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Keskin E, Livanelioğlu A. Psychometric Properties of the Turkish Version of the Abiloco: Factor Analysis. Eval Health Prof 2024; 47:119-125. [PMID: 37128137 DOI: 10.1177/01632787231172776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
The ABILOCO is a questionnaire measuring mobility in stroke patients. The aim of the study was to evaluate the psychometric properties of the ABILOCO-Turkish. One hundred forty stroke patients were included. Thirteen items were rated according to 3 levels: difficult, easy, and impossible. The construct validity of the ABILOCO-Turkish was investigated using exploratory and confirmatory factor analysis. The reliability of the ABILOCO-Turkish was investigated through internal consistency approaches and test-retest reliability. The ABILOCO-Turkish was compared with the Timed Up & Go (TUG) test and the Berg Balance Scale for validity. The scale was repeated 1 week later for test-retest reliability. The Cronbach's alpha value calculated was 0.96 and item-total score correlations were between 0.464 and 0.899. The intraclass correlation coefficient (ICC) calculated for test-retest reliability was 0.989. According to the results, the ABILOCO-Turkish is highly correlated with the TUG (r: -0.830, p < 0.001) and the Berg Balance Scale (r: 0.919, p < 0.001). The exploratory factor analysis of the ABILOCO-Turkish showed that it is unidimensional, with this factor explaining 66.56% of the variance, and the construct validity was proven by confirmatory factor analysis. The Turkish version of the ABILOCO is a reliable and valid scale for evaluating mobility in stroke patients.
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Affiliation(s)
- Esra Keskin
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Balıkesir, Turkey
| | - Ayşe Livanelioğlu
- Faculty of Physical Therapy and Rehabilitation, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Polese JC, da Silva SLA, Lacerda CSA, Roza EA, Torriani-Pasin C. Community ambulation after chronic stroke: A cross-sectional study. J Bodyw Mov Ther 2022. [DOI: 10.1016/j.jbmt.2022.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Avelino PR, Nascimento LR, Menezes KKP, Tenório RA, Cândido GN, Christovão IS, Teixeira-Salmela LF. Validation of the telephone-based assessment of locomotion ability after stroke. Int J Rehabil Res 2021; 44:88-91. [PMID: 33234843 DOI: 10.1097/mrr.0000000000000447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
The aim of the study was to validate the telephone-based application of the ABILOCO questionnaire for the assessment of locomotion ability after stroke. Individuals after stroke answered the ABILOCO-Brazil questionnaire on two randomized occasions, face-to-face and by telephone, 5-7 days apart. The mean difference between the interviews was reported. Intraclass correlation coefficient (ICC) was calculated to investigate the agreement between the total scores, and weighted-Kappa statistics to investigate the agreement between the individual items. A total of 92 individuals were included. There was no significant difference in the mean scores between face-to-face and telephone-based applications of the ABILOCO [mean difference 0.17 logits; 95% confidence interval (CI), -0.88 to 0.54]. A high level of agreement was found between the ABILOCO total scores obtained between both applications (ICC = 0.90; 95% CI, 0.84-0.93), and most of the individual items had, on average, moderate agreement. The ABILOCO showed to be a reliable questionnaire for telephone assessment of locomotion ability after stroke.
