慢性中风参与度测量尺度的最小临床重要差异
Oyéné Kossi1, Soraia M Silva2, Francesco Lena3
1National School of Public Health and Epidemiology, University of Parakou, Parakou, Benin.
The South African journal of physiotherapy
|February 19, 2025
概括
这项研究确定了中风幸存者参与度量表 (PM-Scale) 的临床重要差异最小值 (MCID). 在PM-Scale上1.98 logit的改善意味着日常生活独立性的有意义的变化.
科学领域:
- 康复科学 康复科学 康复科学
- 临床测量 临床测量
- 脑中风恢复 脑中风恢复
背景情况:
- 参与度量表 (PM-Scale) 是一种基于ICF的,由Rasch构建的工具,用于评估中风患者的参与度.
- 准确解释PM-Scale得分需要了解其临床重要差异最小值 (MCID).
研究的目的:
- 估计参与度测量尺度 (PM-Scale) 的临床重要差异最小值 (MCID).
- 为中风患者参与的有意义的变化提供一个基准.
主要方法:
- 从一项涉及46名慢性中风患者的体育活动试验中获得的数据的二次分析.
- 使用活动限制 (ACTIVLIM) - 冲击尺度作为一个.
- 使用接收器运行特征 (ROC) 曲线和尤登指数估计的MCID.
主要成果:
- 这项研究包括了平均年龄为54岁的参与者,中位数为中风后24个月.
- 接收器操作特征 (ROC) 分析得出曲线下的面积 (AUC) 为0.74.
- 估计PM-Scale的临床重要的最小差异 (MCID) 为1.98逻辑.
结论:
- 对于PM-Scale的MCID被确定为1.98逻辑.
- 这一发现允许在临床实践和研究中更精确地解释PM-Scale结果.
- 在PM-Scale上至少1.98 logit的改善表明中风幸存者在日常生活活动中的独立性发生了临床上显著的变化.
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