Sung JongHun, Ousley Cherita M, Shen Sa, Isaacs Zadok J K, Sosnoff Jacob J, Rice Laura A
Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, Illinois, USA.
Int J Rehabil Res. 2016 Dec;39(4):308-312. doi: 10.1097/MRR.0000000000000188.
Poor seated balance negatively impacts the performance of activities of daily living in nonambulatory individuals with multiple sclerosis (MS) and is frequently a target of rehabilitation interventions. However, there is a lack of clinical measures of seated balance in nonambulatory individuals with MS, thus limiting evaluation of rehabilitation treatments. The aim of this investigation is to determine the reliability and concurrent validity of the Function in Sitting Test (FIST) as a measure of sitting balance in nonambulatory individuals with MS. Twenty nonambulatory individuals with MS [mean age±SD=56.8±10.9 years, women n=15 (75%), mean MS duration±SD=17.8±9.2 years, mean wheelchair usage duration±SD=5.9±4.7 years] underwent a FIST and posturography assessment. The FIST is a 14-item clinical functional assessment of sitting balance validated in adults with acute stroke. The seated posturography assessment involved participants sitting on a force platform without support for 30 s. On the basis of the center of pressure trajectory obtained from the force platform software, two force platform outcomes were quantified: sway area (mm) of the center of pressure and virtual time to contact to the functional boundary (seconds). Internal consistency reliability was assessed using Cronbach's coefficient-α. The test-retest reliability was evaluated using the intraclass correlation coefficient (ICC). Concurrent validity of the FIST was assessed by Spearman's rank correlation analysis. Cronbach's-α as an index of internal consistency of the FIST was 0.91. The test-retest reliability was found to be excellent (ICC=0.92). The FIST was significantly correlated with virtual time to contact to the functional boundary (ρ=0.487, P=0.02), but not with sway area (ρ=-0.267, P=0.25). The observations provide evidence that the FIST is a reliable and valid tool to assess seated postural control in nonambulatory individuals with MS.
坐位平衡能力差会对非行走型多发性硬化症(MS)患者的日常生活活动表现产生负面影响,并且常常是康复干预的目标。然而,对于非行走型MS患者,缺乏坐位平衡的临床测量方法,这限制了对康复治疗的评估。本研究的目的是确定坐位功能测试(FIST)作为评估非行走型MS患者坐位平衡的可靠性和同时效度。20名非行走型MS患者[平均年龄±标准差=56.8±10.9岁,女性n = 15(75%),平均MS病程±标准差=17.8±9.2年,平均轮椅使用时长±标准差=5.9±4.7年]接受了FIST和姿势描记法评估。FIST是一项针对急性中风成人患者验证的、包含14个项目的坐位平衡临床功能评估。坐位姿势描记法评估要求参与者坐在无支撑的测力平台上30秒。基于从测力平台软件获得的压力中心轨迹,量化了两个测力平台结果:压力中心的摆动面积(mm)和到达功能边界的虚拟接触时间(秒)。使用Cronbach's系数α评估内部一致性可靠性。使用组内相关系数(ICC)评估重测可靠性。通过Spearman等级相关分析评估FIST的同时效度。FIST的内部一致性指标Cronbach's-α为0.91。重测可靠性极佳(ICC = 0.92)。FIST与到达功能边界所需的虚拟接触时间显著相关(ρ = 0.487,P = 0.02),但与摆动面积无关(ρ = -0.267,P = 0.25)。这些观察结果提供了证据,表明FIST是评估非行走型MS患者坐位姿势控制的可靠且有效的工具。
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