Modified emory functional ambulation profile - An outcome measure for the rehabilitation of poststroke gait dysfunction
Modified emory functional ambulation profile - An outcome measure for the rehabilitation of poststroke gait dysfunction
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DOI：
10.1161/01.str.32.4.973
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发表时间：
2001-04-01
期刊：
影响因子：
8.3
通讯作者：
Wolf, SL
中科院分区：
文献类型：
--
作者：
Baer, HR;Wolf, SL
背景和目的 - 修改后的金刚砂功能性步行曲线 (mEFAP) 是一项易于管理的测试，可测量在有或没有辅助设备或人工协助的情况下在 5 个常见环境地形中行走的时间。评估了 mEFAP 的受试者间信度、重测信度、同时效度以及对中风后步态功能障碍门诊康复期间变化的敏感性。方法：在康复日间治疗计划中对 26 名中风后患者进行前瞻性随访。入院和出院时完成了 mEFAP、Berg 平衡测试 (BBT) 和功能独立测量 + 功能评估测量 (FAMm) 的 7 项流动性小节。结果 - mEFAP 受试者间可靠性（组内系数 [ICC] 0.999）和重测可靠性（ICC 0.998）很高。 BET 表现出较高的测试者间可靠性（ICC 0.992），但重测可靠性较差（ICC 0.605）。比较 mEFAP 与 BET (r= -0.735, r= -0.703) 以及 mEFAP 与 FAMm (r=0.685, r=-0.775) 的初始和最终分数密切相关，mEFAP 的改善与 BET 表现的改善相关 (r= -0.524)。 FAMm 上观察到的总体变化与 mEFAP 上观察到的变化之间没有相关性 (r= -0.145)。 mEFAP 总分和所有 mEFAP 子任务分数随着时间的推移而提高（P
Background and Purpose-The modified Emery Functional Ambulation Profile (mEFAP) is an easily administered test that measures the time to ambulate through 5 common environmental terrains with or without an assistive device or manual assistance. The mEFAP was evaluated for its interrater reliability, test-retest reliability, concurrent validity, and sensitivity to change during outpatient rehabilitation for poststroke gait dysfunction.Methods-Twenty-six poststroke patients were followed up prospectively in a rehabilitation day-treatment program. The mEFAP, Berg Balance Test (BBT), and 7-item mobility subsection of the Functional Independence Measure + Functional Assessment Measure (FAMm) were completed at admission and discharge.Results-mEFAP interrater reliability (intraclass coefficient [ICC] 0.999) and test-retest reliability (ICC 0.998) were high. The BET demonstrated high interrater (ICC 0.992) but poor test-retest (ICC 0.605) reliability. Initial and final scores comparing the mEFAP with the BET (r= -0.735, r= -0.703) and the mEFAP with the FAMm (r=0.685, r=-0.775) were strongly correlated, Improvement on the mEFAP correlated with improved BET performance (r= -0.524). There was no correlation between overall change observed on the FAMm and change on the mEFAP (r= -0.145). Total mEFAP and all mEFAP subtask scores improved over time (P