[对于下肢截肢患者的观察步行尺度的心理特征]
Aránzazu Cortés Rodríguez1, David Hernández Herrero2, Isabel María Alguacil Diego3
1Centro de Fisioterapia Fisiortam. Madrid. España.
Anales del sistema sanitario de Navarra
|February 10, 2026
概括
下肢截肢患者的观察步行量表显示出出色的可靠性和强大的有效性,用于评估步行模式. 该工具为在临床和研究环境中单方面下肢截肢的个人提供客观评估.
科学领域:
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
- 临床生物力学 临床生物力学
背景情况:
- 对于下肢截肢的人来说,步态评估至关重要.
- 需要客观和结构化的步态评估工具.
- 下肢截肢患者观察步行尺度的心理测量特性需要检查.
研究的目的:
- 检查下肢截肢个体观察步行尺度的心理特征.
- 评估评价者内部和评价者间的可靠性.
- 为了确定最小可检测的变化和构造有效性.
主要方法:
- 对单边下肢截肢的个体进行观察性研究.
- 在标准化条件下记录的步态.
- 由两名训练有素的评估人员使用下肢截肢患者观察步行量表 (动力学模式和时空参数) 进行评估.
- 统计分析包括类内相关系数,布兰德-阿尔特曼图表和皮尔森与霍顿尺度的相关性.
主要成果:
- 在评价者内部的可靠性 (ICC=0.996) 和评价者之间的可靠性 (ICC=0.987) 都非常好.
- 最小可检测的变化 (MDC95) 是0.12点 (intra-rater) 和0.36点 (inter-rater).
- 强大且具有统计学意义的构造有效性 (r=-0.773,p<0.001).
结论:
- 下肢截肢患者的观察步行尺度是一个可靠和有效的工具.
- 它提供了对步态模式的客观和结构化的评估.
- 支持其在临床实践和研究中用于单边下肢截肢的个人.
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