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Erschienen in: Quality of Life Research 1/2011

01.02.2011 | Brief Communication

The Persian version of locomotor capabilities index: translation, reliability and validity in individuals with lower limb amputation

verfasst von: Mahyar Salavati, Masood Mazaheri, Fatemeh Khosrozadeh, Seyed Mohammad Ebrahim Mousavi, Hossein Negahban, Hadi Shojaei

Erschienen in: Quality of Life Research | Ausgabe 1/2011

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Abstract

Purpose

To translate the Locomotor Capabilities Index (LCI-5) to Persian and to assess its psychometric properties when applied to a sample of people with lower limb amputation (LLA).

Methods

The LCI-5 was administered to 106 Persian speaking people with LLA to determine its internal consistency, item-subscale correlation, test–retest reliability and floor and ceiling effects. To assess the construct validity, each participant’s performance was measured using the Timed Up and Go (TUG) and 2-Minute Walk Test.

Results

Minimum Cronbach’s alpha of 0.70 was exceeded by LCI-5 subscales. Item-subscale correlations after correction for overlap were higher than the cuff-off point of 0.40. The intraclass correlation coefficient was 0.96 for LCI-5 total index in test–retest reliability. LCI-5 showed significant correlation with TUG (r = −0.65, P < 0.01) and 2-Minute Walk Test (r = 0.71, P < 0.01). The LCI-5 mean scores were higher for individuals with unilateral below-knee amputation than participants with above-knee amputation (t = 2.71, P = 0.008) and for individuals with unilateral amputation who do not use walking aids than those who use (t = −4.27, P < 0.01). Floor effect was found for none of the patients with LLA while ceiling effect was reported for 23.6% of patients.

