多发性硬化症患者平衡能力锻炼计划的发展:利用Rasch分析的概念研究的发展。

IF 2.1 Q1 REHABILITATION
Karl Martin Sattelmayer, Odile Chevalley, Jan Kool, Evelyne Wiskerke, Lina Nilsson Denkinger, Katia Giacomino, Emmanuelle Opsommer, Roger Hilfiker
{"title":"多发性硬化症患者平衡能力锻炼计划的发展:利用Rasch分析的概念研究的发展。","authors":"Karl Martin Sattelmayer,&nbsp;Odile Chevalley,&nbsp;Jan Kool,&nbsp;Evelyne Wiskerke,&nbsp;Lina Nilsson Denkinger,&nbsp;Katia Giacomino,&nbsp;Emmanuelle Opsommer,&nbsp;Roger Hilfiker","doi":"10.1186/s40945-021-00120-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>People with multiple sclerosis (PwMS) frequently have impaired balance from an early stage of the disease. Balance difficulties can be divided into categories; although, to date, these lack scientific foundation. Impaired balance in PwMS can be addressed using specific and challenging exercises. Such exercises should provide an optimal challenge point; however, the difficulty of balance exercises is often unknown, making it difficult to target the exercises to an individual's abilities. The aims of this study were: to develop an exercise programme for PwMS relating the exercises to the balance problem categories; to establish the order of difficulty of exercises in each category and; to evaluate the content and structural validity of the exercise programme.</p><p><strong>Methods: </strong>A \"construct map\" approach was used to design and develop an exercise programme for PwMS. Potentially relevant balance exercises were identified, then a framework was set up, comprising four dimensions (subsequently reduced to three dimensions) of balance exercises. The relevance, comprehensibility, and comprehensiveness of the exercise programme were rated by 13 physiotherapists, who also linked 19 key exercises to balance categories. A total of 65 PwMS performed the 19 balance exercises, rated their difficulty and commented on the relevance and comprehensibility of each exercise. A Rasch model was used to evaluate the relative difficulty of the exercises. To assess fit of the data to the Rasch model a rating scale model was used, which is a unidimensional latent trait model for polytomous item responses.</p><p><strong>Results: </strong>Evaluation by the physiotherapists and PwMS indicated that the content validity of the exercise programme was adequate. Rasch analysis showed that the latent trait \"balance exercises in PwMS\" comprised three subdimensions (\"stable BOS\", \"sway\" and \"step and walk\"). The 19 balance exercises showed adequate fit to the respective dimensions. The difficulties of the balance exercises were adequate to cover the ability spectrum of the PwMS.</p><p><strong>Conclusion: </strong>A balance exercise programme for PwMS comprising three dimensions of balance exercises was developed. Difficulty estimates have been established for each of the exercises, which can be used for targeted balance training. Content and structural validity of the programme was adequate.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672542/pdf/","citationCount":"2","resultStr":"{\"title\":\"Development of an exercise programme for balance abilities in people with multiple sclerosis: a development of concept study using Rasch analysis.\",\"authors\":\"Karl Martin Sattelmayer,&nbsp;Odile Chevalley,&nbsp;Jan Kool,&nbsp;Evelyne Wiskerke,&nbsp;Lina Nilsson Denkinger,&nbsp;Katia Giacomino,&nbsp;Emmanuelle Opsommer,&nbsp;Roger Hilfiker\",\"doi\":\"10.1186/s40945-021-00120-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>People with multiple sclerosis (PwMS) frequently have impaired balance from an early stage of the disease. Balance difficulties can be divided into categories; although, to date, these lack scientific foundation. Impaired balance in PwMS can be addressed using specific and challenging exercises. Such exercises should provide an optimal challenge point; however, the difficulty of balance exercises is often unknown, making it difficult to target the exercises to an individual's abilities. The aims of this study were: to develop an exercise programme for PwMS relating the exercises to the balance problem categories; to establish the order of difficulty of exercises in each category and; to evaluate the content and structural validity of the exercise programme.</p><p><strong>Methods: </strong>A \\\"construct map\\\" approach was used to design and develop an exercise programme for PwMS. Potentially relevant balance exercises were identified, then a framework was set up, comprising four dimensions (subsequently reduced to three dimensions) of balance exercises. The relevance, comprehensibility, and comprehensiveness of the exercise programme were rated by 13 physiotherapists, who also linked 19 key exercises to balance categories. A total of 65 PwMS performed the 19 balance exercises, rated their difficulty and commented on the relevance and comprehensibility of each exercise. A Rasch model was used to evaluate the relative difficulty of the exercises. To assess fit of the data to the Rasch model a rating scale model was used, which is a unidimensional latent trait model for polytomous item responses.</p><p><strong>Results: </strong>Evaluation by the physiotherapists and PwMS indicated that the content validity of the exercise programme was adequate. Rasch analysis showed that the latent trait \\\"balance exercises in PwMS\\\" comprised three subdimensions (\\\"stable BOS\\\", \\\"sway\\\" and \\\"step and walk\\\"). The 19 balance exercises showed adequate fit to the respective dimensions. The difficulties of the balance exercises were adequate to cover the ability spectrum of the PwMS.</p><p><strong>Conclusion: </strong>A balance exercise programme for PwMS comprising three dimensions of balance exercises was developed. Difficulty estimates have been established for each of the exercises, which can be used for targeted balance training. Content and structural validity of the programme was adequate.</p>\",\"PeriodicalId\":72290,\"journal\":{\"name\":\"Archives of physiotherapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2021-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672542/pdf/\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of physiotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40945-021-00120-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physiotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40945-021-00120-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 2

