SUBJECTIVE ASSESSMENT OF THE SEVERITY OF POSTSTROKE HEMIPARESIS OF THE UPPER LIMBS: THE CORRELATION BETWEEN THE JIKEI ASSESSMENT SCALE FOR MOTOR IMPAIRMENT IN DAILY LIVING 10 SCORE AND UPPER-LIMB MOTOR FUNCTION

清水病院リハビリテーション課 2 総合東京病院リハビリテーション科 3 東京慈恵会医科大学リハビリテーション医学講座 We developed the Jikei Assessment Scale for Motor Impairment in Daily Living 10 (JASMID-10), a simplifi ed version of the original JASMID, as a tool to measure the severity of poststroke hemiparesis of the upper limb on the basis of actual movements in the patients life. We determined the poststroke JASMID score, Fugl-Meyer assessment score, and Brunnstrom recovery stages in 437 patients with upper-limb hemiparesis. The correlation coeffi cients between each item in JASMID and Fugl-Meyer assessment were probed, and the 10 most highly ranked items with strong correlations were extracted and given the name JASMID-10. In addition, we validated intraclass correlation coeffi cient case 1 (intraclass reliability) and case 2 (interclass reliability) of the JASMID-10 and examined the correlation between the scores of the JASMID-10 and a test of upper-limb motor function. The amount of use and the quality of movement scores from the function test showed high rates of concordance with the values of intraclass correlation coeffi cient case 1 and case 2 and strong correlations with the scores of JASMID-10 and Fugl-Meyer assessment. The JASMID-10 is a simple, clinically useful method of evaluating the severity of poststroke hemiparesis of the upper limb and places less burden on the patient less than does the JASMID.