Validity and Responsiveness of the Revised Nottingham Sensation Assessment for Outcome Evaluation in Stroke Rehabilitation

Stupid, stupid, stupid. If you want to predict outcomes you look at damage size and location. I sometimes wonder if our stroke medical professionals have two functioning neurons to rub together.
http://ajot.aota.org/article.aspx?articleid=2488103

Ching-yi Wu; I-ching Chuang; Hui-ing Ma; Keh-chung Lin; Chia-ling Chen

American Journal of Occupational Therapy, February 2016, Vol. 70, 7002290040p1-7002290040p8. doi:10.5014/ajot.2016.018390

Abstract

OBJECTIVE. This study establishes the concurrent validity, predictive validity, and responsiveness of the Revised Nottingham Sensation Assessment (rNSA) during rehabilitation for people with stroke.

METHOD. The study recruited 147 patients with stroke. The main assessment used was the rNSA, and outcome measures were the Fugl-Meyer Assessment sensory subscale (FMA–S) and motor subscale (FMA–M) and the Nottingham Extended Activities of Daily Living (NEADL) scale.

RESULTS. Correlation coefficients were good to excellent between the rNSA and the FMA–S. The rNSA proprioception measure was a predictor for the FMA–S. The rNSA stereognosis and tactile-pinprick measures for the proximal upper limb were predictors for the FMA–M and the NEADL scale, respectively. Responsiveness was moderate to large for three subscales of the rNSA (standardized response mean = .51–.83).

CONCLUSION. This study may support the concurrent validity, predictive validity, and responsiveness of the rNSA for people with stroke.