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Titre : | Examining the Function In Sitting Test for Validity, Responsiveness, and Minimal Clinically Important Difference in Inpatient Rehabilitation (2014) |
Auteurs : | Sharon L. Gorman ; Cathy C. Harro ; Christina Platko |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
Article en page(s) : | p. 2304-2311 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Psychométrie ; Rééducation et réadaptation |
Mots-clés: | Outcome assessment (health care) ; Postural balance ; Équilibre postural ; Psychometrics |
Résumé : |
Objectives To determine the responsiveness of the Function In Sitting Test (FIST), compare scores at admission and discharge from inpatient rehabilitation (IPR) with other balance and function measures, and determine the minimal clinically important difference (MCID). Design Prospective, nonblinded, reference-standard comparison study. Setting Four accredited inpatient rehabilitation units. Participants Population-based sample of adults (N=125) with sitting balance dysfunction, excluding persons with spinal cord injury, significant bracing/orthotics, and inability to perform testing safely. Interventions Not applicable. Main Outcome Measures FIST, FIM, and Berg Balance Scale (BBS) at admission and discharge, and Global Rating of Change for function and balance at discharge. Results The FIST demonstrated good to excellent concurrent validity with the BBS and FIM at admission and discharge (Spearman ρ=.71.85). Significant improvement (P<.000 confidence interval occurred in the fist from admission sd: to discharge standard error of measurement for was resulting a minimal detectable change points. receiver operator characteristic curve differentiated participants with meaningful balance changes under .78 p>.000; 95% CI, .66.91), with a change in FIST score of ≥6.5 points designating the MCID. Findings support the strong responsiveness of the FIST during IPR as evidenced by the large effect size (.83), standardized response mean (1.04), and index of responsiveness (1.07). Conclusions In this study, the FIST correlated well with balance and function measures (concurrent validity) and was responsive to change during IPR. A clinically meaningful change was indicated by an increase in score of ≥6.5 points. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314009654 |