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Validation of the new Lucerne ICF based Multidisciplinary Observation Scale (LIMOS) for stroke patients
Beatrice Ottiger1, Tim Vanbellingen1, Claudia Gabriel1
1Neurology and Neurorehabilitation Center, Luzerner Kantonsspital, Luzern, Switzerland.
Plos One
|June 26, 2015
Summary
The new LIMOS scale, based on the International Classification of Functioning, Disability and Health (ICF), reliably and validly assesses stroke patients' daily living activities for multidisciplinary neurorehabilitation.
Area of Science:
- Neurorehabilitation
- Clinical Assessment
- Stroke Recovery
Background:
- Accurate assessment of daily living activities is crucial for stroke patient goal setting and rehabilitation planning.
- Existing observation scales lack alignment with the International Classification of Functioning, Disability and Health (ICF).
Purpose of the Study:
- To develop and evaluate the reliability and validity of a new ICF-based multidisciplinary observation scale for stroke patients, named LIMOS.
Main Methods:
- LIMOS was developed using a Delphi approach with expert input and pilot tested.
- Reliability (internal consistency, test-retest) and validity (convergent with Functional Independence Measure - FIM) were assessed in 102 stroke patients.
Main Results:
- LIMOS comprises seven ICF chapters and 45 domains, demonstrating high internal consistency (0.98) and good test-retest reliability.
- Principal component analysis identified four key components: interpersonal activities, mobility, self-care, communication, knowledge, general tasks, and domestic life.
- Significant correlations with the FIM confirmed LIMOS's good convergent validity.
Conclusions:
- The LIMOS scale is a reliable and valid ICF-based tool for assessing stroke patients.
- It is suitable for use by multidisciplinary teams in neurorehabilitation settings.
