Published Paper Details:

Background: A clinical evaluation tool that is frequently used in clinical trials and daily practice to assess stroke-related neurological impairments is the National Institutes of Health Stroke Scale (NIHSS). English-written, 15-point evaluation form intended to measure neurological deficits in patients with recent strokes. Aim and Objectives: To determine the reliability and validity of the NIHSS with the Gujarati and Indian adaptation of item 9 and 10.Methodology: In this study, NIHSS items 9 and 10 were modified and culturally adapted were performed according to the guidelines. G-NIHSS was applied by seven independent investigators on 30 patients with stroke. Inter-observer agreement and intra-class correlation coefficients were calculated. The predictive validity of the G-NIHSS was calculated using functional outcome after three months in the form of Barthel Index (BI). Result: The G-NIHSS content validity index reached between 0.83 to 1.The G-NIHSS has a significantly negative correlation with both Glasgow Coma Scale (r = - 0.824, p< 0.001), and BI(r = -0.683, p < 0.008) is significant for p <0.01. And the Pearson's rho= 0.800, (p<0.001) was correlation with the BI at 90 days was significantly Positive. The ICC for the overall score on the G-NIHSS was 1 (95% CI, 1.0-1.0). The reliability of the G-NIHSS is significant. The Cronbach's ? coefficient of 0.96 for the G-NIHSS was considerate reliable. Conclusion: The G-NIHSS is reliable and valid Scale for the clinical assessment of neurological deficit in Gujarati acute stroke patients.