Minimal clinically important difference in walking velocity, gait profile score and two minute walk test for individuals with lower limb amputation
| Autor: | Bruce Carse, Laura Brady, John Colvin, Fiona Davie-Smith, Helen Scott |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Minimal Clinically Important Difference Biophysics Artificial Limbs Walk Test Walking Medicare Knee disarticulation Amputation Surgical 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Amputees Lower limb amputation Walking velocity Linear regression Humans Medicine Orthopedics and Sports Medicine Gait Aged Retrospective Studies business.industry Minimal clinically important difference Rehabilitation Outcome measures 030229 sport sciences United States Lower Extremity Walk test business human activities 030217 neurology & neurosurgery |
| Zdroj: | Gait & Posture. 88:221-224 |
| ISSN: | 0966-6362 |
| DOI: | 10.1016/j.gaitpost.2021.06.001 |
| Popis: | Background Individuals with lower limb amputation are routinely assessed with a variety outcome measures, however there is a lack of published data to indicate minimal clinically important differences (MCID) for many of these outcome measures. Three such important gait-specific outcome measures include walking velocity, gait profile score (GPS) and the two minute walk test (2MWT). Research question Determine the MCIDs for walking velocity, GPS and 2MWT for individuals with lower limb amputation. Methods Walking velocity and GPS (n = 60), and 2MWT (n = 119) data for individuals with unilateral transfemoral or knee disarticulation were identified retrospectively from a database held at the study centre. An anchor-based method was used with Medicare functional classification level (MFCL) acting as the impairment-related criterion, and a least-squares linear regression approach was used to calculate the gradient required for a change between MFCL levels. Results An increase of 0.21 m/s (95 % CI: 0.13,0.29) for walking velocity, a reduction of 1.7° (95 % CI: -2.449,-1.097) for GPS and an increase of 37.2 m (95 % CI: 28.8,45.5) for 2MWT were found to correspond to an increase in MFCL of one level. Walking velocity, GPS and 2MWT correlated with MFCL with R2 values of 0.333, 0.322 and 0.398 respectively (p Significance The results of this study can be used to help both researchers and clinicians to objectively evaluate if interventions for individuals with lower limb amputation are effective. |
| Databáze: | OpenAIRE |
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