Archives of physical medicine and rehabilitation · 2005
Proposal and validation of a new functional ambulation classification scale for clinical use.
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Viosca Enrique, Martínez José L, Almagro Pedro L, Gracia Antonio, González Carmen
Аннотация
OBJECTIVE: To validate a new functional ambulation classification.
DESIGN: Validity study.
SETTING: In- and outpatients of a district hospital rehabilitation service.
PARTICIPANTS: Thirty-one patients with poststroke hemiplegic gait disorders compared with a control group of 5 healthy people. 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.
DESIGN: Validity study.
SETTING: In- and outpatients of a district hospital rehabilitation service.
PARTICIPANTS: Thirty-one patients with poststroke hemiplegic gait disorders compared with a control group of 5 healthy people. 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.