{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:18:52Z","timestamp":1787933932847,"version":"build-2784847793"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To perform the cross-cultural adaptation of the Patient-Reported Impact of Spasticity Measure (PRISM) into Mexican Spanish and to examine the internal consistency and preliminary convergent validity of the PRISM-MX in adults with post-stroke spasticity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional pilot study included 30 adults with ischemic or hemorrhagic stroke and clinically confirmed spasticity attending an outpatient rehabilitation clinic in Merida, Mexico. Cross-cultural adaptation followed standard procedures, including forward translation, synthesis, back-translation, expert committee review, and cognitive debriefing. Preliminary psychometric evaluation included descriptive item-level analysis, internal consistency of the original 41-item PRISM-MX version, and exploratory correlations with disability, motor performance, and quality-of-life measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Mexican Spanish version was considered understandable, culturally relevant, and acceptable by participants during cognitive debriefing. The original 41-item PRISM-MX version was retained, and no item deletion was performed based on the present pilot sample. No missing PRISM-MX item responses were observed. Internal consistency was high for the total score (Cronbach's alpha\u2009=\u2009.956). Higher PRISM-MX scores were significantly associated with greater disability and poorer quality of life, with correlation coefficients ranging from\n                      <jats:italic toggle=\"yes\">\u03c1<\/jats:italic>\n                      \u2009=\u2009\u2212.46 to\n                      <jats:italic toggle=\"yes\">\u03c1<\/jats:italic>\n                      \u2009=\u2009.61, supporting preliminary convergent validity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PRISM-MX was successfully cross-culturally adapted and showed preliminary evidence of acceptability, high internal consistency, and clinically plausible associations with disability and quality-of-life indicators. Definitive psychometric validation, including structural validity, test-retest reliability, responsiveness, measurement error, and measurement invariance, remains pending.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261462949","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T15:35:15Z","timestamp":1783006515000},"page":"312-320","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["PRISM-MX for Post-Stroke Spasticity: Cross-Cultural Adaptation and Preliminary Psychometric Evaluation in a Mexican Sample"],"prefix":"10.1177","volume":"59","author":[{"given":"Roberto C.","family":"Pech-Arg\u00fcelles","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, Hospital General Regional No. 1 \u201cLic. Ignacio Garc\u00eda T\u00e9llez\u201d, Instituto Mexicano del Seguro Social (IMSS), M\u00e9rida, Yucat\u00e1n, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel V.","family":"Ortiz-Ch\u00e1vez","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, Hospital General Regional No. 1 \u201cLic. Ignacio Garc\u00eda T\u00e9llez\u201d, Instituto Mexicano del Seguro Social (IMSS), M\u00e9rida, Yucat\u00e1n, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana R.","family":"Abreo-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, Hospital General Regional No. 1 \u201cLic. Ignacio Garc\u00eda T\u00e9llez\u201d, Instituto Mexicano del Seguro Social (IMSS), M\u00e9rida, Yucat\u00e1n, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilia L.","family":"Vargas-Echeverr\u00eda","sequence":"additional","affiliation":[{"name":"Centro de Documentaci\u00f3n en Salud, Hospital General Regional No. 1 \u201cLic. Ignacio Garc\u00eda T\u00e9llez\u201d, Instituto Mexicano del Seguro Social (IMSS), M\u00e9rida, Yucat\u00e1n, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Reebye","sequence":"additional","affiliation":[{"name":"Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.62464\/ijoprp.v3i1.8"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1310\/sci2003-208"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.2.206"},{"key":"e_1_3_3_6_1","unstructured":"Brito Uribe H. J. (2024). 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Universidad Aut\u00f3noma de Yucat\u00e1n Facultad de Medicina."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S14399"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2006.04.0036"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rh.2016.09.007"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000115178"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.4067\/S0717-92272019000400377"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2019.1575533"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.2340\/jrm.v55.11626"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470024522"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2020.1843845"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000107"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1402729"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S504851"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2008.02114.x"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11060783"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001908"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930241307876"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.5603\/PJNNS.a2019.0067"},{"key":"e_1_3_3_24_1","volume-title":"En 2021, ictus o enfermedad vascular cerebral ocasion\u00f3 m\u00e1s de 37\u2005mil decesos en M\u00e9xico","author":"Secretar\u00eda de Salud","unstructured":"Secretar\u00eda de Salud. (2022, October 29). En 2021, ictus o enfermedad vascular cerebral ocasion\u00f3 m\u00e1s de 37\u2005mil decesos en M\u00e9xico. Gobierno de M\u00e9xico. https:\/\/www.gob.mx\/salud\/prensa\/531-en2021-ictus-o-enfermedad-vascular-cerebral-ocasiono-mas-de-37-mil-decesos-en-mexico"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327752JPA8001_18"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/toxins16020098"},{"issue":"5","key":"e_1_3_3_27_1","doi-asserted-by":"crossref","first-page":"659","DOI":"10.24875\/CIRU.22000069","article-title":"Epidemiolog\u00eda y mortalidad hospitalaria por evento vascular cerebral en un hospital de la Ciudad de M\u00e9xico: Estudio prospectivo de 2 a\u00f1os","volume":"90","author":"Torres-Viloria A.","year":"2022","unstructured":"Torres-Viloria A., Montiel-L\u00f3pez L., Elizalde-Barrera C. I. (2022). Epidemiolog\u00eda y mortalidad hospitalaria por evento vascular cerebral en un hospital de la Ciudad de M\u00e9xico: Estudio prospectivo de 2 a\u00f1os. Cirug\u00eda y Cirujanos, 90(5), 659\u2013664. https:\/\/doi.org\/10.24875\/CIRU.22000069","journal-title":"Cirug\u00eda y Cirujanos"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215502cr512oa"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2005.04054.x"},{"issue":"3","key":"e_1_3_3_30_1","article-title":"Toward an epidemiology of poststroke spasticity","volume":"80","author":"Wissel J.","year":"2013","unstructured":"Wissel J., Manack A., Brainin M. (2013). Toward an epidemiology of poststroke spasticity. 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