TURKISH VALIDITY AND RELIABILITY OF THE POUND SATISFACTION SCALE IN STROKE PATIENTS UNDERGOING REHABILITATION

Survivor validation of recovery satisfaction is binary, nothing special! Did you get 100% recovered? Y/N? If that is not your satisfaction scale, you're dong it all wrong!

 TURKISH VALIDITY AND RELIABILITY OF THE
POUND SATISFACTION SCALE IN STROKE PATIENTS
UNDERGOING REHABILITATION

Turkish Journal of
Physiotherapy and
Rehabilitation
2024 35(2)131-142
Emel METE, PT, MSc1
Zübeyir SARI, PT, PhD, Prof.

ABSTRACT
Purpose: This study aimed to evaluate the Turkish validity and reliability of the Pound Satisfaction
Scale (PSS).
Methods: For the adaptation of the PSS to Turkish (PSS-Tr), the translation and back-translation
process was carried out by following the international guidelines. Confirmatory factor analysis (CFA)
was performed to measure structural validity. The relationship between PSS-Tr and the Patient
Satisfaction Scale in Physiotherapy (PSSP) and the SF-36 was assessed for construct validity.
Convergent validity was evaluated computing by the Average Variance Extracted (AVE). Cronbach’s
alpha coefficient and Composite reliability (CR) for internal consistency of the PSS-Tr and Bland-
Altman plot and test-retest reliability analysis for temporal consistency were used.
Results: The study included 130 stroke patients. The fit index values of the CFA showed that
the structural validity of the PSS-Tr was appropriate (χ2/sd=1.779, RMSEA=0.075, GFI=0.911,
AGFI=0.853, CFI=0.955, NFI=0.905). A high correlation was found between the PSS-Tr total
score and the PSSP (p=0.001, r=0.672). A moderate correlation was found between the hospital
satisfaction sub-dimension of PSS-Tr, and the sub-dimensions of SF-36 (p=0.001, r=0.484-0.609),
while a low correlation was found between the home satisfaction sub-dimension of the PSS-Tr and
the physical functioning (p=0.002, r=0.266) and physical role (p=0.035, r=0.180) sub-dimensions of
SF-36. And also the PSS-Tr was found to have good internal (Cronbach alpha= 0.895, CR=0.94) and
temporal consistency (ICC = 0.976).
Conclusion: The Turkish version of the Pound Satisfaction Scale (PSS-Tr) is reliable and valid. The
PSS-Tr may be useful for clinicians and researchers in assessing satisfaction with rehabilitation in
stroke patients.

Functional Recovery and Mobility After Inpatient Rehabilitation of Ischemic and Hemorrhagic Stroke

No clue if this has any use at all for survivors, but it is 47 pages long. Using Brunnstrom stages is pretty useless for discrimination of recovery successes.

Functional Recovery and Mobility After Inpatient Rehabilitation of Ischemic and Hemorrhagic Stroke

Aim: To compare the level of independence in daily activities and level of mobility between admission to inpatient rehabilitation and discharge of patients with history of intracerebral hemorrhage and cerebral infarction.

Methods: Patients with first-ever stroke admitted to inpatient rehabilitation program were included in this study. Patients were separated into 2 groups as ischemic and hemorrhagic based on neuroradiologic assessments. Level of independence in daily activities was evaluated by Barthel index, mobility status was evaluated by, Rivermead Mobility Index, motor performance was evaluated by Brunnstrom states of motor recovery during hospital admission and discharge.

Results: Two-hundred patients were included. 140 cases of cerebral infarct and 60 cases had cerebral hemorrhage. Mean age of the patients in hemorrhagic group was significantly lower than mean age of patients with ischemic lesions (p = 0.003).

Comparison of two groups did not reveal significant differences in Barthel and Rivermead Mobility Index scores on both admission and discharge. The most frequent risk factor in both groups was hypertension. The frequency of ischemic heart diseasewas significantly higher in ischemic group than hemorrhagic group (p < 0.001).

Conclusion: The etiology of stroke did not have major effect on the duration of rehabilitation or level of functional activity of pa­tients.

And in Turkish:

Amaç: İntraserebral kanama ve serebral infarkt hikayesi olan hastaların rehabilitasyon servisine yatış ve taburculuk arasındaki günlük aktivite sırasındaki bağımsızlık ve mobilite seviyelerinin karşılaştırılmasıdır.

Yöntem: Bu çalışmaya rehabilitasyon servisine yatırılmış olan ilk defa inme geçiren hastalar alınmıştır. Hastalar, nöroradyolojik değerlendirmeler baz alınarak iskemik ve hemorajik olmak üzere 2 gruba ayrılmıştır. Günlük aktiviteler sırasındaki bağımsızlık seviyesi Barthel indeksi ile, mobilite durumu Rivermead Mobilite indeksi ile, motor performans hastaneye yatış ve taburculukta bakılan Brunnstrom motor iyileşme evreleri ile değerlendirilmiştir.

Sonuçlar: Serebral infarkt olan 140 kişi ve serebral kanama olan 60 kişi olmak üzere toplam 200 hasta çalışmaya dahil edilmiştir.

Hemorajik gruptaki ortalama yaş, iskemik gruptaki ortalama yaşa göre belirgin ölçüde daha düşüktür (p=0.003). İki grup arasındaki karşılaştırma yatış ve taburculuk sırasında hesaplanan Barthel ve Rivermead Mobilte indeks skorları arasında önemli bir fark göstermemiştir. İki grupta da en sık risk faktörü hipertansiyondur. İskemik grupta, iskemik kalp hastalıkları sıklığı hemorajik gruba göre belirgin oranda yüksektir (p < 0.001).

Tartışma: Bu çalışmanın sonucuna göre, inmenin etiyolojisi, rehabilitasyon süresi veya hastaların fonksiyonel aktiviteleri üzerinde büyük bir etkiye sahip değildir.