{"title":"膝关节骨性关节炎患者Tinetti运动能力评估量表的心理测量特性评价","authors":"Huma Parveen, Majumi M. Noohu","doi":"10.1016/j.hkpj.2016.07.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to determine the psychometric properties of the Tinetti Performance-Oriented Mobility Assessment (POMA) scale to measure balance and gait impairments in individuals with knee osteoarthritis (OA).</p></div><div><h3>Methods</h3><p>A convenient sample of 25 individuals with bilateral OA knee were recruited. The convergent validity was determined by correlation analysis between scores of Berg Balance Scale (BBS) with balance subscale (POMA-B) and the Timed Up and Go Test (TUGT) with gait subscale (POMA-G). The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined.</p></div><div><h3>Results</h3><p>Score of BBS was significantly correlated with POMA-B scores, r<sub>s</sub> = 0.63, <em>p</em> = 0.001, whereas TUGT showed a negative correlation with POMA-G, r<sub>s</sub> = −0.481, <em>p</em> = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G.</p></div><div><h3>Conclusion</h3><p>The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages 25-32"},"PeriodicalIF":0.9000,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.07.001","citationCount":"12","resultStr":"{\"title\":\"Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis\",\"authors\":\"Huma Parveen, Majumi M. 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The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined.</p></div><div><h3>Results</h3><p>Score of BBS was significantly correlated with POMA-B scores, r<sub>s</sub> = 0.63, <em>p</em> = 0.001, whereas TUGT showed a negative correlation with POMA-G, r<sub>s</sub> = −0.481, <em>p</em> = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G.</p></div><div><h3>Conclusion</h3><p>The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.</p></div>\",\"PeriodicalId\":44774,\"journal\":{\"name\":\"Hong Kong Physiotherapy Journal\",\"volume\":\"36 \",\"pages\":\"Pages 25-32\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2017-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.07.001\",\"citationCount\":\"12\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hong Kong Physiotherapy Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1013702516300082\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hong Kong Physiotherapy Journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1013702516300082","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 12
摘要
目的本研究的目的是确定Tinetti性能导向活动能力评估(POMA)量表的心理测量特性，以测量膝关节骨关节炎(OA)患者的平衡和步态障碍。方法选取25例双侧OA膝关节患者作为方便样本。通过Berg平衡量表(BBS)与平衡子量表(POMA-B)和计时起跑测验(TUGT)与步态子量表(POMA-G)的相关分析来确定收敛效度。确定了内部信度[类内相关系数(ICC 3,1)]、Bland-Altman图一致限(LOA)、测量标准误差(SEM)、最小可检测变化(MDC)和天花板/地板效应。结果BBS评分与POMA-B评分呈显著相关(rs = 0.63, p = 0.001)， TUGT与POMA-G评分呈负相关(rs = - 0.481, p = 0.020)，具有中等收敛效度。总POMA量表(POMA- t)、POMA- b和POMA- g的ICC结果分别为0.96、0.93和0.96，表明测试重测信度较高。POMA-T、POMA-B和POMA-G的SEM分别为0.35、0.27和0.35;POMA-T的MDC值为0.97,POMA-B为0.75,POMA-G为0.63。结论研究结果表明，POMA是评估OA膝关节患者平衡和步态障碍的有效可靠工具。
Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis
Objective
The objective of this study was to determine the psychometric properties of the Tinetti Performance-Oriented Mobility Assessment (POMA) scale to measure balance and gait impairments in individuals with knee osteoarthritis (OA).
Methods
A convenient sample of 25 individuals with bilateral OA knee were recruited. The convergent validity was determined by correlation analysis between scores of Berg Balance Scale (BBS) with balance subscale (POMA-B) and the Timed Up and Go Test (TUGT) with gait subscale (POMA-G). The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined.
Results
Score of BBS was significantly correlated with POMA-B scores, rs = 0.63, p = 0.001, whereas TUGT showed a negative correlation with POMA-G, rs = −0.481, p = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G.
Conclusion
The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.
期刊介绍：
The Hong Kong Physiotherapy Journal is the official journal of the Hong Kong Physiotherapy Association Limited (HKPA Ltd). This peer-reviewed journal aims to contribute to and document the advancements in the principles and practice of physiotherapy in Hong Kong.The Hong Kong Physiotherapy Journal is published annually and papers are categorized into research reports, treatment reports, technical reports, literature reviews, and letters to the editor.
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