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用于评估亚急性中风后成年患者坐位平衡的西班牙语版坐位功能测试(S-FIST)的效度和信度

Validation and reliability of the Spanish version of the Function in Sitting Test (S-FIST) to assess sitting balance in subacute post-stroke adult patients.

作者信息

Cabanas-Valdés Rosa, Bagur-Calafat Caritat, Caballero-Gómez Fernanda Maria, Cervera-Cuenca Carmen, Moya-Valdés Raúl, Rodríguez-Rubio Pere Ramón, Urrútia Gerard

机构信息

a Faculty of Medicine and Health Sciences, Department of Physical Therapy , Universitat Internacional de Catalunya , Barcelona , Spain.

b Physical Medicine and Rehabilitation Sabadell , Parc Taulí Sabadell Hospital Universitari , Barcelona , Spain.

出版信息

Top Stroke Rehabil. 2017 Sep;24(6):472-478. doi: 10.1080/10749357.2017.1316548. Epub 2017 Apr 13.

DOI:10.1080/10749357.2017.1316548
PMID:28406071
Abstract

BACKGROUND

Function in Sitting Test (FIST) is a clinical functional assessment of sitting balance validated in adults with stroke. For a major use of this, the test is recommended to be translated in Spanish-speaking countries.

OBJECTIVES

Translate to Spanish the FIST and determine its intra-rater and inter-rater reliabilities and concurrent validity as a measure of sitting balance in adult individuals with stroke.

METHODS

The original version was translated into Spanish and was agreed by a team of experts. A back-translation into English was subsequently performed and sent to the original author, who approved this version named from now Spanish version of Function in Sitting Test (S-FIST). Sixty post-stroke patients' performance was recorded on a videotape. These videos were then used to carry out four measurements to assess the intra-rater and inter-rater reliabilities; two of these were performed by the same rater and the third and fourth by a second and third rater.

RESULTS

The S-FIST meets the following requirements: good construct validity and high correlation with Spanish version of Trunk Impairment Scale 2.0 (S-TIS 2.0) scores (r = 0.791) Spearman's rank, high internal consistency (Cronbach's α-coefficient = 0.97), and high intra-rater and inter-rater reliabilities for the summed scores assessed by intra-class correlation coefficient were 0.999 and 0.997, respectively.

CONCLUSIONS

The S-FIST is valid and reliable and can be recommended for use in the evaluation of dynamic and sitting balance and trunk control in future research and clinical practice on post-stroke patients. Guidelines for treatment and level of quality of trunk activity can be derived from its use.

摘要

背景

坐位功能测试(FIST)是一种针对中风成人患者的坐位平衡临床功能评估方法。鉴于其主要用途,建议在讲西班牙语的国家对该测试进行翻译。

目的

将FIST翻译成西班牙语,并确定其作为中风成年患者坐位平衡测量方法的评分者内信度、评分者间信度和同时效度。

方法

将原始版本翻译成西班牙语,并经一组专家认可。随后进行了回译成英语的工作,并将其发送给原作者,原作者批准了这个版本,从现在起称为坐位功能测试西班牙语版(S-FIST)。记录了60名中风后患者的表现,并录制成视频。然后利用这些视频进行四次测量,以评估评分者内信度和评分者间信度;其中两次由同一名评分者进行,第三次和第四次由第二名和第三名评分者进行。

结果

S-FIST满足以下要求:良好的结构效度,与西班牙语版躯干损伤量表2.0(S-TIS 2.0)评分高度相关(斯皮尔曼等级相关系数r = 0.791),内部一致性高(克朗巴赫α系数 = 0.97),组内相关系数评估的总分的评分者内信度和评分者间信度分别为0.999和0.997。

结论

S-FIST有效且可靠,可推荐用于未来中风后患者研究和临床实践中的动态和坐位平衡以及躯干控制评估。可从其应用中得出治疗指南和躯干活动质量水平。

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