ever stroke (mean ± SD, 61.9 ± 25.8 days after onset) were examined with the WCT, whereby the patient was asked to propel a wheelchair to pass four round chairs arranged in two rows. Separate tests were done using two different distances between the chairs: 120 and 140 cm. The number of collisions with the chairs was recorded. The Catherine Bergego Scale was used to evaluate behavioral unilateral neglect. Because unilateral neglect has an unfavorable impact on rehabilitation, the FIM™ instrument was used to determine the function of daily activities. Results: Test-retest reliability ranged from 0.68 to 0.97 in different situations in the WCT. The rate of agreement tested by Kappa statistics between the WCT and Catherine Bergego Scale was higher when the distance between chairs was 120 cm than when the distance was 140 cm (0.68 vs. 0.58). Spearman's rank-correlation coefficient between the WCT and Catherine Bergego Scale was 0.72 (P < 0.001) if the distance between the chairs was 120 cm and 0.75 (P < 0.001) if the distance was 140 cm. The WCT and Catherine Bergego Scale correlated well with the FIM instrument. Spearman's rank-correlation coefficient between the Catherine Bergego Scale and FIM total score was -0.70 (P < 0.001). Conclusion: The WCT is a simple screening test with high test-retest reliability and validity to evaluate behavioral unilateral neglect.

AB - Objective: To examine the reliability and validity of a new wheelchair collision test (WCT) for screening behavioral unilateral neglect in people with stroke. Design: A total of 19 patients with left hemiplegia resulting from first-ever stroke (mean ± SD, 61.9 ± 25.8 days after onset) were examined with the WCT, whereby the patient was asked to propel a wheelchair to pass four round chairs arranged in two rows. Separate tests were done using two different distances between the chairs: 120 and 140 cm. The number of collisions with the chairs was recorded. The Catherine Bergego Scale was used to evaluate behavioral unilateral neglect. Because unilateral neglect has an unfavorable impact on rehabilitation, the FIM™ instrument was used to determine the function of daily activities. Results: Test-retest reliability ranged from 0.68 to 0.97 in different situations in the WCT. The rate of agreement tested by Kappa statistics between the WCT and Catherine Bergego Scale was higher when the distance between chairs was 120 cm than when the distance was 140 cm (0.68 vs. 0.58). Spearman's rank-correlation coefficient between the WCT and Catherine Bergego Scale was 0.72 (P < 0.001) if the distance between the chairs was 120 cm and 0.75 (P < 0.001) if the distance was 140 cm. The WCT and Catherine Bergego Scale correlated well with the FIM instrument. Spearman's rank-correlation coefficient between the Catherine Bergego Scale and FIM total score was -0.70 (P < 0.001). Conclusion: The WCT is a simple screening test with high test-retest reliability and validity to evaluate behavioral unilateral neglect.

UR - http://www.scopus.com/inward/record.url?scp=13844270865&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=13844270865&partnerID=8YFLogxK

U2 - 10.1097/01.PHM.0000154902.79990.12

DO - 10.1097/01.PHM.0000154902.79990.12

M3 - Article

C2 - 15725789

AN - SCOPUS:13844270865

VL - 84

SP - 161

EP - 166

JO - American Journal of Physical Medicine and Rehabilitation

JF - American Journal of Physical Medicine and Rehabilitation

SN - 0894-9115

IS - 3

ER -