Walking index for spinal cord injury (WISCI): an international multicenter validity and reliability study
Walking index for spinal cord injury (WISCI): an international multicenter validity and reliability study
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DOI：
10.1038/sj.sc.3100993
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发表时间：
2000-04-01
期刊：
影响因子：
2.2
通讯作者：
Nance, P
中科院分区：
文献类型：
--
作者：
Ditunno, JF;Ditunno, PL;Nance, P
研究设计：采用改良的Delphi技术构建国际步行量表。目的：开发一种更精确的步行量表，用于脊髓损伤(SCI)患者的临床试验，并确定其效度和信度。地点：澳大利亚、巴西、加拿大(2)、韩国、意大利、英国和美国的8个SCI中心。方法：原始条目由意大利和美国两个SCI中心的专家构建，并按等级顺序盲目排序(试点数据)。将这些条目与功能独立性测量(FIM)进行比较，以确定其同时效度。随后在所有八个中心(24个个人和八个团队)完成了项目的独立盲排序。在一次国际会议上就排名顺序达成了最终共识(面对面确认)。结果：所有8个中心和评分员之间的可靠性数据均被转发到由40个患者步行片段组成的录像带。结果：导引数据的肯德尔一致性系数显著(W=0.843，P
Study design: Construction of an international walking scale by a modified Delphi technique.Objective: The purpose of the study was to develop a more precise walking scale for use in clinical trials of subjects with spinal cord injury (SCI) and to determine its validity and reliability.Setting: Eight SCI centers in Australia, Brazil, Canada (2), Korea, Italy, the UK and the US.Methods: Original items were constructed by experts at two SCI centers (Italy and the US) and blindly ranked in an hierarchical order (pilot data). These items were compared to the Functional Independence Measure (FIM) for concurrent validity. Subsequent independent blind rank ordering of items was completed at all eight centers (24 individuals and eight teams). Final consensus on rank ordering was reached during an international meeting (face validation). A videotape comprised of 40 clips of patients walking was forwarded to :all eight centers and inter-rater reliability data collected.Results: Kendall coefficient of concordance for the pilot data was significant (W=0.843, P