The Rivermead Assessment of Somatosensory Performance (RASP): standardization and reliability data

Winward, Charlotte E; Halligan, Peter W.; Wade, Derick T

doi:10.1191/0269215502cr522oa

Cited by 149 publications

(114 citation statements)

References 15 publications

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“…Sensory impairments affect about 60% of patients who have suffered a cerebrovascular disease (CVD) 1 . According to Sterzi et al 2 , the somatic sensations are affected in 37% of patients with a injury in the right hemisphere and in 25% of patients with a injury in the left hemisphere.…”

Section: Introductionmentioning

confidence: 99%

“…The motor cortex is related to sensory processing during the performance of motor tasks 1 . Two of the main functions of the cutaneous sensations of the hand are to obtain information regarding the environment during exploratory tasks and to provide the feedback for the precision abilities during the tasks of grip and object manipulation 1,6,[8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

“…Two of the main functions of the cutaneous sensations of the hand are to obtain information regarding the environment during exploratory tasks and to provide the feedback for the precision abilities during the tasks of grip and object manipulation 1,6,[8][9][10] . Sensory impairments in the lower limb can cause losses in gait, since it leads to a reduction of the swing phase, gait velocity and step symmetry 11 .…”

Section: Introductionmentioning

confidence: 99%

“…Sensory assessments in hemiparetic have been performed through somato-sensory evoked potentials 14 or functional scales. Considering the last ones, therapists should consider the validity and reliability of the instruments used in their clinical exams, since there are non-standardized forms of assessing sensitivity, but many of them do not provide and adequate information to assess diagnostics or to monitor the gains resulting from sensory rehabilitation 1,10,11,15 .…”

Section: Introductionmentioning

confidence: 99%

“…Later, Dannenbaum et al 10 created two evaluations of the sensory functions of the hand for this population. In 2002, the instrument Rivermead Assessment of Somato-sensory Performance was created to measure the sensory functions of hemiparetic patients and it demonstrated good intra-and inter-rater reliability coefficients, however, it required commercially registered equipment for its administration 1 .…”

Section: Introductionmentioning

confidence: 99%

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Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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Objectives: To investigate the inter-rater and intra-rater reliability, construct validity and internal consistency of the Brazilian version of the Nottingham Sensory Assessment for Stroke Patients (NSA). Methods: The instrument was translated into Portuguese from its original in English by a bilingual translator and was then back-translated into English. Twenty-one hemiparetics were evaluated by two examiners using the NSA and the Fugl-Meyer Assessment (FMA) of physical performance. Results: Significant correlation were found between the FMA and the NSA (r=0.752). The NSA showed excellent internal consistency (0.86), and there were acceptable inter-and intra-rater reliability for all items of the NSA, except temperature. Significant ceiling effects were found for the NSA and the FMA. Conclusions: The Brazilian version of the NSA met the criteria for agreement, internal consistency and concurrent validity. It was quick and easy to apply, and it could be used within clinical practice in neuro-rehabilitation outpatient clinics to assess sensory functions following stroke. The significant ceiling effect for the NSA did not limit its use, given that for the same patients, the FMA also showed ceiling effects.Key words: stroke; disability evaluation; validity tests; sensation; rehabilitation. ResumoObjetivo: Verificar a concordância inter e intraexaminador, validade construtiva e consistência interna da versão brasileira do instrumento Nottingham Sensory Assessment para hemiparéticos após acidente vascular encefálico (AVE). Métodos: O instrumento foi traduzido para língua portuguesa com base na sua versão original em Inglês por um tradutor bilíngue e, posteriormente, revertido para a língua inglesa. Vinte e um hemiparéticos foram avaliados por dois examinadores pela Avaliação Sensorial de Nottingham para pacientes pós-AVE (ASN) e pelo Protocolo de Desempenho Físico de Fugl-Meyer (FM). Resultados: Foi encontrada correlação entre os instrumentos FM e ASN (0,752); excelente consistência interna da ASN (0,86); excelentes coeficientes de concordância interexaminador e intraexaminador para todos os itens da ASN, exceto temperatura e efeito teto significativo para ASN e FM. Conclusão: A versão brasileira da Nottingham Sensory Assessment cumpriu os critérios de concordância, consistência interna e validade concorrente, sendo um instrumento de rápida e fácil aplicação, podendo ser utilizada nos ambulatórios de neuroreabilitação para avaliar a função sensorial pós-AVE. O efeito teto significativo da ASN não limita seu uso, tendo em vista que, para os mesmos pacientes, o Protocolo de Fugl-Meyer também revelou efeito teto.Palavras-chave: acidente cerebral vascular; avaliação da deficiência; testes de validade; sensação; reabilitação.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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References

2010

Occupational Therapy and Stroke

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Assessing Plantar Sensation in the Foot Using the Foot Roughness Discrimination Test (FoRDT): A Reliability and Validity Study in Stroke

Gorst

Freeman

Yarrow

et al. 2019

PM&R

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Background The plantar foot represents a sensory dynamometric map and is essential for balance and gait control. Sensory impairments are common, yet often difficult to quantify in neurological conditions, particularly stroke. A functionally oriented and quantifiable assessment, the Foot Roughness Discrimination Test (FoRDT), was developed to address these shortcomings. Objective To evaluate inter‐ and intrarater reliability, convergent and discriminant validity of the FoRDT. Design Test‐retest design. Setting Hospital outpatient. Participants Thirty‐two people with stroke (mean age 70 years) at least 3 months after stroke, and 32 healthy, age‐matched controls (mean age 70). Main Outcome Measures Roughness discrimination thresholds were quantified utilizing acrylic foot plates, laser cut to produce graded spatial gratings. Stroke participants were tested on three occasions, and by two different raters. Inter‐ and intrarater reliability and agreement were evaluated with Intraclass Correlation Coefficients and Bland‐Altman plots. Convergent validity was evaluated through Spearman rank correlation coefficients (rho) between the FoRDT and the Erasmus modified Nottingham Sensory Assessment (EmNSA). Results Intra‐ and interrater reliability and agreement were excellent (ICC =0.86 [95% CI 0.72‐0.92] and 0.90 [95% CI 0.76‐0.96]). Discriminant validity was demonstrated through significant differences in FoRDT between stroke and control participants (P < .001). Stroke fallers had statistically significant higher FoRDT scores compared with nonfallers (P = .01). Convergent validity was demonstrated through significant and strong correlations (rho) with the Erasmus MC Nottingham Sensory Assessment (r = .69, P < .01). Receiver operator characteristic curve analysis indicated the novel test to have excellent sensitivity and specificity in predicting the presence of self‐reported sensory impairments. Functional Reach test significantly correlated with FoRDT (r = .62, P < .01) whereas measures of postural sway and gait speed did not (r = .16‐.26, P > .05). Conclusions This simple and functionally oriented test of plantar sensation is reliable, valid, and clinically feasible for use in an ambulatory, chronic stroke and older population. It offers clinicians and researchers a sensitive and robust sensory measure and may further support the evaluation of rehabilitation targeting foot sensation. Level of Evidence III.

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The Rivermead Assessment of Somatosensory Performance (RASP): standardization and reliability data

Abstract: The RASP provides a practical and reliable assessment of sensory loss, which provides the clinician with a comprehensive picture of the patient's performance and can be used to inform and monitor rehabilitation and recovery.

Cited by 149 publications

References 15 publications

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

References

Assessing Plantar Sensation in the Foot Using the Foot Roughness Discrimination Test (FoRDT): A Reliability and Validity Study in Stroke

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