Psychometric properties of the modified Emory functional ambulation profile in stroke patients

Liaw, Lih-Jiun, Hsieh, Ching-Lin, Lo, Sing Kai, Lee, Su, Huang, Mao-Hsiung and Lin, Jau-Hong 2006, Psychometric properties of the modified Emory functional ambulation profile in stroke patients, Clinical rehabilitation, vol. 20, no. 5, pp. 429-437.

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Title Psychometric properties of the modified Emory functional ambulation profile in stroke patients
Author(s) Liaw, Lih-Jiun
Hsieh, Ching-Lin
Lo, Sing Kai
Lee, Su
Huang, Mao-Hsiung
Lin, Jau-Hong
Journal name Clinical rehabilitation
Volume number 20
Issue number 5
Start page 429
End page 437
Publisher Sage
Place of publication London, England
Publication date 2006-05
ISSN 0269-2155
1477-0873
Summary Objective: To examine the test – retest reliability, convergent and predictive validity and responsiveness of the modified Emory Functional Ambulation Profile (mEFAP) in assessing gait function in stroke patients undergoing rehabilitation. Subjects: Forty subacute stroke inpatients were enrolled in the validity and responsiveness study. Twenty chronic patients participated in the reliability study. Setting: Rehabilitation department of a medical centre. Design: In the validity and responsiveness study, patients were tested using the mEFAP, 10-m walking speed test, Barthel Index and Rivermead Mobility Index at admission and at discharge. For the reliability study, the patients completed the mEFAP twice one week apart. Results: The patients' performances on the mEFAP were moderately to highly correlated with results of the 10-m walking speed test and Rivermead Mobility Index (absolute correlation coefficients ≥ 0.67), indicating good convergent validity. Patients' performance on the mEFAP at admission was moderately correlated with the Barthel Index and Rivermead Mobility Index scores at discharge (Spearman's rank correlation coefficients = -0.52 and -0.78, respectively), indicating good predictive validity. The standardized response mean of the mEFAP was 1.1 (P < 0.0001), suggesting good responsiveness. The intraclass correlation coefficient ICC(3,1) for the mEFAP was 0.997, indicating excellent test – retest reliability. Conclusions: Our results provide strong evidence that the mEFAP has good reliability, validity and responsiveness for assessing stroke patients undergoing rehabilitation. The mEFAP is a useful scale for measuring walking function and recovery in stroke patients.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Edward Arnold
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009024

Document type: Journal Article
Collection: School of Health and Social Development
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