{"title":"日本脑卒中幸存者独立下楼评分系统的信度、结构效度和可行性。","authors":"Eiji Kobayashi, Yoshihiko Shibukawa, Tomoyasu Sakaguchi, Sayo Miura, Hirohumi Kamiyama, Akane Shimoyama, Yuri Ishikawa, Youhei Muraoka, Nobuaki Himuro","doi":"10.1080/10749357.2025.2532409","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although assessment of the capacity to get up from the floor after a fall is considered beneficial in maintaining physical safety for stroke survivors, measurement properties of the Independently Get Off the Floor Scoring System (IGO) for this population is not well established.</p><p><strong>Objective: </strong>To translate the IGO into Japanese, and to investigate reliability, construct validity, and feasibility of it for stroke survivors.</p><p><strong>Design: </strong>Sixty-five Japanese stroke survivors participated in this study. This study was designed based on COSMIN standards. The IGO was translated into Japanese using forward and backward translation. For the inter- and intra-rater reliability, weighted Cohen's kappa values and Fleiss's kappa values were used. For the construct validity, hypotheses testing method was used. Correlations between the IGO and standard measurements, the Stroke Impairment Assessment Set, knee extensor muscle strength, range of motion in the shoulder and ankle joint, the 5-repetition Sit-To-Stand test, and the Timed Up and Go test were examined using the Spearman's rank correlation coefficient.</p><p><strong>Results: </strong>The IGO demonstrates moderate inter-rater reliability between three raters (κ = 0.620) and strong to almost perfect reliability between two raters (κ = 0.824 to 0.862) and strong to almost perfect intra-rater reliability for each rater (κ = 0.884 to 0.959). Seven of 8 hypotheses to test construct validity were confirmed. The significant correlation coefficients obtained ranged from 0.345 to 0.633.</p><p><strong>Conclusions: </strong>The IGO is a reliable, valid, and feasible measurement to assess the capacity of stroke survivors to get up from the floor.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.5000,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Inter- and intra-rater reliability, construct validity and feasibility of the independently get off the floor scoring system for Japanese stroke survivors.\",\"authors\":\"Eiji Kobayashi, Yoshihiko Shibukawa, Tomoyasu Sakaguchi, Sayo Miura, Hirohumi Kamiyama, Akane Shimoyama, Yuri Ishikawa, Youhei Muraoka, Nobuaki Himuro\",\"doi\":\"10.1080/10749357.2025.2532409\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Although assessment of the capacity to get up from the floor after a fall is considered beneficial in maintaining physical safety for stroke survivors, measurement properties of the Independently Get Off the Floor Scoring System (IGO) for this population is not well established.</p><p><strong>Objective: </strong>To translate the IGO into Japanese, and to investigate reliability, construct validity, and feasibility of it for stroke survivors.</p><p><strong>Design: </strong>Sixty-five Japanese stroke survivors participated in this study. This study was designed based on COSMIN standards. The IGO was translated into Japanese using forward and backward translation. For the inter- and intra-rater reliability, weighted Cohen's kappa values and Fleiss's kappa values were used. For the construct validity, hypotheses testing method was used. Correlations between the IGO and standard measurements, the Stroke Impairment Assessment Set, knee extensor muscle strength, range of motion in the shoulder and ankle joint, the 5-repetition Sit-To-Stand test, and the Timed Up and Go test were examined using the Spearman's rank correlation coefficient.</p><p><strong>Results: </strong>The IGO demonstrates moderate inter-rater reliability between three raters (κ = 0.620) and strong to almost perfect reliability between two raters (κ = 0.824 to 0.862) and strong to almost perfect intra-rater reliability for each rater (κ = 0.884 to 0.959). Seven of 8 hypotheses to test construct validity were confirmed. 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引用次数: 0
摘要
背景:虽然评估跌倒后从地板上爬起来的能力被认为有利于维护中风幸存者的身体安全,但独立离开地板评分系统(IGO)对这一人群的测量特性尚未得到很好的确立。目的:将IGO翻译成日文,探讨其在脑卒中幸存者中的信度、效度和可行性。设计:65名日本中风幸存者参与了这项研究。本研究依据COSMIN标准设计。IGO被用正向和反向翻译翻译成日语。对于评级间和评级内的信度,采用加权的Cohen’s kappa值和Fleiss’s kappa值。构念效度采用假设检验方法。IGO与标准测量值、卒中损害评估集、膝关节伸肌力量、肩关节和踝关节的活动范围、5次坐立测试、Timed Up and Go测试之间的相关性采用Spearman等级相关系数进行检验。结果:IGO在三个评分者之间表现出中等的评分间信度(κ = 0.620),在两个评分者之间表现出强至近乎完美的信度(κ = 0.824 ~ 0.862),在每个评分者之间表现出强至近乎完美的评分内信度(κ = 0.884 ~ 0.959)。检验结构效度的8个假设中有7个得到证实。得到的显著相关系数为0.345 ~ 0.633。结论:IGO是一种可靠、有效、可行的评估脑卒中幸存者从地板上站起来能力的方法。
Inter- and intra-rater reliability, construct validity and feasibility of the independently get off the floor scoring system for Japanese stroke survivors.
Background: Although assessment of the capacity to get up from the floor after a fall is considered beneficial in maintaining physical safety for stroke survivors, measurement properties of the Independently Get Off the Floor Scoring System (IGO) for this population is not well established.
Objective: To translate the IGO into Japanese, and to investigate reliability, construct validity, and feasibility of it for stroke survivors.
Design: Sixty-five Japanese stroke survivors participated in this study. This study was designed based on COSMIN standards. The IGO was translated into Japanese using forward and backward translation. For the inter- and intra-rater reliability, weighted Cohen's kappa values and Fleiss's kappa values were used. For the construct validity, hypotheses testing method was used. Correlations between the IGO and standard measurements, the Stroke Impairment Assessment Set, knee extensor muscle strength, range of motion in the shoulder and ankle joint, the 5-repetition Sit-To-Stand test, and the Timed Up and Go test were examined using the Spearman's rank correlation coefficient.
Results: The IGO demonstrates moderate inter-rater reliability between three raters (κ = 0.620) and strong to almost perfect reliability between two raters (κ = 0.824 to 0.862) and strong to almost perfect intra-rater reliability for each rater (κ = 0.884 to 0.959). Seven of 8 hypotheses to test construct validity were confirmed. The significant correlation coefficients obtained ranged from 0.345 to 0.633.
Conclusions: The IGO is a reliable, valid, and feasible measurement to assess the capacity of stroke survivors to get up from the floor.
期刊介绍:
Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues.
The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.