Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study
Introduction: Shoulder difficulties are the most prevalent secondary musculoskeletal dysfunction after stroke, accounting for 34-85% of patients. To resolve these issues, a comprehensive evaluation is necessary. Currently, there is no evaluation instrument that includes all shoulder problems. Aim:...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2023-02-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/17415/60182_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA(SS)_PB(AG_SS)_PN(SS).pdf |
| _version_ | 1811173158466617344 |
|---|---|
| author | Subhasish Chatterjee Kamran Ali |
| author_facet | Subhasish Chatterjee Kamran Ali |
| author_sort | Subhasish Chatterjee |
| collection | DOAJ |
| description | Introduction: Shoulder difficulties are the most prevalent secondary musculoskeletal dysfunction after stroke, accounting for 34-85% of patients. To resolve these issues, a comprehensive evaluation is necessary. Currently, there is no evaluation instrument that includes all shoulder problems.
Aim: To develop and evaluate the content validity of stroke-specific shoulder disability index unique to stroke patients.
Materials and Methods: The present study was a cross-sectional content validation study, conducted in a tertiary care hospital from August 2020 to March 2021. Domains included in the scale were muscle tone, pain, subluxation, synergy pattern, active (within synergy, mixed synergy, away from synergy), and passive range of motion, sensation, and Activity of Daily Livings (ADLs) by an exhaustive literature search and direct patient interview. Prior to the construction of the scale, two physiotherapists with relevant field experience were interviewed to identify domains and items. Then, 10 stroke patients were interviewed to generate new items depending on the challenges they experienced. The scale was subsequently sent to a panel of eight experts for content evaluation.
Results: Initial production yielded 49 items over 10 domains. On the advice of the reviewers, one item was added to the pain domain after the original Delphi survey round. The first-round I-Content Validity Index (CVI)/Average (Ave) score was 0.97, which was a good content validity score; nevertheless, the second round of the Delphi survey was conducted since reviewers suggested modifying the scoring criteria for some domains. Following any required revisions, the scale was resubmitted to a panel of eight experts for final approval. In the second round, the proposed stroke-specific shoulder disability index achieved an I-CVI/Ave score of 0.98, therefore no extra survey was required.
Conclusion: Stroke-specific shoulder disability index was developed and earned a strong validation score. Therefore, the items collected under various domains may be utilised to develop a shoulder impairment index unique to stroke patients. |
| first_indexed | 2024-04-10T17:43:10Z |
| format | Article |
| id | doaj.art-5bec5061bc1a43c5b4463c2650b5a06a |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T17:43:10Z |
| publishDate | 2023-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-5bec5061bc1a43c5b4463c2650b5a06a2023-02-03T07:20:24ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-02-01172YC04YC0910.7860/JCDR/2023/60182.17415Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional StudySubhasish Chatterjee0Kamran Ali1PhD Scholar, Department of Physiotherapy, MMIPR, MMDU, Mullana, Ambala, Haryana, India.Assistant Professor, Department of Physiotherapy, MMIPR, MMDU, Mullana, Ambala, Haryana, India.Introduction: Shoulder difficulties are the most prevalent secondary musculoskeletal dysfunction after stroke, accounting for 34-85% of patients. To resolve these issues, a comprehensive evaluation is necessary. Currently, there is no evaluation instrument that includes all shoulder problems. Aim: To develop and evaluate the content validity of stroke-specific shoulder disability index unique to stroke patients. Materials and Methods: The present study was a cross-sectional content validation study, conducted in a tertiary care hospital from August 2020 to March 2021. Domains included in the scale were muscle tone, pain, subluxation, synergy pattern, active (within synergy, mixed synergy, away from synergy), and passive range of motion, sensation, and Activity of Daily Livings (ADLs) by an exhaustive literature search and direct patient interview. Prior to the construction of the scale, two physiotherapists with relevant field experience were interviewed to identify domains and items. Then, 10 stroke patients were interviewed to generate new items depending on the challenges they experienced. The scale was subsequently sent to a panel of eight experts for content evaluation. Results: Initial production yielded 49 items over 10 domains. On the advice of the reviewers, one item was added to the pain domain after the original Delphi survey round. The first-round I-Content Validity Index (CVI)/Average (Ave) score was 0.97, which was a good content validity score; nevertheless, the second round of the Delphi survey was conducted since reviewers suggested modifying the scoring criteria for some domains. Following any required revisions, the scale was resubmitted to a panel of eight experts for final approval. In the second round, the proposed stroke-specific shoulder disability index achieved an I-CVI/Ave score of 0.98, therefore no extra survey was required. Conclusion: Stroke-specific shoulder disability index was developed and earned a strong validation score. Therefore, the items collected under various domains may be utilised to develop a shoulder impairment index unique to stroke patients.https://jcdr.net/articles/PDF/17415/60182_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA(SS)_PB(AG_SS)_PN(SS).pdfcontent validitydelphi surveydomainitem generationshoulder assessment |
| spellingShingle | Subhasish Chatterjee Kamran Ali Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study Journal of Clinical and Diagnostic Research content validity delphi survey domain item generation shoulder assessment |
| title | Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study |
| title_full | Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study |
| title_fullStr | Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study |
| title_full_unstemmed | Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study |
| title_short | Development and Validation of Stroke-specific Shoulder Disability Index: A Cross-sectional Study |
| title_sort | development and validation of stroke specific shoulder disability index a cross sectional study |
| topic | content validity delphi survey domain item generation shoulder assessment |
| url | https://jcdr.net/articles/PDF/17415/60182_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA(SS)_PB(AG_SS)_PN(SS).pdf |
| work_keys_str_mv | AT subhasishchatterjee developmentandvalidationofstrokespecificshoulderdisabilityindexacrosssectionalstudy AT kamranali developmentandvalidationofstrokespecificshoulderdisabilityindexacrosssectionalstudy |