Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil; Institut de réadaptation Gingras-Lindsay de Montréal (IRGLM), CIUSSS Centre-Sud-de-l'Île-de-Montréal, Université de Montreal (UdeM), Montréal, Canada.
Braz J Phys Ther. 2019 Nov-Dec;23(6):476-490. doi: 10.1016/j.bjpt.2019.02.004. Epub 2019 Feb 27.
Individuals with stroke demonstrate low levels of physical activity. Self-report measures of physical activity are frequently used and the choice of the best one to use for each purpose and context should take into account the measurement properties of these instruments.
To summarize the measurement properties and clinical utility of self-report measures of physical activity of post-stroke subjects and to evaluate both the methodological quality of the studies and the quality of the measurement properties.
Searches were made in MEDLINE, EMBASE, PEDro, LILACS, and SCIELO. Two reviewers independently screened studies that investigated measurement properties or clinical utility of self-report measures of physical activity in post-stroke subjects. The studies' methodological quality, quality of the measurement properties, and clinical utility were evaluated.
From the 11,826 identified studies, 19 were included. Six self-report tools were evaluated: The Activity card sort, Coded activity diary, Frenchay activities index (FAI), Human activity profile (HAP), Multimedia activity recall for children and adults, and the Nottingham leisure questionnaire. The methodological quality of the studies ranged from "poor" to "good". Most of the results regarding the quality of the measurement properties were doubtful. None of the self-report tools had their content validity investigated. The FAI and HAP showed the highest clinical utility scores.
Content validity needs to be better investigated to determine if the instruments actually measure the physical activity domain. Further studies with good methodological quality are required to assist clinicians and researchers in selecting the best instrument to measure physical activity levels.
中风患者的身体活动水平较低。身体活动的自我报告测量方法经常被使用，为了每种目的和每种情况选择最佳的测量方法，应该考虑这些工具的测量特性。
总结中风后患者使用自我报告测量身体活动的测量特性和临床实用性，并评估研究的方法学质量和测量特性的质量。
在 MEDLINE、EMBASE、PEDro、LILACS 和 SCIELO 中进行了检索。两名审查员独立筛选了调查中风后患者使用自我报告测量身体活动的测量特性或临床实用性的研究。评估了研究的方法学质量、测量特性的质量和临床实用性。
从 11826 篇已确定的研究中，纳入了 19 项研究。评估了 6 种自我报告工具：活动卡片分类法、编码活动日记、Frenchay 活动指数（FAI）、人类活动概况（HAP）、儿童和成人多媒体活动回忆、诺丁汉休闲问卷。研究的方法学质量从“差”到“好”不等。关于测量特性质量的大多数结果都值得怀疑。没有自我报告工具调查其内容效度。FAI 和 HAP 显示出最高的临床实用性评分。
需要更好地调查内容效度，以确定这些工具是否实际测量身体活动领域。需要进一步进行具有良好方法学质量的研究，以帮助临床医生和研究人员选择测量身体活动水平的最佳工具。