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Affiliation(s)
- Patrick R Avelino
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
| | - Lucas R Nascimento
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
- Discipline of Physical Therapy, Center of Health Sciences, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Kênia K P Menezes
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
| | - Ruani A Tenório
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
| | - Gabriela N Cândido
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
| | - Isabela S Christovão
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
| | - Luci F Teixeira-Salmela
- NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte
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Faria-Fortini I, Polese JC, Faria CDCM, Scianni AA, Nascimento LR, Teixeira-Salmela LF. Fall Efficacy Scale-International cut-off score discriminates fallers and non-fallers individuals who have had stroke. J Bodyw Mov Ther 2021; 26:167-173. [PMID: 33992239 DOI: 10.1016/j.jbmt.2020.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 11/12/2020] [Accepted: 12/01/2020] [Indexed: 01/01/2023]
Abstract
BACKGROUND Falls, which are common events after stroke, may lead to activity limitations and increased dependence. It is important to identify which commonly employed clinical measures could differentiate individuals, who are fallers from the non-fallers. AIM To investigate specific cut-off values of clinical measures that could discriminate fallers and non-fallers individuals with chronic stroke. METHOD This cross-sectional study involved 105 community-dwelling individuals with stroke. The primary outcome was report of falls over the last six months. The clinical predictors included measures of mobility (walking speed, stair ascent/descent cadences, time to perform the Timed Up and Go test, and ABILOCO) and the Fall Efficacy Scale - International (FES-I) scores. To identify which measures were able to detect between-group differences, independent Student's t-tests were employed. For measures which were able to discriminate fallers from the non-fallers, the Receiver Operating Characteristics (ROC) and the Area Under the ROC Curve (AUC) were calculated. RESULTS Out of the 105 participants (61 men), 41% reported falls over the previous 6 months. Stair ascent cadence, ABILOCO, and FES-I scores significantly differentiated the groups, but only the FES-I demonstrated acceptable discriminatory ability (AUC = 0.71). The optimal FES-I cut-off score was 28 points (sensitivity = 0.71; specificity = 0.57; positive predictive value = 51%; and negative predictive value = 74%). CONCLUSIONS The FES-I demonstrated good discriminatory ability to classify individuals with chronic stroke, who were fallers from the non-fallers. The use of the established cut-off value of 28 points is recommended and may help clinical reasoning and decision-making in stroke rehabilitation.
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Affiliation(s)
- Iza Faria-Fortini
- Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
| | - Janaíne C Polese
- Department of Physical Therapy, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil
| | - Christina D C M Faria
- Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Aline Alvim Scianni
- Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Lucas R Nascimento
- Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Vitória, Brazil
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Benfica PDA, Roza EA, Lacerda CSA, Polese JC. Força muscular e habilidade de locomoção em indivíduos pós-acidente vascular encefálico crônico. FISIOTERAPIA E PESQUISA 2019. [DOI: 10.1590/1809-2950/18032126022019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O objetivo do estudo foi verificar se existem diferenças na força muscular dos membros inferiores (MMII) e na habilidade de locomoção de indivíduos pós-acidente vascular encefálico (AVE) crônico, classificados como deambuladores comunitários ou não comunitários. Foi realizado um estudo transversal em 60 indivíduos pós-AVE crônico, divididos em deambuladores comunitários (n=33) e não comunitários (n=27) pela velocidade de marcha. A força muscular de sete grupos musculares bilaterais de MMII foi avaliada por meio do teste do esfigmomanômetro modificado e habilidade de locomoção pelo ABILOCO. Estatísticas descritivas foram utilizadas para caracterizar a amostra, e o teste t de Student para amostras independentes, a fim de comparar os dois grupos de indivíduos pós-AVE. Observou-se que os deambuladores comunitários apresentaram maiores valores de força muscular para a maioria dos grupos musculares de MMII (−0,973≥t≥−3,189; p≤0,04), e na habilidade de locomoção (t=−2,841; p=0,006). Os indivíduos pós-AVE crônico deambuladores comunitários possuem maior força muscular de MMII e mais habilidade de locomoção em comparação aos deambuladores não comunitários. Sugere-se que a avaliação fisioterapêutica de indivíduos pós-AVE inclua, além da mensuração da força muscular de MMII e seu tratamento, a mensuração da percepção da habilidade de locomoção, para análises da evolução do paciente e da eficácia da conduta terapêutica.