Conclusions

The Persian version of LCI-5 has acceptable levels of internal consistency, item-subscale correlation, test–retest reliability and construct validity. To detect intervention effects, the LCI-5 should be used cautiously in population of physically active and young patients with LLA due to its high ceiling effects.
Literatur
1.
Zurück zum Zitat Rommers, G. M., Vos, L. D., Groothoff, J. W., & Eisma, W. H. (2001). Mobility of people with lower limb amputations: scales and questionnaires: A review. Clinical Rehabilitation, 15(1), 92–102.CrossRefPubMed Rommers, G. M., Vos, L. D., Groothoff, J. W., & Eisma, W. H. (2001). Mobility of people with lower limb amputations: scales and questionnaires: A review. Clinical Rehabilitation, 15(1), 92–102.CrossRefPubMed
2.
Zurück zum Zitat Gauthier-Gagnon, C., Grisé, M. C., & Lepage, Y. (1998). The locomotor capabilities index: Content validity. Journal of Rehabilitation Outcomes Measurement, 2(4), 40–46. Gauthier-Gagnon, C., Grisé, M. C., & Lepage, Y. (1998). The locomotor capabilities index: Content validity. Journal of Rehabilitation Outcomes Measurement, 2(4), 40–46.
3.
Zurück zum Zitat Grisé, M. C., Gauthier-Gagnon, C., & Martineau, G. G. (1993). Prosthetic profile of people with lower extremity amputation: Conception and design of a follow-up questionnaire. Archives of Physical Medicine and Rehabilitation, 74(8), 862–870.CrossRefPubMed Grisé, M. C., Gauthier-Gagnon, C., & Martineau, G. G. (1993). Prosthetic profile of people with lower extremity amputation: Conception and design of a follow-up questionnaire. Archives of Physical Medicine and Rehabilitation, 74(8), 862–870.CrossRefPubMed
4.
Zurück zum Zitat Gauthier-Gagnon, C., & Grisé, M. C. (1994). Prosthetic profile of the amputee questionnaire: Validity and reliability. Archives of Physical Medicine and Rehabilitation, 75(12), 1309–1314.PubMed Gauthier-Gagnon, C., & Grisé, M. C. (1994). Prosthetic profile of the amputee questionnaire: Validity and reliability. Archives of Physical Medicine and Rehabilitation, 75(12), 1309–1314.PubMed
5.
Zurück zum Zitat Treweek, S. P., & Condie, M. E. (1998). Three measures of functional outcome for lower limb amputees: A retrospective review. Prosthetics and Orthotics International, 22(3), 178–185.PubMed Treweek, S. P., & Condie, M. E. (1998). Three measures of functional outcome for lower limb amputees: A retrospective review. Prosthetics and Orthotics International, 22(3), 178–185.PubMed
6.
Zurück zum Zitat Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Meryland State Medical Journal, 14, 61–65. Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Meryland State Medical Journal, 14, 61–65.
7.
Zurück zum Zitat Russek, A. S. (1961). Management of lower extremity amputees. Archives of Physical Medicine and Rehabilitation, 42, 687–703.PubMed Russek, A. S. (1961). Management of lower extremity amputees. Archives of Physical Medicine and Rehabilitation, 42, 687–703.PubMed
8.
Zurück zum Zitat Miller, W. C., Deathe, A. B., & Speechley, M. (2001). Lower extremity prosthetic mobility: A comparison of 3 self-report scales. Archives of Physical Medicine and Rehabilitation, 82(10), 1432–1440.CrossRefPubMed Miller, W. C., Deathe, A. B., & Speechley, M. (2001). Lower extremity prosthetic mobility: A comparison of 3 self-report scales. Archives of Physical Medicine and Rehabilitation, 82(10), 1432–1440.CrossRefPubMed
9.
Zurück zum Zitat Houghton, A. D., Taylor, P. R., Thurlow, S., Rootes, E., & McColl, I. (1992). Success rates for rehabilitation of vascular amputees: Implications for preoperative assessment and amputation level. British Journal of Surgery, 79(8), 753–755.CrossRefPubMed Houghton, A. D., Taylor, P. R., Thurlow, S., Rootes, E., & McColl, I. (1992). Success rates for rehabilitation of vascular amputees: Implications for preoperative assessment and amputation level. British Journal of Surgery, 79(8), 753–755.CrossRefPubMed
10.
