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便携式步态节律图在脑卒中患者中的评分者内信度和评分者间信度

Intra-rater and inter-rater reliability of the portable gait rhythmogram in post-stroke patients.

作者信息

Miyata Ryuji, Matsumoto Shuji, Miura Seiji, Kawamura Kentaro, Uema Tomohiro, Miyara Kodai, Niibo Ayana, Ogura Tadashi, Shimodozono Megumi

机构信息

Department of Rehabilitation and Physical Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kirishima Rehabilitation Center, Japan.

Department of Rehabilitation, Kirishima Rehabilitation Center of Kagoshima University Hospital, Japan.

出版信息

J Phys Ther Sci. 2017 May;29(5):874-879. doi: 10.1589/jpts.29.874. Epub 2017 May 16.

Abstract

[Purpose] Gait analysis, such as portable gait rhythmogram (PGR) provides objective information that helps in the quantitative evaluation of human locomotion. The purpose of this study was to assess the reliability of PGR in post-stroke patients. [Subjects and Methods] Two raters (A and B) examined 44 post-stroke patients. To assess intra-rater reliability, rater A tested subjects on three separate occasions (Days 1, 2, and 3). To assess inter-rater reliability, raters A and B independently tested participants on the same occasion (Day 3). [Results] There was no significant systematic bias between test occasions or raters. Intraclass correlation coefficient values were 0.93-0.97 for intra-rater reliability at both the comfortable speed and maximum speed, and 0.97-0.98 (comfortable speed) and 0.87-0.99 (maximum speed) for inter-rater reliability. The standard error was 1.25-1.49 (comfortable speed) and 1.62-1.77 (maximum speed) for intra-rater investigation, and 1.04-1.32 (comfortable speed) and 0.91-1.26 (maximum speed) for inter-rater investigation. At the 90% confidence level, the minimum detectable change ranged from 2.9-4.1%, and the error of an individual's score at a given time point ranged from ±2.1-2.9%. [Conclusion] Based on this excellent reliability of the PGR in post-stroke patients, it can be recommended as a simple test of gait analysis in this population.

摘要

[目的] 步态分析,如便携式步态节律图(PGR),可提供有助于定量评估人体运动的客观信息。本研究的目的是评估PGR在中风后患者中的可靠性。[对象与方法] 两名评估者(A和B)对44名中风后患者进行了检查。为评估评估者内信度,评估者A在三个不同时间点(第1天、第2天和第3天)对受试者进行了测试。为评估评估者间信度,评估者A和B在同一时间点(第3天)独立对参与者进行了测试。[结果] 在测试时间点或评估者之间没有显著的系统偏差。组内相关系数值在舒适速度和最大速度下评估者内信度分别为0.93 - 0.97,评估者间信度在舒适速度下为0.97 - 0.98,最大速度下为0.87 - 0.99。评估者内研究的标准误差在舒适速度下为1.25 - 1.49,最大速度下为1.62 - 1.77;评估者间研究的标准误差在舒适速度下为1.04 - 1.32,最大速度下为0.91 - 1.26。在90%置信水平下,最小可检测变化范围为2.9 - 4.1%,个体在给定时间点得分的误差范围为±2.1 - 2.9%。[结论] 基于PGR在中风后患者中具有的这种出色可靠性,可推荐将其作为该人群步态分析的一种简单测试方法。

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