Modified emory functional ambulation profile: an outcome measure for the rehabilitation of poststroke gait dysfunction.
Stroke
; 32(4): 973-9, 2001 Apr.
Article
en En
| MEDLINE
| ID: mdl-11283399
ABSTRACT
BACKGROUND AND PURPOSE:
The modified Emory Functional Ambulation Profile (mEFAP) is an easily administered test that measures the time to ambulate through 5 common environmental terrains with or without an assistive device or manual assistance. The mEFAP was evaluated for its interrater reliability, test-retest reliability, concurrent validity, and sensitivity to change during outpatient rehabilitation for poststroke gait dysfunction.METHODS:
Twenty-six poststroke patients were followed up prospectively in a rehabilitation day-treatment program. The mEFAP, Berg Balance Test (BBT), and 7-item mobility subsection of the Functional Independence Measure + Functional Assessment Measure (FAMm) were completed at admission and discharge.RESULTS:
mEFAP interrater reliability (intraclass coefficient [ICC] 0.999) and test-retest reliability (ICC 0.998) were high. The BBT demonstrated high interrater (ICC 0.992) but poor test-retest (ICC 0.605) reliability. Initial and final scores comparing the mEFAP with the BBT (r=-0.735, r=-0.703) and the mEFAP with the FAMm (r=0.685, r=-0.775) were strongly correlated. Improvement on the mEFAP correlated with improved BBT performance (r=-0.524). There was no correlation between overall change observed on the FAMm and change on the mEFAP (r=-0.145). Total mEFAP and all mEFAP subtask scores improved over time (P<0.0001).CONCLUSIONS:
The mEFAP is a reliable gait-assessment tool for patients with stroke and is sensitive to change in ambulation speed.
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Banco de datos:
MEDLINE
Asunto principal:
Índice de Severidad de la Enfermedad
/
Resultado del Tratamiento
/
Trastornos Neurológicos de la Marcha
/
Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Adult
/
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Stroke
Año:
2001
Tipo del documento:
Article
País de afiliación:
Estados Unidos