The Amputee Mobility Predictor: An instrument to assess determinants of the lower-limb amputee's ability to ambulate

The Amputee Mobility Predictor: An instrument to assess determinants of the lower-limb amputee's ability to ambulate
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DOI:
10.1053/ampr.2002.32309
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发表时间:
2002-05-01
影响因子:
4.3
通讯作者:
Nash, MS
Nash, MS
中科院分区:
医学1区
文献类型:
--
作者:
Gailey, RS;Roach, KE;Nash, MS

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目的:描述截肢者活动度预测(C)(AMP)工具的研制,以测量使用假体(AMPPRO)和不使用假肢(AMPnoPRO)的截肢者的步行能力,并测试其可靠性和效度。设计:采用已知组群方法进行测量研究,与现有测量方法同时进行。地点:学术医学中心。参与者:完成假肢训练的191名截肢者,24名可靠性研究(平均年龄+/-标准差,68.3+/-17.9y,范围,28-99y)和167名效度研究的受试者54.8+/-8.6岁;主要观察指标:评委内和评委间的信度;已知组方法的结构效度;与6分钟步行试验、合并症指数、年龄和截肢时间比较的同时效度;控制其他因素后与6分钟步行试验的预测效度比较。结果:接受假肢和不戴假肢的受试者,评委间信度为0.99;AMPnoPRO(P
Objectives: To describe the development of the Amputee Mobility Predictor(C) (AMP) instrument designed to measure ambulatory potential of lower-limb amputees with (AMPPRO) and without (AMPnoPRO) the use of a prosthesis, and to test its reliability and validity.Design: Measurement study using known groups method and concurrence with existing measures.Setting: Academic medical center.Participants: A convenience sample of 191 lower-limb amputee subjects who had completed prosthetic training, 24 in the reliability study (mean age +/- standard deviation, 68.3 +/- 17.9y, range, 28-99y) and 167 in the validity study (mean age, 54.8 +/- 8.6y; range, 18-100y).Interventions: Not applicable.Main Outcome Measures: Intra- and interrater reliability; construct validy by known groups method; concurrent validity by comparisons with 6-minute walk test, Comorbidity Index, age, and time since amputation; predictive validity by comparison with 6-minute walk test after controlling for other factors.Results: Interrater reliability was.99 for subjects tested with and without their prosthesis; intrarater reliability was .96 and .97. Both the AMPnoPRO (P