Koumo Masatoshi, Goda Akio, Maki Yoshinori, Yokoyama Kouta, Katsura Junichi, Yanagibashi Ken
Rehabilitation, Hikari Hospital, Otsu, JPN.
Department of Physical Therapy, Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, JPN.
Cureus. 2025 Aug 4;17(8):e89373. doi: 10.7759/cureus.89373. eCollection 2025 Aug.
Background and purpose To investigate the usefulness of the revised Ability for Basic Movement Scale (ABMS II) for chronic-phase hospitalized patients, whether admitted owing to illness or injury. Methods A retrospective cohort of 176 consecutively admitted chronic care inpatients who underwent rehabilitation therapy between April 2021 and March 2023 was analyzed. Patients who died during admission, who were discharged within one month, or who had insufficient clinical data were excluded. Information on sex, age, residence before admission, and underlying diseases requiring physical rehabilitation therapy was collected. Daily living abilities were measured using the Functional Independence Measure (FIM) and Barthel Index (BI) scores during admission. Basic movement abilities were evaluated by two physical therapists using the ABMS II. The inter-rater reliability of ABMS II scores between therapists was analyzed using the weighted kappa coefficient. Spearman's rank correlation coefficient was used to evaluate the validity of ABMS II and its correlation with FIM/BI scores. This retrospective study was approved by the Ethics Committee of Hikari Hospital (Approval No. HH‑2024‑01). Results and discussion The cohort had a mean age of 84.8 ± 7.3 years, 56% were female, and baseline mean (SD) scores were 18.6 ± 7.6 for ABMS II, 53.8 ± 22.9 for FIM‑total, and 35.0 ± 26.7 for BI. The ABMS II showed excellent agreement (weighted kappa = 0.996; 95% confidence interval: 0.993-0.999) and strong positive correlations (0.743-0.819) with total FIM/BI scores. Conclusions The ABMS Ⅱ is useful for evaluating basic movement abilities in patients with chronic illnesses.
背景与目的 探讨修订后的基本运动能力量表（ABMS II）对慢性病期住院患者（无论因疾病还是损伤入院）的适用性。方法 对2021年4月至2023年3月期间连续收治的176例接受康复治疗的慢性病住院患者进行回顾性队列分析。排除住院期间死亡、入院后1个月内出院或临床资料不足的患者。收集患者的性别、年龄、入院前居住地以及需要物理康复治疗的基础疾病信息。入院期间使用功能独立性测量（FIM）和巴氏指数（BI）评分来评估日常生活能力。由两名物理治疗师使用ABMS II评估基本运动能力。使用加权kappa系数分析治疗师之间ABMS II评分的评分者间信度。采用Spearman等级相关系数评估ABMS II的效度及其与FIM/BI评分的相关性。本回顾性研究获得了光医院伦理委员会的批准（批准号：HH‑2024‑01）。结果与讨论 该队列的平均年龄为84.8±7.3岁，56%为女性，ABMS II的基线平均（标准差）评分为18.6±7.6，FIM总分的基线平均（标准差）评分为53.8±22.9，BI的基线平均（标准差）评分为35.0±26.7。ABMS II与FIM/BI总分显示出极好的一致性（加权kappa = 0.996；95%置信区间：0.993 - 0.999）和强正相关（0.743 - 0.819）。结论 ABMS II对评估慢性病患者的基本运动能力有用。
