Measuring Activity Limitations in Walking: Development of a Hierarchical Scale for Patients With Lower-Extremity Disorders Who Live at Home
Roorda LD, Roebroeck ME, van Tilburg T, Molenaar IW, Lankhorst GJ, Bouter LM, and the Measuring Mobility Study Group. Measuring activity limitations in walking: development of a hierarchical scale for patients with lower-extremity disorders who live at home. To develop a hierarchical scale that meas...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2005-12, Vol.86 (12), p.2277-2283 |
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| creator | Roorda, Leo D. Roebroeck, Marij E. van Tilburg, Theo Molenaar, Ivo W. Lankhorst, Gustaaf J. Bouter, Lex M. |
| description | Roorda LD, Roebroeck ME, van Tilburg T, Molenaar IW, Lankhorst GJ, Bouter LM, and the Measuring Mobility Study Group. Measuring activity limitations in walking: development of a hierarchical scale for patients with lower-extremity disorders who live at home.
To develop a hierarchical scale that measures activity limitations in walking in patients with lower-extremity disorders who live at home.
Cross-sectional study.
Orthopedic workshops and outpatient clinics of secondary and tertiary care centers.
Patients (N=981; mean age ± standard deviation, 58.6±15.4y; 46% men) living at home, with different lower-extremity disorders: stroke, poliomyelitis, osteoarthritis, amputation, complex regional pain syndrome type I, and diabetic and degenerative foot disorders.
Not applicable.
(1) Fit of the monotone homogeneity model, indicating whether items can be used for measuring patients; (2) fit of the double monotonicity model, indicating invariant (hierarchical) item ordering; (3) intratest reliability, indicating repeatability of the sum score; (4) robustness, addressing the clinimetric properties within subgroups of patients; and (5) differential item functioning, addressing the validity of comparisons between subgroups of patients.
Thirty-five of 41 dichotomous items had (1) good fit of the monotone homogeneity model (coefficient
H=.50), (2) good fit of the double monotonicity model (coefficient
H
T
=.33), (3) good intratest reliability (coefficient ρ=.95), (4) satisfactory robustness (within subgroups of patients defined by age, sex, and diagnosis), and (5) some differential item functioning (6 items in amputees compared with nonamputees).
A hierarchical scale, with excellent scaling characteristics, was developed to measure activity limitations in walking in patients with lower-extremity disorders who live at home. The measurements should be interpreted cautiously when making comparisons between amputees and nonamputees. |
| doi_str_mv | 10.1016/j.apmr.2005.06.014 |
| format | Article |
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To develop a hierarchical scale that measures activity limitations in walking in patients with lower-extremity disorders who live at home.
Cross-sectional study.
Orthopedic workshops and outpatient clinics of secondary and tertiary care centers.
Patients (N=981; mean age ± standard deviation, 58.6±15.4y; 46% men) living at home, with different lower-extremity disorders: stroke, poliomyelitis, osteoarthritis, amputation, complex regional pain syndrome type I, and diabetic and degenerative foot disorders.
Not applicable.
(1) Fit of the monotone homogeneity model, indicating whether items can be used for measuring patients; (2) fit of the double monotonicity model, indicating invariant (hierarchical) item ordering; (3) intratest reliability, indicating repeatability of the sum score; (4) robustness, addressing the clinimetric properties within subgroups of patients; and (5) differential item functioning, addressing the validity of comparisons between subgroups of patients.
Thirty-five of 41 dichotomous items had (1) good fit of the monotone homogeneity model (coefficient
H=.50), (2) good fit of the double monotonicity model (coefficient
H
T
=.33), (3) good intratest reliability (coefficient ρ=.95), (4) satisfactory robustness (within subgroups of patients defined by age, sex, and diagnosis), and (5) some differential item functioning (6 items in amputees compared with nonamputees).
