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评估西非脑卒中患者的运动能力:ABILOCO-贝宁量表的验证。

Assessing locomotion ability in West African stroke patients: validation of ABILOCO-Benin scale.

机构信息

Department of Rehabilitation Medicine, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin; Department of Physiotherapy and Rehabilitation, Faculty of Motricity Sciences, Catholic University of Louvain, Brussels, Belgium.

Institute of Neuroscience, Catholic University of Louvain, Brussels, Belgium.

出版信息

Arch Phys Med Rehabil. 2014 Aug;95(8):1470-6.e3. doi: 10.1016/j.apmr.2014.03.002. Epub 2014 Mar 19.

DOI:10.1016/j.apmr.2014.03.002
PMID:24657111
Abstract

OBJECTIVE

To calibrate and validate the Benin version of ABILOCO, a Rasch-built scale developed to assess locomotion ability in stroke patients.

DESIGN

Prospective study and questionnaire development.

SETTING

Rehabilitation centers.

PARTICIPANTS

Stroke patients (N=230; mean age ± SD, 51.1±11.6 y; 64.3% men).

INTERVENTION

Not applicable.

MAIN OUTCOME MEASURES

Participants completed a preliminary list of 36 items including the 13 items of ABILOCO. Items were scored as "impossible," "difficult," or "easy." The mobility subdomain of FIM (FIM-mobility), the Functional Ambulation Classification (FAC), the 6-minute walk test (6MWT), and the 10-meter walk test (10MWT) were used to evaluate and elucidate the validity of the ABILOCO-Benin scale.

RESULTS

Successive Rasch analyses led to the selection of 15 items that define a unidimensional, invariant, and linear measure of locomotion ability in stroke patients. This modified version of the ABILOCO scale, named ABILOCO-Benin, showed an excellent internal consistency, with a Person Separation Index of .93, and excellent test-retest reliability with high intraclass correlation coefficients of .95 (P<.001) for item difficulty and .93 (P<.001) for subject measures. It also presented good construct validity compared with FAC, FIM-mobility, 6MWT, and 10MWT (r≥.75, P<.001).

CONCLUSIONS

ABILOCO-Benin presents good psychometric properties. It allows valid, reliable, and objective measurements of locomotion ability in stroke patients.

摘要

目的

对贝宁版 ABILOCO 进行校准和验证,ABILOCO 是一种基于 Rasch 构建的量表,用于评估脑卒中患者的移动能力。

设计

前瞻性研究和问卷制定。

地点

康复中心。

参与者

脑卒中患者(N=230;平均年龄±标准差,51.1±11.6 岁;64.3%为男性)。

干预

无。

主要观察指标

参与者完成了一份包含 ABILOCO 的 13 项内容的 36 项初步清单。项目的评分标准为“不可能”“困难”或“容易”。FIM 运动功能分项(FIM-mobility)、功能性步行分类(FAC)、6 分钟步行试验(6MWT)和 10 米步行试验(10MWT)用于评估和阐明 ABILOCO-贝宁量表的有效性。

结果

连续的 Rasch 分析选出了 15 项内容,这些内容定义了脑卒中患者移动能力的一维、不变和线性测量。该 ABILOCO 量表的修改版本,命名为 ABILOCO-贝宁,具有良好的内部一致性,个体分离指数为.93,难度项目和受试者测量的重测信度均较高,组内相关系数分别为.95(P<.001)和.93(P<.001)。与 FAC、FIM-mobility、6MWT 和 10MWT 相比,它还具有良好的结构有效性(r≥.75,P<.001)。

结论

ABILOCO-贝宁具有良好的心理测量特性。它可以对脑卒中患者的移动能力进行有效、可靠和客观的测量。

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