目的:研究平行形式的可靠性,最小可检测变化(MDC95),四个远程康复版本的移动性相关功能量表的可行性:Fugl-Meyer评估-下肢分量表(Tele-FMA-LE),Berg平衡量表(Tele-BBS),以Tinetti绩效为导向的机动性评估-步态子量表(Tele-POMA-G),和Rivermead流动性指数(Tele-RMI)。
方法:可靠性和一致性研究以及横断面研究。
方法:医疗中心。
方法:中风幸存者可以使用辅助设备独立行走3米,参与者及其伴侣年龄≥18岁,稳定的身体状况,和没有认知障碍。
方法:不适用。
方法:并行形式Tele-FMA-LE的可靠性和MDC95,Tele-BBS,Tele-POMA-G,和Tele-RMI.
结果:在远程康复版本和面对面版本的移动性相关功能量表的平均得分之间没有观察到显着差异(p>0.05)。类内相关系数(ICC)表明大多数量表具有良好的可靠性,用Tele-FMA-LE,Tele-BBS,和Tele-RMI得分达到0.81、0.78和0.84的值。Tele-POMA-G评分显示中等可靠性(ICC=0.72)。加权κ(κw)对大多数单个项目显示良好至优异的可靠性(κw>0.60)。Tele-FMA-LE的MDC,Tele-BBS,Tele-POMA-G,和Tele-RMI分别为5.84、8.10、2.74和1.31。Bland-Altman分析显示,所有量表的远程评估和面对面评估之间都有足够的一致性。这五个维度肯定了远程评估的稳健可行性:评估时间,主观疲劳感知,总体偏好,参与者满意度,和系统可用性。
结论:该研究证明了良好的平行形式可靠性,最小的可检测变化,四个远程康复版本的移动性相关功能量表(Tele-FMA-LE,Tele-BBS,Tele-POMA-G,和Tele-RMI)在中风幸存者中。
OBJECTIVE: To investigate the parallel-forms reliability, minimal detectable change with 95% confidence interval (MDC95), and feasibility of the 4 telerehabilitation version mobility-related function scales: Fugl-Meyer Assessment-lower extremity subscale (Tele-FMA-LE), Berg Balance Scale (Tele-BBS), Tinetti Performance Oriented Mobility Assessment-Gait subscale (Tele-POMA-G), and Rivermead Mobility Index (Tele-RMI).
METHODS: Reliability and agreement study and cross-sectional study.
METHODS: Medical center.
METHODS: Stroke survivors\' ability to independently walk 3 meters with assistive devices, age of ≥18 years for participants and their partners, stable physical condition, and absence of cognitive impairment (N=60).
METHODS: Not applicable.
METHODS: Parallel-forms reliability and MDC95 of Tele-FMA-LE, Tele-BBS, Tele-POMA-G, and Tele-RMI.
RESULTS: No significant differences (P>.05) were observed among the mean scores of the telerehabilitation version and face-to-face version mobility-related function scales. Intraclass correlation coefficients (ICCs) indicated good reliability for most scales, with Tele-FMA-LE, Tele-BBS, and Tele-RMI scores achieving values of 0.81, 0.78, and 0.84. Tele-POMA-G scores demonstrated moderate reliability (ICC=0.72). Weighted kappa (κw) showed good-to-excellent reliability for most individual items (κw>0.60). The MDCs of the Tele-FMA-LE, Tele-BBS, Tele-POMA-G, and Tele-RMI were 5.84, 8.10, 2.74, and 1.31, respectively. Bland-Altman analysis showed adequate agreement between tele-assessment and face-to-face assessment for all scales. The 5 dimensions affirm the robust feasibility of tele-assessment: assessment time, subjective fatigue perception, overall preference, participant satisfaction, and system usability.
CONCLUSIONS: The study demonstrates good parallel-forms reliability, MDC, and promising feasibility of the 4 telerehabilitation version mobility-related function scales (Tele-FMA-LE, Tele-BBS, Tele-POMA-G, and Tele-RMI) in survivors of stroke.