A hierarchical scale, with excellent scaling characteristics, was developed to measure activity limitations in walking in patients with lower-extremity disorders who live at home. The measurements should be interpreted cautiously when making comparisons between amputees and nonamputees.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2005.06.014</identifier><identifier>PMID: 16344023</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of daily living ; Biological and medical sciences ; Cross-Sectional Studies ; Disability Evaluation ; Diseases of the osteoarticular system ; Female ; Human viral diseases ; Humans ; Infectious diseases ; Lower Extremity ; Male ; Medical sciences ; Middle Aged ; Mobility Limitation ; Musculoskeletal Diseases - rehabilitation ; Netherlands ; Neurology ; Osteoarthritis ; Psychometrics ; Questionnaires ; Rehabilitation ; Reproducibility of Results ; Surveys and Questionnaires ; Vascular diseases and vascular malformations of the nervous system ; Viral diseases ; Viral diseases of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2005-12, Vol.86 (12), p.2277-2283</ispartof><rights>2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-e7d5d7f3de298bf5a405ccf8a37184128b64e64976476af71275efbe5e53aa3c3</citedby><cites>FETCH-LOGICAL-c428t-e7d5d7f3de298bf5a405ccf8a37184128b64e64976476af71275efbe5e53aa3c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2005.06.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17379134$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16344023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roorda, Leo D.</creatorcontrib><creatorcontrib>Roebroeck, Marij E.</creatorcontrib><creatorcontrib>van Tilburg, Theo</creatorcontrib><creatorcontrib>Molenaar, Ivo W.</creatorcontrib><creatorcontrib>Lankhorst, Gustaaf J.</creatorcontrib><creatorcontrib>Bouter, Lex M.</creatorcontrib><creatorcontrib>Measuring Mobility Study Group</creatorcontrib><title>Measuring Activity Limitations in Walking: Development of a Hierarchical Scale for Patients With Lower-Extremity Disorders Who Live at Home</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Roorda LD, Roebroeck ME, van Tilburg T, Molenaar IW, Lankhorst GJ, Bouter LM, and the Measuring Mobility Study Group. Measuring activity limitations in walking: development of a hierarchical scale for patients with lower-extremity disorders who live at home.
To develop a hierarchical scale that measures activity limitations in walking in patients with lower-extremity disorders who live at home.
Cross-sectional study.
Orthopedic workshops and outpatient clinics of secondary and tertiary care centers.
Patients (N=981; mean age ± standard deviation, 58.6±15.4y; 46% men) living at home, with different lower-extremity disorders: stroke, poliomyelitis, osteoarthritis, amputation, complex regional pain syndrome type I, and diabetic and degenerative foot disorders.
Not applicable.
(1) Fit of the monotone homogeneity model, indicating whether items can be used for measuring patients; (2) fit of the double monotonicity model, indicating invariant (hierarchical) item ordering; (3) intratest reliability, indicating repeatability of the sum score; (4) robustness, addressing the clinimetric properties within subgroups of patients; and (5) differential item functioning, addressing the validity of comparisons between subgroups of patients.
Thirty-five of 41 dichotomous items had (1) good fit of the monotone homogeneity model (coefficient
H=.50), (2) good fit of the double monotonicity model (coefficient
H
T
=.33), (3) good intratest reliability (coefficient ρ=.95), (4) satisfactory robustness (within subgroups of patients defined by age, sex, and diagnosis), and (5) some differential item functioning (6 items in amputees compared with nonamputees).
A hierarchical scale, with excellent scaling characteristics, was developed to measure activity limitations in walking in patients with lower-extremity disorders who live at home. The measurements should be interpreted cautiously when making comparisons between amputees and nonamputees.</description><subject>Activities of daily living</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Lower Extremity</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mobility Limitation</subject><subject>Musculoskeletal Diseases - rehabilitation</subject><subject>Netherlands</subject><subject>Neurology</subject><subject>Osteoarthritis</subject><subject>Psychometrics</subject><subject>Questionnaires</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><subject>Surveys and Questionnaires</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Viral diseases</subject><subject>Viral diseases of the nervous system</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uEzEUhS0EoqHwAiyQN7Cbwf8zg9hUbWmQgkACVHaW47kmDjPjYDuBPkNfGo8SqTu8sGXd7xxb5yD0kpKaEqrebmuzG2PNCJE1UTWh4hFaUMlZ1TL64zFaEEJ41XUdP0PPUtqWq5KcPkVnVHEhCOMLdP8JTNpHP_3EFzb7g893eOVHn032YUrYT_jWDL_K_B2-ggMMYTfClHFw2OClh2ii3XhrBvy1bIBdiPhL0RYm4VufN3gV_kCsrv_mCOPsfuVTiD3EMt6E8tYBsMl4GUZ4jp44MyR4cTrP0fcP198ul9Xq883Hy4tVZQVrcwVNL_vG8R5Y166dNIJIa11reENbQVm7VgKU6BolGmVcQ1kjwa1BguTGcMvP0Zuj7y6G33tIWY8-WRgGM0HYJ63asiQnBWRH0MaQUgSnd9GPJt5pSvRcgd7quQI9V6CJ0qWCInp1ct-vR-gfJKfMC_D6BJhUMnPRTNanB67hTUf5bPT-yEHJ4lCi1smWXC30PoLNug_-f__4B1QHpqI</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Roorda, Leo D.