Zurück zum Zitat Legro, M. W., Reiber, G. D., Smith, D. G., del Aguila, M., Larsen, J., & Boone, D. (1998). Prosthesis evaluation questionnaire for persons with lower limb amputations: Assessing prosthesis-related quality of life. Archives of Physical Medicine and Rehabilitation, 79(8), 931–938.CrossRefPubMed Legro, M. W., Reiber, G. D., Smith, D. G., del Aguila, M., Larsen, J., & Boone, D. (1998). Prosthesis evaluation questionnaire for persons with lower limb amputations: Assessing prosthesis-related quality of life. Archives of Physical Medicine and Rehabilitation, 79(8), 931–938.CrossRefPubMed
11.
Zurück zum Zitat Franchignoni, F., Orlandini, D., Ferriero, G., & Moscato, T. A. (2004). Reliability, validity, and responsiveness of the locomotor capabilities index in adults with lower-limb amputation undergoing prosthetic training. Archives of Physical Medicine and Rehabilitation, 85(5), 743–748.CrossRefPubMed Franchignoni, F., Orlandini, D., Ferriero, G., & Moscato, T. A. (2004). Reliability, validity, and responsiveness of the locomotor capabilities index in adults with lower-limb amputation undergoing prosthetic training. Archives of Physical Medicine and Rehabilitation, 85(5), 743–748.CrossRefPubMed
12.
Zurück zum Zitat Ferriero, G., Dughi, D., Orlandini, D., Moscato, T., Nicita, D., & Franchignoni, F. (2005). Measuring long-term outcome in people with lower limb amputation: Cross-validation of the Italian versions of the Prosthetic Profile of the Amputee and Prosthesis Evaluation Questionnaire. Europa Medicophysica, 41(1), 1–6.PubMed Ferriero, G., Dughi, D., Orlandini, D., Moscato, T., Nicita, D., & Franchignoni, F. (2005). Measuring long-term outcome in people with lower limb amputation: Cross-validation of the Italian versions of the Prosthetic Profile of the Amputee and Prosthesis Evaluation Questionnaire. Europa Medicophysica, 41(1), 1–6.PubMed
13.
Zurück zum Zitat Larsson, B., Johannesson, A., Andersson, I. H., & Atroshi, I. (2009). The Locomotor Capabilities Index; validity and reliability of the Swedish version in adults with lower limb amputation. Health and Quality of Life Outcomes, 7, 44.CrossRefPubMed Larsson, B., Johannesson, A., Andersson, I. H., & Atroshi, I. (2009). The Locomotor Capabilities Index; validity and reliability of the Swedish version in adults with lower limb amputation. Health and Quality of Life Outcomes, 7, 44.CrossRefPubMed
14.
Zurück zum Zitat Bullinger, M., Alonso, J., Apolone, G., Leplège, A., Sullivan, M., Wood-Dauphinee, S., et al. (1998). Translating health status questionnaires and evaluating their quality: The IQOLA Project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 913–923.CrossRefPubMed Bullinger, M., Alonso, J., Apolone, G., Leplège, A., Sullivan, M., Wood-Dauphinee, S., et al. (1998). Translating health status questionnaires and evaluating their quality: The IQOLA Project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 913–923.CrossRefPubMed
15.
Zurück zum Zitat Gauthier-Gagnon, C., & Grisé, M. C. (2006). Tools to measure outcome of people with lower limb amputation; Update on the PPA and LCI. Journal of Prosthetics and Orthotics, 18(Suppl), 61–69.CrossRef Gauthier-Gagnon, C., & Grisé, M. C. (2006). Tools to measure outcome of people with lower limb amputation; Update on the PPA and LCI. Journal of Prosthetics and Orthotics, 18(Suppl), 61–69.CrossRef
16.
Zurück zum Zitat Wood-Dauphinee, S. L., Opzoomer, M. A., Williams, J. I., Marchand, B., & Spitzer, W. O. (1988). Assessment of global function: The Reintegration to Normal Living Index. Archives of Physical Medicine and Rehabilitation, 69(8), 583–590.PubMed Wood-Dauphinee, S. L., Opzoomer, M. A., Williams, J. I., Marchand, B., & Spitzer, W. O. (1988). Assessment of global function: The Reintegration to Normal Living Index. Archives of Physical Medicine and Rehabilitation, 69(8), 583–590.PubMed
17.
Zurück zum Zitat Collen, F. M., Wade, D. T., Robb, G. F., & Bradshaw, C. M. (1991). The Rivermead Mobility Index: A further development of the Rivermead Motor Assessment. International Disability Studies, 13(2), 50–54.PubMed Collen, F. M., Wade, D. T., Robb, G. F., & Bradshaw, C. M. (1991). The Rivermead Mobility Index: A further development of the Rivermead Motor Assessment. International Disability Studies, 13(2), 50–54.PubMed
18.
