Proposal and validation of a new functional ambulation classification scale for clinical use
Proposal and validation of a new functional ambulation classification scale for clinical use
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DOI：
10.1016/j.apmr.2004.11.016
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发表时间：
2005-06-01
影响因子：
4.3
通讯作者：
González, C
中科院分区：
文献类型：
--
作者：
Viosca, E;Martínez, JL;González, C
目的：验证新的功能行走分类。设计：有效性研究。地点：某地区医院康复服务的住院和门诊患者。干预：不适用。主要观察指标：三名独立检查者在盲法试验中评估每个患者的功能行走水平。对受试者进行评分者间信度分析。用手动计时器测量步行速度(慢、正常、快)，并用步数计数器记录48小时内所走的步数。结果：受试者之间有较好的评分信度(kappa=.74)。功能性步行水平、步行速度和步行步数之间存在显著的相关性和线性相关关系。结论：该分类方法对确定不同水平的步行能力是可靠和有效的。
Objective: To validate a new functional ambulation classification.Design: Validity study.Setting: In- and outpatients of a district hospital rehabilitation service.Interventions: Not applicable.Main Outcome Measures: Three independent examiners assessed the functional ambulation levels of each patient in blind trials. Interrater reliability was analyzed among the examiners. Walking velocity (slow, normal, fast) was measured with a manual chronometer, and the number of steps taken over a 48-hour period was recorded with a step counter. The linear correlation was calculated from among functional level classification, walking velocity, and the number of steps taken.Results: There was a good interrater reliability among the examiners (kappa=.74). A significant association and a linear correlation were found between functional ambulation level, walking velocity, and the number of steps taken.Conclusions: The proposed classification is reliable and valid for determining the different levels of walking abilities.