开发,验证和心理测量分析的脚和脚弹性指数 (FAFI)
Carlos Martínez-Sebastián1, Gabriel Gijon-Nogueron2, Laura Ramos-Petersen1
1Nursing and Podiatry, Universidad de Malaga Facultad de Ciencias de la Salud, 29071, Malaga, Andalucía, Spain.
Journal of tissue viability
|June 11, 2024
概括
一个新的工具,足和脚弹性指数 (FAFI),可靠地识别儿童的脚和脚的关节超运动. 这一经验证的指数证明了高inter-rater和intra-rater可靠性,用于准确的临床评估.
科学领域:
- 儿科整形医生 儿科整形医生
- 临床评估工具 临床评估工具
- 关节高移动性综合征 关节高移动性综合征
背景情况:
- 儿童的关节过敏可导致各种肌肉骨问题.
- 准确地识别脚部和脚的超流动性对于及时干预至关重要.
- 现有的评估工具可能对儿科脚和脚缺乏特异性.
研究的目的:
- 开发和验证一种新的工具,用于评估关节超移动性,特别是在儿科的脚和脚.
- 将下肢评估分数 (LLAS) 的项目调整为二分制分数系统.
- 确定新的脚弹性指数 (FAFI) 的可靠性和有效性.
主要方法:
- 一项涉及205名5-10岁儿童的横截面研究.
- 根据LLAS的最后7个项目开发FAFI.
- 使用Cronbach的alpha评估内部一致性;使用Kappa统计和ICC评估inter-rater和intra-rater可靠性.
主要成果:
- FAFI显示了高的内部一致性 (克朗巴赫的α=0.82).
- 观察到优异的inter-rater (ICC = 0.89) 和intra-rater (ICC = 0.96) 的可靠性.
- 对ROC曲线的分析表明FAFI在识别儿科足关节过度运动方面的有效性.
结论:
- FAFI是一个可靠和有效的工具,用于识别儿科脚和脚的关节超运动.
- 这项研究证实了评估人员的高度可靠性以及FAFI的高度敏感性/特异性.
- 这一新指数为儿科足评估的临床实践提供了宝贵的补充.
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