The patient-specific functional scale: Validation of its use in persons with neck dysfunction
The patient-specific functional scale: Validation of its use in persons with neck dysfunction
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DOI：
10.2519/jospt.1998.27.5.331
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发表时间：
1998-05-01
影响因子：
6.1
通讯作者：
Binkley, JM
中科院分区：
文献类型：
--
作者：
Westaway, MD;Stratford, PW;Binkley, JM
在临床实践中，残疾的自我报告措施被更频繁地用于评估患者的结果。本研究考察了患者特异性功能量表在用于颈部功能障碍患者时的信度、效度和对变化的敏感性。31例宫颈功能障碍患者在初次就诊时、初次就诊72小时内、治疗1-4周后应用患者特异性功能量表和颈部残疾指数。在初次就诊时，临床医生以五分制对患者的预后进行了估计。这一估计是对变化的先验构造：评分越高的患者变化越大。结果具有良好的信度（R = 0.92）、效度（与颈失能指数比较R = 0.73 ~ 83，与预后评分比较R = 0.52 ~ 0.64）和变化敏感性（与颈失能指数变化评分比较R = 0.79 ~ 0.83，与预后评分比较R = 0.46 ~ 0.53）。患者特异性功能量表和颈部残疾指数在检测随时间变化的能力方面没有发现差异。本研究的结果与先前的研究一致，这些研究得出的结论是，患者特异性功能量表是评估下腰痛和膝关节功能障碍患者的残疾和残疾变化的有效和有效的措施。
Self-report measures of disability are being used more frequently to assess patients' outcomes in clinical practice. This study examines the reliability, validity, and sensitivity to change of the Patient-Specific Functional Scale when applied to persons with neck dysfunction. The Patient-Specific Functional Scale and Neck Disability Index were applied at the initial visit, within 72 hours of the initial visit, and following 1-4 weeks of treatment in 31 patients with cervical dysfunction. At the time of the initial visit, the clinician made an estimate of patients' prognoses on a five-point scale. This estimate served as an a priori construct for change: patients with better ratings would change more. The results demonstrate excellent reliability (R = .92), validity (r = .73-83 compared with the Neck Disability Index, and r = .52-.64 compared with the prognosis rating), and sensitivity to change (r = .79-.83 compared with Neck Disability Index change scores, and r = .46-.53 compared with the prognosis rating). No difference was found between the Patient-Specific Functional Scale and Neck Disability Index in their ability to detect change over time. The results of this study are consistent with previous investigations which have concluded that the Patient-Specific Functional Scale is an efficient and valid measure for assessing disability and change in disability in persons with low back pain and knee dysfunction.