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日语版步态评估与干预工具的信度和效度

Reliability and validity of the Japanese version of the Gait Assessment and Intervention Tool.

作者信息

Koizume Yoshiki, Ito Daisuke, Suda Yuki, Kondo Kunitsugu, Kawakami Michiyuki

机构信息

Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba.

Department of Rehabilitation Medicine, Keio University School of Medicine.

出版信息

Int J Rehabil Res. 2025 Sep 1;48(3):194-198. doi: 10.1097/MRR.0000000000000672. Epub 2025 May 20.

Abstract

This study aimed to translate the Gait Assessment and Intervention Tool (G.A.I.T.) into Japanese and evaluate its reliability and validity. Translation and adaptation followed established cross-cultural guidelines. To assess reliability and validity of Japanese versions of the G.A.I.T, a cohort design was implemented. Sixty-three stroke patients participated in interrater reliability and validity assessments, and 50 patients in the test-retest evaluation. Reliability and validity were evaluated using intraclass correlation coefficients (ICC) and Pearson's correlation coefficients, respectively. The Japanese G.A.I.T. demonstrated excellent reliability in interrater (ICC = 0.975) and retest (ICC = 0.988). Significant correlations were observed between the G.A.I.T. scores and Fugl-Meyer Assessment-Lower Extremity ( r  = -0.774), Functional Ambulation Category ( r  = -0.720), Functional Independence Measure motor scores ( r  = -0.647), functional independence measure mobility ( r  = -0.688), and comfortable walking speed ( r  = -0.839). These findings suggest that the Japanese version of the G.A.I.T. is a reliable and valid assessment tool for evaluating gait coordination in Japanese stroke survivors.

摘要

本研究旨在将步态评估与干预工具(G.A.I.T.)翻译成日语,并评估其信度和效度。翻译与改编遵循既定的跨文化指南。为评估日语版G.A.I.T.的信度和效度,采用了队列设计。63名中风患者参与了评分者间信度和效度评估,50名患者参与了重测评估。分别使用组内相关系数(ICC)和皮尔逊相关系数评估信度和效度。日语版G.A.I.T.在评分者间(ICC = 0.975)和重测(ICC = 0.988)中表现出出色的信度。在G.A.I.T.评分与Fugl-Meyer下肢评估(r = -0.774)、功能性步行分类(r = -0.720)、功能独立性测量运动评分(r = -0.647)、功能独立性测量移动性(r = -0.688)以及舒适步行速度(r = -0.839)之间观察到显著相关性。这些结果表明,日语版G.A.I.T.是评估日本中风幸存者步态协调性的可靠且有效的评估工具。

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