Zurück zum Zitat Datta, D., Ariyaratnam, R., & Hilton, S. (1996). Timed walking test–an all–embracing outcome measure for lower limb amputees? Clinical Rehabilitation, 10, 227–232.CrossRef Datta, D., Ariyaratnam, R., & Hilton, S. (1996). Timed walking test–an all–embracing outcome measure for lower limb amputees? Clinical Rehabilitation, 10, 227–232.CrossRef
19.
Zurück zum Zitat Muecke, L., Shekar, S., Dwyer, D., Israel, E., & Flynn, J. P. (1992). Functional screening of lower-limb amputees: A role in predicting rehabilitation outcome? Archives of Physical Medicine and Rehabilitation, 73(9), 851–858.PubMed Muecke, L., Shekar, S., Dwyer, D., Israel, E., & Flynn, J. P. (1992). Functional screening of lower-limb amputees: A role in predicting rehabilitation outcome? Archives of Physical Medicine and Rehabilitation, 73(9), 851–858.PubMed
20.
Zurück zum Zitat Schoppen, T., Boonstra, A., Groothoff, J. W., de Vries, J., Göeken, L. N., & Eisma, W. H. (1999). The Timed “up and go” test: Reliability and validity in persons with unilateral lower limb amputation. Archives of Physical Medicine and Rehabilitation, 80(7), 825–828.CrossRefPubMed Schoppen, T., Boonstra, A., Groothoff, J. W., de Vries, J., Göeken, L. N., & Eisma, W. H. (1999). The Timed “up and go” test: Reliability and validity in persons with unilateral lower limb amputation. Archives of Physical Medicine and Rehabilitation, 80(7), 825–828.CrossRefPubMed
21.
Zurück zum Zitat de Bruin, A. F., Diederiks, J. P., de Witte, L. P., Stevens, F. C., & Philipsen, H. (1994). The development of a short generic version of the Sickness Impact Profile. Journal of Clinical Epidemiology, 47(4), 407–418.CrossRefPubMed de Bruin, A. F., Diederiks, J. P., de Witte, L. P., Stevens, F. C., & Philipsen, H. (1994). The development of a short generic version of the Sickness Impact Profile. Journal of Clinical Epidemiology, 47(4), 407–418.CrossRefPubMed
22.
Zurück zum Zitat Kempen, G. I., Miedema, I., Ormel, J., & Molenaar, W. (1996). The assessment of disability with the Groningen Activity Restriction Scale. Conceptual framework and psychometric properties. Social Science and Medicine, 43(11), 1601–1610.CrossRefPubMed Kempen, G. I., Miedema, I., Ormel, J., & Molenaar, W. (1996). The assessment of disability with the Groningen Activity Restriction Scale. Conceptual framework and psychometric properties. Social Science and Medicine, 43(11), 1601–1610.CrossRefPubMed
23.
Zurück zum Zitat Brooks, D., Parsons, J., Hunter, J. P., Devlin, M., & Walker, J. (2001). The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Archives of Physical Medicine and Rehabilitation, 82(10), 1478–1483.CrossRefPubMed Brooks, D., Parsons, J., Hunter, J. P., Devlin, M., & Walker, J. (2001). The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Archives of Physical Medicine and Rehabilitation, 82(10), 1478–1483.CrossRefPubMed
24.
Zurück zum Zitat Ware, J. E., Jr., & Gandek, B. (1998). Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology, 51(11), 903–912.CrossRefPubMed Ware, J. E., Jr., & Gandek, B. (1998). Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology, 51(11), 903–912.CrossRefPubMed
25.
Zurück zum Zitat Brooks, D., Hunter, J. P., Parsons, J., Livsey, E., Quirt, J., & Devlin, M. (2002). Reliability of the two-minute walk test in individuals with transtibial amputation. Archives of Physical Medicine and Rehabilitation, 83(11), 1562–1565.CrossRefPubMed Brooks, D., Hunter, J. P., Parsons, J., Livsey, E., Quirt, J., & Devlin, M. (2002). Reliability of the two-minute walk test in individuals with transtibial amputation. Archives of Physical Medicine and Rehabilitation, 83(11), 1562–1565.CrossRefPubMed
26.
Zurück zum Zitat Fayers, P. M., & Machin, D. (2000). Quality of Life: Assessment. Analysis and interpretation. Chichester: Wiley. Fayers, P. M., & Machin, D. (2000). Quality of Life: Assessment. Analysis and interpretation. Chichester: Wiley.
27.
Zurück zum Zitat Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420–428.CrossRefPubMed Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420–428.CrossRefPubMed
28.
