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The comprehensive lower limb amputee socket survey: Reliability and validity of the persian version
Naeimeh Rouhani1, Elham Esfandiari2, Taher Babaee1
1Rehabilitation Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical sciences, Tehran, Iran.
Background:
The Comprehensive Lower limb Amputee Socket Survey (CLASS) is a self-reported measure developed to assess prosthetic socket fit in individuals with lower limb amputation.
Objective:
To assess the reliability and validity of the Persian version of the CLASS.
Study Design:
Cross-sectional and repeated-measures.
Methods:
We evaluated the translation and back translation of the CLASS and made the required changes according to expert committee feedback. Then, we recruited 124 participants with unilateral lower limb amputation (89.5% men). Internal consistency was analyzed with Cronbach's alpha and test-retest reliability using intra-class correlation coefficients. Convergent construct validity was assessed by comparing the CLASS scores with the Persian version of the Trinity Amputation and Prosthesis Experience Scales (TAPES) scores. In addition, known groups construct validity was assessed by comparing CLASS scores between groups with different causes and levels of amputation.
Results:
Cronbach's alpha coefficient represented a very good internal consistency for all domains of the Persian CLASS (ranged from 0.86 to 0.92). The intra-class correlation coefficient for test-retest reliability for the Persian CLASS was good to excellent (ranged from 0.73 to 0.97). There was a significant correlation between the subscales of the Persian CLASS and satisfaction subscales of the Persian TAPES (p < 0.001). There was significant difference between comfort subscale of the Persian CLASS scores by level of amputation.
Conclusion:
The Persian CLASS is a reliable and valid measure for evaluating prosthetic socket fit.
