The reliability of the progression of autonomies scale applied on acquired brain injured patients

Francesco Arcuri, Maria Daniela Cortese, Francesco Riganello, Lucia Francesca Lucca, Sebastiano Serra, Anna Mazzucchi, Antonio Cerasa, Paolo Tonin

Research output: Contribution to journalArticlepeer-review


The Progression of Autonomies Scale (PAS) is a behavioral scale useful to assess the autonomy levels in acquired brain-injured patients. It provides a broad profile, assessing different domains of human activities ranging from personal, domestic, and extradomestic autonomies. This cross-sectional study is aimed at evaluating the reliability of this scale on a large cohort of acquired brain injury (ABI) patients. Fifty-one ABI patients (49% traumatic, 33.3% hemorrhagic, 17.7% other etiologies), hospitalized in the S. Anna Institute of Crotone, Italy (mean age male 46.08 ± 14.53 and mean age female patients 43.2 ± 11.3) were recruited. We found a high level of reliability of the scale, with a coefficient at the inter-rater agreement between substantial (0.61 ≤ k ≤ 0.8) and almost perfect (0.81 ≤ k ≤ 1), and almost perfect at the test-retest (intra-rater). We confirm that the PAS is a well-structured tool for the assessment of the autonomy levels in brain-injured patients. These findings encourage the application of this scale in the clinical practice of rehabilitation unit to design a tailored rehabilitation treatment on real goals and to monitor the generalization of the recovered abilities to the daily routine activities.

Original languageEnglish
Article number342
JournalFrontiers in Neurology
Issue numberAPR
Publication statusPublished - Jan 1 2019


  • Acquired brain injury
  • Autonomies scale
  • Inter-rater agreement
  • Intra-rater agreement
  • Reliability

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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