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上肢截肢者的定时活动表现:一项初步研究。

Timed activity performance in persons with upper limb amputation: A preliminary study.

作者信息

Resnik Linda, Borgia Mathew, Acluche Frantzy

机构信息

Providence VA Medical Center, Providence, RI, USA; Health Services, Policy and Practice, Brown University, Providence, RI, USA.

Providence VA Medical Center, Providence, RI, USA.

出版信息

J Hand Ther. 2017 Oct-Dec;30(4):468-476. doi: 10.1016/j.jht.2017.03.008. Epub 2017 May 6.

Abstract

STUDY DESIGN

55 subjects with upper limb amputation were administered the T-MAP twice within one week.

PURPOSE

To develop a timed measure of activity performance for persons with upper limb amputation (T-MAP); examine the measure's internal consistency, test-retest reliability and validity; and compare scores by prosthesis use.

INTRODUCTION

Measures of activity performance for persons with upper limb amputation are needed The time required to perform daily activities is a meaningful metric that implication for participation in life roles.

METHODS

Internal consistency and test-retest reliability were evaluated. Construct validity was examined by comparing scores by amputation level. Exploratory analyses compared sub-group scores, and examined correlations with other measures.

RESULTS

Scale alpha was 0.77, ICC was 0.93. Timed scores differed by amputation level. Subjects using a prosthesis took longer to perform all tasks. T-MAP was not correlated with other measures of dexterity or activity, but was correlated with pain for non-prosthesis users.

DISCUSSION

The timed scale had adequate internal consistency and excellent test-retest reliability.

CONCLUSIONS

Analyses support reliability and construct validity of the T-MAP.

LEVEL OF EVIDENCE

2c "outcomes" research.

摘要

研究设计

55名上肢截肢患者在一周内接受了两次T-MAP测试。

目的

为上肢截肢患者开发一种活动表现的定时测量方法(T-MAP);检验该测量方法的内部一致性、重测信度和效度;并比较使用假肢和未使用假肢患者的得分。

引言

需要针对上肢截肢患者的活动表现测量方法。进行日常活动所需的时间是一个有意义的指标,对参与生活角色有影响。

方法

评估内部一致性和重测信度。通过比较不同截肢水平的得分来检验结构效度。探索性分析比较亚组得分,并检验与其他测量方法的相关性。

结果

量表的α系数为0.77,组内相关系数为0.93。定时得分因截肢水平而异。使用假肢的受试者完成所有任务所需时间更长。T-MAP与其他灵活性或活动测量方法无关,但与未使用假肢的患者的疼痛相关。

讨论

定时量表具有足够的内部一致性和出色的重测信度。

结论

分析支持T-MAP的信度和结构效度。

证据水平

2c级“结果”研究。

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