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de Menezes KKP, Avelino PR, Faria‐Fortini I, Basílio ML, Nascimento LR, Teixeira‐Salmela LF. Test‐Retest Reliability of the ABILOCO Questionnaire in Individuals with Stroke. PM R 2019; 11:843-848. [DOI: 10.1002/pmrj.12008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Accepted: 10/24/2018] [Indexed: 12/20/2022]
Affiliation(s)
- Kênia K. P. de Menezes
- Department of Physical Therapy ‐ Universidade Federal de Minas Gerais, Avenida AntônioCarlos, 6627 – Campus Pampulha 31270‐901 Belo Horizonte MinasGerais Brazil
| | - Patrick R. Avelino
- NeuroGroup, Department of Physical TherapyUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Iza Faria‐Fortini
- NeuroGroup, Department of Physical TherapyUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Marluce L. Basílio
- NeuroGroup, Department of Physical TherapyUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Lucas R. Nascimento
- NeuroGroup, Department of Physical TherapyUniversidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Luci F. Teixeira‐Salmela
- NeuroGroup, Department of Physical TherapyUniversidade Federal de Minas Gerais Belo Horizonte Brazil
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Himuro N, Nishibu H, Abe H, Mori M. Cross-Cultural Validation Study of the Japanese Version of the ABILOCO-Kids in Ambulatory Children With Cerebral Palsy Using Rasch Analysis. Phys Occup Ther Pediatr 2019; 39:679-691. [PMID: 31164026 DOI: 10.1080/01942638.2019.1609150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Aims: To determine the structural validity, construct validity, cross-cultural validity, internal consistency and test-retest reliability of the Japanese version of the ABILOCO-Kids in children with cerebral palsy. Methods: One-hundred sixteen parents of children with cerebral palsy (Gross Motor Function Classification System level I [n = 66], II [n = 32], and III [n = 18]) reported on walking ability using the Japanese version of the ABILOCO-Kids. For test-retest reliability, 23 participants were evaluated. Results: The mean ABILOCO-Kids logit score was 2.48 (range -7.44 to 5.83). Rasch analysis and principal component analysis were used to determine the structural validity. The construct validity was confirmed on the basis of differences in the ABILOCO-Kids scores among the Gross Motor Function Classification System levels. Cronbach's α and the item-to-total correlation coefficient supported the internal consistency. The intra-class correlation coefficient was 0.96, standard error of measurement 0.56 and minimal detectable change 1.55. The cross-cultural validity analyses showed differential item functioning according to the analyses of the invariance of item difficulty and person's ability estimates. Conclusions: The ABILOCO-Kids is a reliable and valid measure of walking ability in children with cerebral palsy in Japan. The lack of evidence on cross-cultural validity indicates we should interpret results cautiously in cases of international comparison.
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Affiliation(s)
- Nobuaki Himuro
- Department of Public Health, School of Medicine, Sapporo Medical University , Sapporo , Japan
| | - Hisato Nishibu
- Division of Rehabilitation Medicine, Hokkaido Medical Center for Child Health and Rehabilitation , Sapporo , Japan
| | - Hirokazu Abe
- Department of Health Care and Child Development, Saitama Children's Medical Center , Saitama , Japan
| | - Mitsuru Mori
- Hokkaido Chitose College of Rehabilitation, Chitose , Japan
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Avelino PR, Menezes KKP, Nascimento LR, Faria-Fortini I, Faria CDCDM, Teixeira-Salmela LF. Walking speed best explains perceived locomotion ability in ambulatory people with chronic stroke, assessed by the ABILOCO questionnaire. Braz J Phys Ther 2018; 23:412-418. [PMID: 30598364 DOI: 10.1016/j.bjpt.2018.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Revised: 11/26/2018] [Accepted: 12/10/2018] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The identification of the predictors of locomotion ability could help professionals select variables to be considered during clinical evaluations and interventions. OBJECTIVE To investigate which impairment measures would best predict locomotion ability in people with chronic stroke. METHODS Individuals (n=115) with a chronic stroke were assessed. Predictors were characteristics of the participants (i.e. age, sex, and time since stroke), motor impairments (i.e. muscle tonus, strength, and motor coordination), and activity limitation (i.e. walking speed). The outcome of interest was the ABILOCO scores, a self-reported questionnaire for the assessment of locomotion ability, designed specifically for individuals who have suffered a stroke. RESULTS Age, sex, and time since stroke did not significantly correlate with the ABILOCO scores (-0.07<ρ<0.05; 0.48<p<0.99). Measures of motor impairments and walking speed were significantly correlated with the ABILOCO scores (-0.25<r<0.57; p<0.001), but only walking speed and strength were kept in the regression model. Walking speed alone explained 35% (F=55.5; p<0.001) of the variance in self-reported locomotion ability. When strength was included in the model, the explained variance increased to 37% (F=31.4; p<0.001). CONCLUSIONS Walking speed and lower limb strength best predicted locomotion ability as perceived by individuals who have suffered a stroke.
