a Department of Education , Region of Murcia , Murcia , Spain.
b Department of Physical Therapy , EUSES University School, University of Girona , Girona , Spain.
Disabil Rehabil. 2019 Jun;41(11):1268-1274. doi: 10.1080/09638288.2018.1424948. Epub 2018 Jan 12.
Prospective longitudinal study.
To examine the sensitivity of the Mobility Activities Measure for lower extremities and to compare it to the sensitivity of the Physical Functioning Scale (PF-10) and the Patient-Specific Functional Scale (PSFS) at week 4 and week 8 post-hospitalization in outpatient rehabilitation settings.
Mobility Activities Measure is a set of short mobility measures to track outpatient rehabilitation progress: its scales have shown good properties but its sensitivity to change has not been reported.
Patients with musculoskeletal conditions were recruited at admission in three outpatient rehabilitation settings in Spain. Data were collected at admission, week 4 and week 8 from an initial sample of 236 patients (mean age ± SD = 36.7 ± 11.1).
Mobility Activities Measure scales for lower extremity; PF-10; and PSFS.
All the Mobility Activities Measure scales were sensitive to both positive and negative changes (the Standardized Response Means (SRMs) ranged between 1.05 and 1.53 at week 4, and between 0.63 and 1.47 at week 8). The summary measure encompassing the three Mobility Activities Measure scales detected a higher proportion of participants who had improved beyond the minimal detectable change (MDC) than detected by the PSFS and the PF-10 both at week 4 (86.64% vs. 69.81% and 42.23%, respectively) and week 8 (71.14% vs. 55.65% and 60.81%, respectively).
The three Mobility Activities Measure scales assessing the lower extremity can be used across outpatient rehabilitation settings to provide consistent and sensitive measures of changes in patients' mobility. Implications for rehabilitation All the scales of the Mobility Activities Measure for the lower extremity were sensitive to both positive and negative change across the follow-up periods. Overall, the summary measure encompassing the three Mobility Activities Measure scales for the lower extremity appeared more sensitive to positive changes than the Physical Functioning Scale, especially during the first four weeks of treatment. The summary measure also detected a higher percentage of participants with positive change that exceeded the minimal detectable change than the Patient-Specific Functional Scale and the Physical Functioning Scale at the first follow-up period. By demonstrating their consistency and sensitivity to change, the three Mobility Activities Measures scales can now be considered in order to track patients' functional progress. Mobility Activities Measure can be therefore used in patients with musculoskeletal conditions across outpatient rehabilitation settings to provide estimates of change in mobility activities focusing on the lower extremity.
前瞻性纵向研究。
在门诊康复环境中，检测下肢活动能力测量表（Mobility Activities Measure）的灵敏度，并将其与物理功能量表（PF-10）和患者特定功能量表（PSFS）在住院后第 4 周和第 8 周的灵敏度进行比较。
下肢活动能力测量表是一组用于跟踪门诊康复进展的短期活动能力测量表：其量表已显示出良好的特性，但尚未报告其对变化的灵敏度。
在西班牙的三个门诊康复环境中，招募患有肌肉骨骼疾病的患者。在初始样本 236 名患者中，在入院时（平均年龄±标准差=36.7±11.1 岁）、第 4 周和第 8 周收集数据。
下肢活动能力测量表量表；PF-10；PSFS。
所有下肢活动能力测量表量表对阳性和阴性变化均敏感（第 4 周的标准化反应均值（SRM）范围为 1.05-1.53，第 8 周的范围为 0.63-1.47）。包含三个下肢活动能力测量表量表的综合指标，在第 4 周和第 8 周时，比 PSFS 和 PF-10 检测到更高比例的改善超过最小可检测变化（MDC）的参与者（分别为 86.64%、69.81%和 42.23%；分别为 71.14%、55.65%和 60.81%）。
评估下肢的三个下肢活动能力测量表量表可用于门诊康复环境，以提供患者移动性变化的一致和敏感的测量。
下肢活动能力测量表的所有三个量表在整个随访期间均对阳性和阴性变化敏感。总体而言，在第一个治疗四周内，包含三个下肢活动能力测量表的综合指标对阳性变化的敏感性似乎高于物理功能量表。该综合指标在第一个随访期也检测到更高比例的阳性变化参与者，其改善超过最小可检测变化，比患者特定功能量表和物理功能量表都要高。通过证明其对变化的一致性和敏感性，现在可以考虑使用这三个下肢活动能力测量表来跟踪患者的功能进展。因此，在门诊康复环境中，患有肌肉骨骼疾病的患者可以使用下肢活动能力测量表来提供对下肢活动能力变化的估计。