</creator><creator>Roebroeck, Marij E.</creator><creator>van Tilburg, Theo</creator><creator>Molenaar, Ivo W.</creator><creator>Lankhorst, Gustaaf J.</creator><creator>Bouter, Lex M.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Measuring Activity Limitations in Walking: Development of a Hierarchical Scale for Patients With Lower-Extremity Disorders Who Live at Home</title><author>Roorda, Leo D. ; Roebroeck, Marij E. ; van Tilburg, Theo ; Molenaar, Ivo W. ; Lankhorst, Gustaaf J. ; Bouter, Lex M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-e7d5d7f3de298bf5a405ccf8a37184128b64e64976476af71275efbe5e53aa3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Activities of daily living</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Disability Evaluation</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Lower Extremity</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mobility Limitation</topic><topic>Musculoskeletal Diseases - rehabilitation</topic><topic>Netherlands</topic><topic>Neurology</topic><topic>Osteoarthritis</topic><topic>Psychometrics</topic><topic>Questionnaires</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><topic>Surveys and Questionnaires</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roorda, Leo D.</creatorcontrib><creatorcontrib>Roebroeck, Marij E.</creatorcontrib><creatorcontrib>van Tilburg, Theo</creatorcontrib><creatorcontrib>Molenaar, Ivo W.</creatorcontrib><creatorcontrib>Lankhorst, Gustaaf J.</creatorcontrib><creatorcontrib>Bouter, Lex M.</creatorcontrib><creatorcontrib>Measuring Mobility Study Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roorda, Leo D.</au><au>Roebroeck, Marij E.</au><au>van Tilburg, Theo</au><au>Molenaar, Ivo W.</au><au>Lankhorst, Gustaaf J.</au><au>Bouter, Lex M.</au><aucorp>Measuring Mobility Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measuring Activity Limitations in Walking: Development of a Hierarchical Scale for Patients With Lower-Extremity Disorders Who Live at Home</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>86</volume><issue>12</issue><spage>2277</spage><epage>2283</epage><pages>2277-2283</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Roorda LD, Roebroeck ME, van Tilburg T, Molenaar IW, Lankhorst GJ, Bouter LM, and the Measuring Mobility Study Group. Measuring activity limitations in walking: development of a hierarchical scale for patients with lower-extremity disorders who live at home.
To develop a hierarchical scale that measures activity limitations in walking in patients with lower-extremity disorders who live at home.
Cross-sectional study.
Orthopedic workshops and outpatient clinics of secondary and tertiary care centers.
Patients (N=981; mean age ± standard deviation, 58.6±15.4y; 46% men) living at home, with different lower-extremity disorders: stroke, poliomyelitis, osteoarthritis, amputation, complex regional pain syndrome type I, and diabetic and degenerative foot disorders.
Not applicable.
(1) Fit of the monotone homogeneity model, indicating whether items can be used for measuring patients; (2) fit of the double monotonicity model, indicating invariant (hierarchical) item ordering; (3) intratest reliability, indicating repeatability of the sum score; (4) robustness, addressing the clinimetric properties within subgroups of patients; and (5) differential item functioning, addressing the validity of comparisons between subgroups of patients.
Thirty-five of 41 dichotomous items had (1) good fit of the monotone homogeneity model (coefficient
H=.50), (2) good fit of the double monotonicity model (coefficient
H
T
=.33), (3) good intratest reliability (coefficient ρ=.95), (4) satisfactory robustness (within subgroups of patients defined by age, sex, and diagnosis), and (5) some differential item functioning (6 items in amputees compared with nonamputees).
A hierarchical scale, with excellent scaling characteristics, was developed to measure activity limitations in walking in patients with lower-extremity disorders who live at home. The measurements should be interpreted cautiously when making comparisons between amputees and nonamputees.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16344023</pmid><doi>10.1016/j.apmr.2005.06.014</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Activities of daily living Biological and medical sciences Cross-Sectional Studies Disability Evaluation Diseases of the osteoarticular system Female Human viral diseases Humans Infectious diseases Lower Extremity Male Medical sciences Middle Aged Mobility Limitation Musculoskeletal Diseases - rehabilitation Netherlands Neurology Osteoarthritis Psychometrics Questionnaires Rehabilitation Reproducibility of Results Surveys and Questionnaires Vascular diseases and vascular malformations of the nervous system Viral diseases Viral diseases of the nervous system |
| title | Measuring Activity Limitations in Walking: Development of a Hierarchical Scale for Patients With Lower-Extremity Disorders Who Live at Home |
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