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Affiliation(s)
- Patrick R Avelino
- NeuroGroup, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Kênia K P Menezes
- NeuroGroup, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Lucas Rodrigues Nascimento
- NeuroGroup, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil; Center of Health Sciences, Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brazil
| | - Iza Faria-Fortini
- Discipline of Ocupational Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
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Faria-Fortini I, Basílio ML, Scianni AA, Faria CDCM, Teixeira-Salmela LF. Performance and capacity-based measures of locomotion, compared to impairment-based measures, best predicted participation in individuals with hemiparesis due to stroke. Disabil Rehabil 2017; 40:1791-1798. [PMID: 28395524 DOI: 10.1080/09638288.2017.1312570] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To determine the potential predictors of participation of individuals with post-stroke hemiparesis, taking into account modifiable variables of impairments, activity limitations, and environmental factors. METHODS One hundred and nine individuals (58 ± 12 years; 64 men) participated in this study. Outcomes included measures of impairments (depressive symptoms: Geriatric Depression Scale and motor-based impairments: finger-to-nose test, lower extremity (LE) motor coordination test, and handgrip strength, isometric strength of the LE muscles), activity (capacity: 10-meter walking speed test and Test d'Évaluation des Membres Supérieurs de Personnes Agées; performance: locomotion and manual abilities; environmental factors (Measure of the Quality of the Environment); and participation: Assessment of Life Habits (LIFE-H 3.1 Brazil)). RESULTS Regression analyses revealed that the explanatory variables accounted for 59% and 49% of the variance in the LIFE-H 3.1 Brazil daily activity and social role sub-scales, respectively. Locomotion performance (R2 = 39%; p < 0.0001) and walking speed (R2 = 32%; p < 0.0001) were the best predictors of the LIFE-H 3.1 Brazil daily activity and social role sub-scales, respectively. Depressive symptoms were the only impairments, which were retained in both models. CONCLUSIONS Performance and capacity-based measures of locomotion showed to be the best predictors of participation. Additionally, depressive symptoms should not be underlooked. Implications for Rehabilitation Activity-related measures of locomotion showed to be the main predictors of participation in individuals with post-stroke hemiparesis, as assessed by the daily activity and social role sub-scales of the LIFE-H 3.1. The daily activity model was best predicted by measures of performance, whereas the social role sub-scale, by measures of capacity. Although small, the impact of depressive symptoms on participation should not be underlooked. Locomotion appeared to be essential for participation and increases in walking speed and locomotion ability should be the main goals for both professionals and individuals, when the aim is to increase participation.
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Affiliation(s)
- Iza Faria-Fortini
- a Department of Physical Therapy , Universidade Federal de Minas Gerais , Belo Horizonte , Brazil
| | - Marluce L Basílio
- a Department of Physical Therapy , Universidade Federal de Minas Gerais , Belo Horizonte , Brazil
| | - Aline A Scianni
- a Department of Physical Therapy , Universidade Federal de Minas Gerais , Belo Horizonte , Brazil
| | - Christina D C M Faria
- a Department of Physical Therapy , Universidade Federal de Minas Gerais , Belo Horizonte , Brazil
| | - Luci F Teixeira-Salmela
- a Department of Physical Therapy , Universidade Federal de Minas Gerais , Belo Horizonte , Brazil
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