Italian Version of the Motricity Index

Launched by FONDAZIONE DON CARLO GNOCCHI ONLUS · Apr 13, 2023

Keywords

ClinConnect Summary

The Motricity Index (MI), developed by Demeurisse et al. in 1980, is an ordinal method for measuring motor impairment in post-stroke hemiparesis, focusing on muscle strength of proximal and distal muscle groups of upper and lower extremity. Since its introduction, it has been widely used. However, despite unofficial versions circulating in clinical settings, there is currently no validated Italian version of the scale. This study aims to develop this version and to evaluate its metric properties in a sample of subjects who had a stroke.

A pre-final MI-Italian will be produced following est...

Gender

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Eligibility criteria

• • The study is divided in two phases: A) pilot-testing of the pre-final MI-Italian, and B) verification of the metric properties (reliability, validity and responsiveness) of the final MI-Italian.
• • A) Pilot-test of the pre-final MI-Italian (verification of clarity of all items)
• Inclusion criteria:
• • being a physician or a physiotherapist with at least three years of experience in the functional assessment of subjects with stroke
• • willingness to participate in the study
• • Exclusion criteria: none.
• • B) Study on the metric properties of the final MI-Italian
• • Participants (subjects who had a stroke): all subject consecutively admitted to the Don Gnocchi Foundation of Florence for rehabilitation after stroke (until the expected sample size is completed) who meet the following criteria.
• Inclusion:
• • age 18 years or older
• • stroke outcomes such that they impact the person's ability to independently perform various basic activities of daily living
• • willingness to participate in the study, with informed consent signed (by the support administrator/legal guardian, if necessary)
• Exclusion:
• • severe visual and/or auditory impairment that cannot be corrected
• • cognitive impairment defined by a Mini Mental State Examination (MMSE) score \<21;
• • severe language impairment such that comprehension and performance of the task is prevented
• • presence of signs of clinical instability, defined by a score greater than zero on the Clinical Instability Scale Raters: ten physiotherapists with at least three years of experience in the evaluation and treatment of subjects with stroke outcomes. Pairs of raters, equal in number to the number of patients enrolled, will be randomly drawn from this group, and each pair will be randomly assigned to a patient to be administered the MI-Italian Other examiners, also randomly drawn from the list of ten raters, will administer other clinical scales to participants to assess the validity of the MI-Italian.