Interrater reliability of the Standing and Walking Assessment Tool for spinal cord injury.

Autor: Ngan S; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Lemay JF; School of Physical and Occupational Therapy, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.; Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada., Chan K; KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada., Walden K; Praxis Spinal Cord Institute, Vancouver, BC, Canada., Gagnon DH; Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada.; Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), Montréal, QC, Canada., Musselman KE; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. kristin.musselman@utoronto.ca.; KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada. kristin.musselman@utoronto.ca.; Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. kristin.musselman@utoronto.ca.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2023 Oct; Vol. 61 (10), pp. 556-561. Date of Electronic Publication: 2023 Jul 31.
DOI: 10.1038/s41393-023-00921-2
Abstrakt: Study Design: Psychometric study.
Objectives: The Standing and Walking Assessment Tool (SWAT) is a standardized approach to the evaluation of standing and walking capacity following traumatic spinal cord injury (tSCI) in Canada. The SWAT classifies individuals with a tSCI into 12 stages of standing and walking capacity that are paired with well-established outcome measures, such as the Berg Balance Scale and 10-m Walk Test. Prior research has demonstrated the validity and responsiveness of the SWAT stages; however, the reliability remains unknown. The objective of this study was to evaluate the interrater reliability of the SWAT stages.
Setting: Inpatient units of two Canadian rehabilitation hospitals.
Methods: Adults with sub-acute tSCI were recruited. SWAT stage was evaluated for each participant by two physical therapists separately. The two therapists aimed to complete the evaluations within one day of each other. To evaluate interrater reliability, the percentage agreement between the SWAT stages rated by the two physical therapists was calculated, along with a linear weighted kappa statistic with a 95% CI.
Results: Forty-five individuals with sub-acute tSCI (36 males, 9 females, mean (SD) age of 54.8 (17.9) years) participated. The percentage agreement in SWAT stages between the two physical therapists was 75.6%. A kappa statistic of 0.93 with a 95% CI, 0.81-1.05 was obtained. In cases where therapists disagreed (18% of participants), therapists differed by 1-2 stages only.
Conclusions: The SWAT stages have high interrater reliability, providing further support for the use of the SWAT in rehabilitation practice in Canada.
(© 2023. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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