Graduate Program in Physical Therapy, University of California San Francisco and San Francisco State University (UCSF/SFSU), San Francisco, USA.
Disabil Rehabil. 2010;32(6):452-61. doi: 10.3109/09638280903171493.
Examine the theoretical construct of a gap between people's perceived current and preferred movement abilities and its potential for evaluating rehabilitation outcomes against clients' desired goals.
A cross-section of 311 community-dwelling adults completed a 24-item movement ability measure (MAM) and a visual analog movement scale. In a nonrandomized pre-post design, two subsets of that population completed the measures again after 2 weeks: 35 clients undergoing outpatient physical therapy and 34 in a comparison group who were not undergoing physical therapy. Scores on the MAM were analyzed using item response theory methods.
The gap between current and preferred ability in the 311 adults represented one level difference on average out of six designated movement levels on both measures. Clients about to undergo physical therapy had gaps approximately twice the size of gaps in the 34-person comparison group on both measures (P < 0.001). Both the MAM and the movement scale showed a significantly narrower gap after 2 weeks for the group in physical therapy (P < 0.001) but no change for the comparison group.
Assessing gaps between client-perceived current and preferred movement ability following intervention may help in the evaluation of rehabilitation outcomes from the client's perspective.
探讨人们感知到的当前和理想运动能力之间差距的理论构建及其在评估康复治疗结果与患者期望目标方面的潜在价值。
对 311 名社区居住的成年人进行了横断面研究，他们完成了 24 项运动能力量表（MAM）和视觉模拟运动量表。在非随机前后设计中，该人群的两个子集在 2 周后再次完成了这些测量：35 名接受门诊物理治疗的患者和 34 名未接受物理治疗的对照组患者。使用项目反应理论方法分析 MAM 的得分。
在这 311 名成年人中，当前能力与理想能力之间的差距在两个量表上平均代表六个指定运动水平中的一个水平差异。即将接受物理治疗的患者在两个量表上的差距大约是对照组的 34 名患者的两倍（P < 0.001）。在接受物理治疗的组中，MAM 和运动量表在 2 周后显示出明显更小的差距（P < 0.001），而对照组则没有变化。
评估干预后患者感知到的当前和理想运动能力之间的差距，可能有助于从患者的角度评估康复治疗结果。
