Measuring deterioration in international classification of functioning domains of people with multiple sclerosis who are ambulatory
| Autor: | Esko Leskinen, Esko Mälkiä, Juhani Wikström, Taneli Sarasoja, Jaana Paltamaa |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Activities of daily living Multiple Sclerosis Population Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation International Classification of Functioning Disability and Health Surveys and Questionnaires Activities of Daily Living medicine Humans Disabled Persons 10. No inequality education Aged education.field_of_study Expanded Disability Status Scale Receiver operating characteristic Middle Aged Test (assessment) Self Care ROC Curve Ambulatory Physical therapy Female 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | Physical therapy. 88(2) |
| ISSN: | 0031-9023 |
| Popis: | Background and PurposeMeasures to detect important effects related to physical therapy interventions must be able to detect an important change. The purpose of this study was to select the most responsive physical functioning measures for multiple sclerosis (MS) using the International Classification of Functioning, Disability and Health (ICF) as a framework.SubjectsThe participants were 120 people with MS who were ambulatory from a population-based sample.MethodsPhysical functioning was assessed by quantitative clinical measures of activities (n=5) and body functions (n=7) and by self-reported performance in self-care, mobility, and domestic life domains in the activities and participation component of the ICF at baseline and 2 years later. A participant's perception of change and a change in Expanded Disability Status Scale (EDSS) scores were used as external criteria in the analysis of the receiver operating characteristic curve and the minimally important change score. The minimal detectable change was calculated as distribution-based responsiveness.ResultsAccording to the external criteria, 51% of the participants showed deterioration as measured by their own perceptions compared with the 26% of the participants who showed deterioration as rated by the clinician. Regardless of the external criterion applied, the measures most responsive to deterioration were self-reported scores in self-care, mobility, and domestic life; distance walked and change in heart rate during a 6-minute walk test; 10-m walk test speeds, stride length, and cadence; repetitive squatting; and Box and Block Test scores.Discussion and ConclusionThe results show the relative responsiveness of different measures in the subsample who deteriorated and provide data that can facilitate the interpretation of score changes in people with MS who are ambulatory for future studies and in clinical practice. |
| Databáze: | OpenAIRE |
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