University of Alberta, Edmonton, AB, Canada.
Neurorehabil Neural Repair. 2011 Mar-Apr;25(3):285-93. doi: 10.1177/1545968310381250.
Objective measures of functional walking remain scarce for individuals with incomplete spinal cord injury (ISCI). Hence, the authors developed the Spinal Cord Injury Functional Ambulation Profile (SCI-FAP), which encompasses the timed performance of 7 tasks, such as walking and negotiating obstacles, doors, and stairs.
To assess the reliability and validity of the SCI-FAP.
A total of 32 individuals with ISCI attended 2 testing sessions separated by 1 to 2 weeks. At the first session, participants performed the SCI-FAP, the 10-m walk test (10MW), the 6-minute walk test (6MW), and the Walking Index for Spinal Cord Injury (WISCI II); 3 raters scored the participants' performances on the SCI-FAP to assess interrater reliability. To establish convergent validity, SCI-FAP scores were compared with scores on the 10MW, 6MW, and WISCI II. At the second session, participants completed the SCI-FAP to assess test-retest reliability. To establish discriminative validity, SCI-FAP scores were compared between participants with ISCI and 60 able-bodied adults, who were scored on the SCI-FAP in a single session.
Internal consistency (α = .95), interrater reliability (intraclass correlation coefficient [ICC] = 1.00), and test-retest reliability (ICC = 0.98) of the SCI-FAP were high. SCI-FAP scores were moderately correlated with results from the 10MW (r = -0.59), 6MW (r = -0.59), and WISCI II (M = -0.68). Performance on the SCI-FAP was significantly poorer among participants with ISCI compared with their able-bodied counterparts (P = .002).
The findings support the SCI-FAP as a valid and reliable measure of walking skill for individuals with ISCI.
对于不完全性脊髓损伤（ISCI）患者，功能性步行的客观测量仍然很少。因此，作者开发了脊髓损伤功能步行评估（SCI-FAP），其中包括 7 项任务的计时表现，例如行走和穿越障碍物、门和楼梯。
评估 SCI-FAP 的可靠性和有效性。
共有 32 名 ISCI 患者参加了 2 次测试，间隔 1 至 2 周。在第一次测试中，参与者完成了 SCI-FAP、10 米步行测试（10MW）、6 分钟步行测试（6MW）和脊髓损伤步行指数（WISCI II）；3 位评估员对参与者的 SCI-FAP 表现进行评分，以评估评分者间可靠性。为了建立收敛有效性，将 SCI-FAP 得分与 10MW、6MW 和 WISCI II 的得分进行比较。在第二次测试中，参与者完成了 SCI-FAP 以评估测试-重测可靠性。为了建立区分有效性，将 ISCI 患者与 60 名健康成年人的 SCI-FAP 得分进行比较，后者在单次测试中完成了 SCI-FAP。
SCI-FAP 的内部一致性（α=.95）、评分者间可靠性（组内相关系数[ICC]=1.00）和测试-重测可靠性（ICC=0.98）均很高。SCI-FAP 得分与 10MW（r=-0.59）、6MW（r=-0.59）和 WISCI II（M=-0.68）的结果中度相关。与健康对照组相比，ISCI 患者的 SCI-FAP 表现明显较差（P=.002）。
这些发现支持 SCI-FAP 作为 ISCI 患者步行技能的有效可靠测量工具。
