Development of the vestibular disorders activities of daily living scale
Development of the vestibular disorders activities of daily living scale
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DOI：
10.1001/archotol.126.7.881
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发表时间：
2000-07-01
影响因子：
--
通讯作者：
Kimball, KT
中科院分区：
文献类型：
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作者：
Cohen, HS;Kimball, KT
背景资料：现有的前庭损伤患者自我感知残疾的量表要么过于宽泛，无法检测出这一人群中的细微缺陷，要么忽略了一些重要的日常生活任务。目的：开发一种量表来评估前庭损伤患者的自我感知残疾，并描述这种新评估工具的开发和初步测试。设计：制定了一个项目清单，发送给一个专家治疗师小组进行审查，然后进行修订，以产生初步的31个项目，10点的规模，管理的主题。研究对象：诊断为良性阵发性位置性眩晕的患者和诊断为慢性前庭病变的患者，不包括梅尼埃病、术后眩晕和脑震荡后眩晕。结果：最终量表有3个分量表：功能性，Amplitude和工具性。它具有良好的表面效度、较高的内部一致性（α ≥ 0.90）和较高的重测信度（r（c）≥ 0.87）。量表评分范围从1（独立）到10（停止参与活动），但大多数受试者的中位数得分为4或更少。从41%（39/94）到44%（41/94）的受试者认为自己是独立的那些tasks.Conclusions：该量表具有良好的表面效度，高的内部一致性，和高的重测信度。它可能是有用的评估功能限制和感知障碍或残疾之前和之后的干预，并帮助患者变得更加现实地了解自己的能力。
Background: Existing scales of self-perceived disablement in patients with vestibular impairment either are too broad to detect the subtle deficits in this population or omit some important daily life tasks.Objectives: To develop a scale to assess self-perceived disablement in patients with vestibular impairment and to describe the development and initial testing of this new assessment tool.Design: A list of items was developed, sent to a panel of expert therapists for review and then revised to yield the preliminary 31-item, 10-point scale that was administered to subjects. The scale was revised again, yielding the final 28-item scale, which was administered to a new group of subjects.Setting: Data were collected from patients in an outpatient clinic of a tertiary care center.Participants: Patients diagnosed as having benign paroxysmal positional vertigo and patients diagnosed as having chronic vestibulopathy, excluding Meniere disease, postsurgical vertigo, and postconcussion vertigo.Results: The final scale has 3 subscales: functional, ambulation, and instrumental. It has good face validity, high internal consistency (alpha greater than or equal to.90), and high test-retest reliability (r(c)greater than or equal to 0.87). Scale ratings ranged from 1 (independent) to 10 (ceasing to participate in the activity), but median scores for most subjects were 4 or less. From 41% (39/94) to 44% (41/94) of subjects considered themselves to be independent on those tasks.Conclusions: This scale has good face validity, high internal consistency, and high test-retest reliability. It may be useful for evaluating functional limitation and perceived handicap or disability before and after intervention and for helping patients become more realistic in understanding their own capabilities.