摘要

背景:多发性硬化症(PwMS)患者经常从疾病的早期阶段就有平衡受损。平衡困难可以分为几类;尽管到目前为止,这些都缺乏科学依据。PwMS中的平衡受损可以通过特定的和具有挑战性的练习来解决。这样的练习应该提供一个最佳的挑战点;然而,平衡练习的难度通常是未知的,这使得很难针对个人的能力进行练习。本研究的目的是:为PwMS制定一项与平衡问题类别相关的锻炼计划;确定每一类练习的难度顺序;评估演习计划的内容和结构有效性。方法:采用“构造图”方法设计和制定PwMS锻炼计划。确定了潜在的相关平衡练习,然后建立了一个框架,包括四个维度的平衡练习(随后减少到三个维度)。13名物理治疗师对锻炼计划的相关性、可理解性和综合性进行了评估,他们还将19项关键锻炼与平衡类别联系起来。共有65名PwMS进行了19项平衡练习,对其难度进行了评分,并对每个练习的相关性和可理解性进行了评论。使用Rasch模型来评估练习的相对难度。为了评估数据与Rasch模型的拟合,我们使用了评定量表模型,这是一个用于多同构项目反应的单维潜在特质模型。结果:经物理治疗师和PwMS评估,运动方案的内容效度良好。Rasch分析显示,潜在特质“平衡练习”包括三个维度(“稳定的BOS”、“摇摆”和“迈步和行走”)。19种平衡练习显示出与各自维度的适当契合。平衡练习的难度足以涵盖PwMS的能力范围。结论:为PwMS制定了一个平衡锻炼计划,包括三个方面的平衡锻炼。每个练习的难度估计已经建立,可以用于有针对性的平衡训练。该方案的内容和结构有效性是充分的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of an exercise programme for balance abilities in people with multiple sclerosis: a development of concept study using Rasch analysis.

Development of an exercise programme for balance abilities in people with multiple sclerosis: a development of concept study using Rasch analysis.

Development of an exercise programme for balance abilities in people with multiple sclerosis: a development of concept study using Rasch analysis.

Development of an exercise programme for balance abilities in people with multiple sclerosis: a development of concept study using Rasch analysis.

Background: People with multiple sclerosis (PwMS) frequently have impaired balance from an early stage of the disease. Balance difficulties can be divided into categories; although, to date, these lack scientific foundation. Impaired balance in PwMS can be addressed using specific and challenging exercises. Such exercises should provide an optimal challenge point; however, the difficulty of balance exercises is often unknown, making it difficult to target the exercises to an individual's abilities. The aims of this study were: to develop an exercise programme for PwMS relating the exercises to the balance problem categories; to establish the order of difficulty of exercises in each category and; to evaluate the content and structural validity of the exercise programme.

Methods: A "construct map" approach was used to design and develop an exercise programme for PwMS. Potentially relevant balance exercises were identified, then a framework was set up, comprising four dimensions (subsequently reduced to three dimensions) of balance exercises. The relevance, comprehensibility, and comprehensiveness of the exercise programme were rated by 13 physiotherapists, who also linked 19 key exercises to balance categories. A total of 65 PwMS performed the 19 balance exercises, rated their difficulty and commented on the relevance and comprehensibility of each exercise. A Rasch model was used to evaluate the relative difficulty of the exercises. To assess fit of the data to the Rasch model a rating scale model was used, which is a unidimensional latent trait model for polytomous item responses.

Results: Evaluation by the physiotherapists and PwMS indicated that the content validity of the exercise programme was adequate. Rasch analysis showed that the latent trait "balance exercises in PwMS" comprised three subdimensions ("stable BOS", "sway" and "step and walk"). The 19 balance exercises showed adequate fit to the respective dimensions. The difficulties of the balance exercises were adequate to cover the ability spectrum of the PwMS.

Conclusion: A balance exercise programme for PwMS comprising three dimensions of balance exercises was developed. Difficulty estimates have been established for each of the exercises, which can be used for targeted balance training. Content and structural validity of the programme was adequate.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.60
自引率
0.00%
发文量
0
审稿时长
10 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信