Zurück zum Zitat Weir, J. P. (2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. Journal of Strength and Conditioning Research, 19, 231–240.PubMed Weir, J. P. (2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. Journal of Strength and Conditioning Research, 19, 231–240.PubMed
29.
Zurück zum Zitat de Vet, H. C., Terwee, C. B., Knol, D. L., & Bouter, L. M. (2006). When to use agreement versus reliability measures. Journal of Clinical Epidemiology, 59(10), 1033–1039.CrossRefPubMed de Vet, H. C., Terwee, C. B., Knol, D. L., & Bouter, L. M. (2006). When to use agreement versus reliability measures. Journal of Clinical Epidemiology, 59(10), 1033–1039.CrossRefPubMed
30.
Zurück zum Zitat Mazaheri, M., Salavati, M., Negahban, H., Sohani, S. M., Taghizadeh, F., Feizi, A., et al. (2010). Reliability and validity of the Persian version of Foot and Ankle Ability Measure (FAAM) to measure functional limitations in patients with foot and ankle disorders. Osteoarthritis and Cartilage, 18(6), 755–759.CrossRefPubMed Mazaheri, M., Salavati, M., Negahban, H., Sohani, S. M., Taghizadeh, F., Feizi, A., et al. (2010). Reliability and validity of the Persian version of Foot and Ankle Ability Measure (FAAM) to measure functional limitations in patients with foot and ankle disorders. Osteoarthritis and Cartilage, 18(6), 755–759.CrossRefPubMed
31.
Zurück zum Zitat de Vet, H. C., Terwee, C. B., Ostelo, R. W., Beckerman, H., Knol, D. L., & Bouter, L. M. (2006). Minimal changes in health status questionnaires: Distinction between minimally detectable change and minimally important change. Health and Quality of Life Outcomes, 4(1), 54–62.CrossRefPubMed de Vet, H. C., Terwee, C. B., Ostelo, R. W., Beckerman, H., Knol, D. L., & Bouter, L. M. (2006). Minimal changes in health status questionnaires: Distinction between minimally detectable change and minimally important change. Health and Quality of Life Outcomes, 4(1), 54–62.CrossRefPubMed
32.
Zurück zum Zitat de Vet, H. C., Ostelo, R. W., Terwee, C. B., van der Roer, N., Knol, D. L., Beckerman, H., et al. (2007). Minimally important change determined by a visual method integrating an anchor-based and a distribution-based approach. Quality of Life Research, 16(1), 131–142.CrossRefPubMed de Vet, H. C., Ostelo, R. W., Terwee, C. B., van der Roer, N., Knol, D. L., Beckerman, H., et al. (2007). Minimally important change determined by a visual method integrating an anchor-based and a distribution-based approach. Quality of Life Research, 16(1), 131–142.CrossRefPubMed
33.
Zurück zum Zitat Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42.CrossRefPubMed Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42.CrossRefPubMed
34.
Zurück zum Zitat Terwee, C. B., Roorda, L. D., Knol, D. L., De Boer, M. R., & de Vet, H. C. (2009). Linking measurement error to minimal important change of patient-reported outcomes. Journal of Clinical Epidemiology, 62(10), 1062–1067.CrossRefPubMed Terwee, C. B., Roorda, L. D., Knol, D. L., De Boer, M. R., & de Vet, H. C. (2009). Linking measurement error to minimal important change of patient-reported outcomes. Journal of Clinical Epidemiology, 62(10), 1062–1067.CrossRefPubMed
35.
Zurück zum Zitat Tsutsumi, A., Iwata, N., Watanabe, N., de Jonge, J., Pikhart, H., Fernández-López, J. A., et al. (2009). Application of item response theory to achieve cross-cultural comparability of occupational stress measurement. International Journal of Methods in Psychiatric Research, 18(1), 58–67.CrossRefPubMed Tsutsumi, A., Iwata, N., Watanabe, N., de Jonge, J., Pikhart, H., Fernández-López, J. A., et al. (2009). Application of item response theory to achieve cross-cultural comparability of occupational stress measurement. International Journal of Methods in Psychiatric Research, 18(1), 58–67.CrossRefPubMed
Metadaten
Titel
The Persian version of locomotor capabilities index: translation, reliability and validity in individuals with lower limb amputation
verfasst von
Mahyar Salavati
Masood Mazaheri
Fatemeh Khosrozadeh
Seyed Mohammad Ebrahim Mousavi
Hossein Negahban
Hadi Shojaei
Publikationsdatum
01.02.2011
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 1/2011
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9716-3

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