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To guide rehabilitation, specific tools that accurately evaluate upper limb function are essential. The Stroke Upper Limb Capacity Scale (SULCS) is a stroke-specific assessment tool that evaluates functional capacity of the upper limb. It is quick to administer, requires no specialized equipment, and is a cost-effective option for routine clinical use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aims of this study were to adapt the SULCS transculturally to Spanish and to examine its clinimetric properties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>For cross-cultural adaptation to Spanish, we employed a \"translation\/back-translation\" approach and evaluated its feasibility in routine neurorehabilitation.<\/jats:p>\n                    <jats:p>\n                      A multicenter study was conducted in Spanish post-stroke patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956) to validate the clinimetric properties of the instrument.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The translation into Spanish was completed without major difficulties. Reliability analysis, including test\u2013retest and inter-operator, demonstrated almost perfect agreement for the Spanish SULCS, with weighted Cohen\u2019s kappa values of 0.8755 (95% CI: 0.5991\u20131.1519) and 0.8988 (95% CI: 0.7343\u20131.0632) respectively. The minimal detectable change indicated high sensitivity (0.72 at the 95% confidence level). The SULCS showed excellent concurrent validity with the Fugl-Meyer Assessment (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.9533), the Action Research Arm Test (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.9730), and the Box and Block Test (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.9247). No floor or ceiling effects were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Spanish version of the SULCS presented excellent clinimetric properties. Its characteristics make it a useful tool for assessing upper limb functional capacity in the Spanish post-stroke population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10072-026-09102-4","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:46:49Z","timestamp":1779151609000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing upper limb function: the Spanish version of the Stroke Upper Limb Capacity Scale (SULCS): cross-cultural adaptation and clinimetric properties"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8428-6246","authenticated-orcid":false,"given":"Arantxa","family":"G\u00f3mez-Ortega","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Lunardini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natacha","family":"Le\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Tornero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Cantero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"9102_CR1","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1111\/J.1468-1331.2004.00949.X","volume":"12","author":"A Ward","year":"2005","unstructured":"Ward A, Payne KA, Caro JJ, Heuschmann PU, Kolominsky-Rabas PL (2005) Care needs and economic consequences after acute ischemic stroke: the Erlangen Stroke Project. 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Written informed consent was obtained from all participants before data collection commenced.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and informed consent statements"}},{"value":"The authors declare that they have no conflicts of interest that could have appeared to influence the work reported in this paper.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"498"}}