数字指示自我报告30秒椅子站立测试下肢功能的可靠性

Leif E. Dahlberg , Oscar Karlsson , Paulina Sirard , L Stefan Lohmander , Ali Kiadaliri
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引用次数: 0

摘要

目的将30秒椅子站立测试(30s CST)作为一种评估下肢身体功能的有效、可靠的测试方法,整合到数字电子健康项目中。我们的目的是评估数字自我评估和现场物理治疗师评估之间的一致性(量表间信度),以及髋关节或膝关节骨关节炎患者中数字自我评估的量表内测试-再测试信度。设计从数字治疗数据库中确定符合条件的髋关节或膝关节骨关节炎患者。30年代的CST通过数字自我评估和面对面的物理治疗师评估进行。评估者之间的信度研究是在一家理疗诊所进行的,对于评估者内部的测试-重测信度,参与者在家中进行了两次数字自我评估测试。结果在为期一天的评估信度研究中,包括18名参与者(平均年龄67岁,89%为女性)和一名物理治疗师。评分者内部测试-重测,间隔10-14天,包括54名参与者(平均年龄69岁,78%为女性)。与面对面的物理治疗师评估相比,数字自我评估中自我报告的坐姿到站立重复次数平均多1.5次(95% CI 0.6至2.4)。30岁CST的数字自评表现出低至优异的评分间信度,评分内相关系数(ICC)为0.87 (95% CI 0.47 ~ 0.96),评分内重测信度(ICC)为0.88 (95% CI 0.79 ~ 0.93)。Bland-Altman图显示了良好的等级间和等级内信度。结论:30s CST可作为老年髋关节和/或膝关节骨性关节炎患者下肢身体功能的自我给药和自我报告测量方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reliability of digitally instructed self-reported 30-second chair stand test for lower extremity function

Objective

The 30-s Chair Stand Test (30s CST), a valid and reliable test evaluating lower extremity physical function, has been integrated into a digital eHealth program. We aimed to evaluate the agreement (inter-rater reliability) between digital self-assessment and in-person physiotherapist assessment as well as intra-rater test-retest reliability of digital self-assessment among persons with hip or knee osteoarthritis.

Design

Eligible participants with hip or knee osteoarthritis were identified from the digital treatment database. The 30s CST was performed through a digital self-assessment and in-person physiotherapist assessment. The inter-rater reliability study was conducted at a physiotherapy clinic and for the intra-rater test-retest reliability, the participants performed the digitally self-assessment test twice in their home.

Results

The inter-rater reliability one-day study, included 18 participants (mean age 67 years and 89 ​% females) and one physiotherapist. The intra-rater test-retest, separated by 10–14 days, included 54 participants (mean age 69 years, 78 ​% females). There were, on average, 1.5 (95 ​% CI 0.6 to 2.4) more self-reported sit-to-stand repetitions for the digital self-assessment compared with in-person physiotherapist assessment. The digital self-assessment of 30s CST showed low to excellent inter-rater reliability with an intraclass correlation coefficient (ICC) of 0.87 (95 ​% CI 0.47 to 0.96) and good to excellent intra-rater test-retest reliability, ICC 0.88 (95 ​% CI 0.79 to 0.93). Bland-Altman plots suggested good levels of inter- and intra-rater reliability.

Conclusion

Results suggest that the 30s CST can be measured digitally as a self-administered and self-reported measurement of lower extremity physical function in older adults with hip and/or knee osteoarthritis.
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来源期刊
Osteoarthritis and cartilage open
Osteoarthritis and cartilage open Orthopedics, Sports Medicine and Rehabilitation
CiteScore
3.30
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