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National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture
Singapore medical journal ; : 563-566, 2023.
Artículo en Inglés | WPRIM | ID: wpr-1007294
ABSTRACT
INTRODUCTION@#The National Institutes of Health Stroke Scale (NIHSS), originally designed in the United States of America, contains items on dysphasia and dysarthria that are deemed culturally unsuitable for the Singapore context. We compared the error rates of dysphasia objects, dysphasia phrases and dysarthria words between the original and alternative items in a cohort of Singaporean subjects without dysphasia or dysarthria.@*METHODS@#In this prospective study, 140 English-speaking Singaporean subjects without impairments of dysphasia or dysarthria had an assessment of NIHSS items 9 and 10 using the original and alternative items. Paired analyses were conducted for comparison of error rates.@*RESULTS@#The error rates were high for four original dysphasia objects (Hammock 62.9%, Cactus 38.6%, Feather 23.6%, Glove 20.7%) and significantly lower for alternative items (Snail 5%, Horse 1.4%, Hanger 1.4%, Car 0%) (P < 0.001). For dysphasia phrases and dysarthria words, the error rates were low and there were no differences in error rates between the original and alternative items.@*CONCLUSION@#There are cultural issues with several dysphasia objects in the original NIHSS as evidenced by the high error rates, which were lowered with more culturally suitable alternatives. This study formed a basis to derive a more suitable version of the NIHSS for English-speaking subjects in Singapore.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Afasia / Singapur / Estados Unidos / Índice de Severidad de la Enfermedad / Estudios Prospectivos / Accidente Cerebrovascular / Disartria / Caballos Límite: Animales / Humanos País/Región como asunto: America del Norte / Asia Idioma: Inglés Revista: Singapore medical journal Año: 2023 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Afasia / Singapur / Estados Unidos / Índice de Severidad de la Enfermedad / Estudios Prospectivos / Accidente Cerebrovascular / Disartria / Caballos Límite: Animales / Humanos País/Región como asunto: America del Norte / Asia Idioma: Inglés Revista: Singapore medical journal Año: 2023 Tipo del documento: Artículo