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In addition to this, the evaluator size score of the SWMT was assessed with Bland-Altman analysis to evaluate systematic bias. Two examiners evaluated the SWMT and the TLT for 2 days, and intra-rater and inter-rater reliabilities were calculated using weighted kappa statistics. The TLT procedure was partially modified by dividing the location of the patient's thumb into four spaces. Examiners learned the original method of the SWMT and the TLT rigorously and shared it with each other. Methods: Fifty patients with chronic stroke (median time after onset of stroke, 848 days, mean age 57 years) were enrolled at Keio University Hospital from 2017 to 2018. The purpose of this study was to verify the reliability and validity of these two examinations as indices of somatosensory impairment of the upper extremity (UE) in patients with chronic post-stroke hemiparesis. Objective: We hypothesized that, with fixed procedures two convenient clinical examinations, the Semmes-Weinstein Monofilament Test (SWMT) and the Thumb Localizing Test (TLT), could provide reliable assessments of light touch sensation and proprioception.
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However, the reliability and validity of few of them have been verified due to differences in the procedure of each examiner or poor quantification by the examination itself.
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Therefore, detecting and treating somatosensory impairments properly is considered to be very important, and various examinations have been developed.