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Mercredi 9h-16h30
Jeudi : 8h-18h30
Vendredi : 8h30-12h30 et 13h-14h30
Attention,
Votre centre de documentation sera fermé ce lundi 26 août.
Également, ce mercredi 28 août il sera fermé de 12 à 13h.
Enfin, ce jeudi 29 août il ouvrira à 14h45.
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Sensitivity to change and minimal clinically important difference of the Locomotor Capabilities Index-5 in people with lower limb amputation undergoing prosthetic training / Franco Franchignoni in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)
[article]
Titre : Sensitivity to change and minimal clinically important difference of the Locomotor Capabilities Index-5 in people with lower limb amputation undergoing prosthetic training Type de document : texte imprimé Auteurs : Franco Franchignoni ; Marco Traballesi ; Marco Monticone ; Andrea Giordano ; Stefano Brunelli ; Giorgio Ferriero Année de publication : 2019 Article en page(s) : p. 137-141 Note générale : https://doi.org/10.1016/j.rehab.2019.02.004 Langues : Anglais (eng) Mots-clés : Lower-limb amputation Leg prosthesis Outcome assessment Psychometrics Rehabilitation Prosthetic training Résumé : Objective
To determine the sensitivity to change and minimal clinically important difference (MCID) for the self-administered Locomotor Capabilities Index-5 (LCI-5) in people with lower limb amputation undergoing prosthetic training.
Design
Prospective single-group observational study.
Methods
The LCI-5 was administered to 110 patients (69 males [63%]; median [interquartile range] age, 60 [48–69] years) before and after prosthetic training. The external anchor administered after the program was a 7-point Global Rating of Change Scale (GRCS) designed to quantify the effect (improvement or deterioration) of the intervention.
Results
Test–retest reliability of the LCI-5 (n = 30) was high (intraclass correlation coefficient [ICC2,1] = 0.92). The minimum detectable change at the 95% confidence level was 5.66 points. After triangulating these results with those of the mean-change approach and receiver operating characteristic (ROC) curve analysis (area under the ROC curve ≥ 0.90), based on a different GRCS score splitting, we identified 2 cutoffs for the LCI-5: a change of 7 points, indicating the MCID, and 12 points, indicating “large improvement” in locomotor capabilities (12.5% and 21.4% of the maximum possible score, respectively).
Conclusions
The LCI-5 showed a high ability to detect change over time (responsiveness). The 2 proposed values (MCID of 7 points and large improvement of 12 points), based on a mix of distribution- and anchor-based approaches, represent cutoffs that can accurately identify 2 different levels of true change (as perceived by the patient) in locomotor capability after prosthetic training.Permalink : ./index.php?lvl=notice_display&id=84110
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 137-141[article] Sensitivity to change and minimal clinically important difference of the Locomotor Capabilities Index-5 in people with lower limb amputation undergoing prosthetic training [texte imprimé] / Franco Franchignoni ; Marco Traballesi ; Marco Monticone ; Andrea Giordano ; Stefano Brunelli ; Giorgio Ferriero . - 2019 . - p. 137-141.
https://doi.org/10.1016/j.rehab.2019.02.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 137-141
Mots-clés : Lower-limb amputation Leg prosthesis Outcome assessment Psychometrics Rehabilitation Prosthetic training Résumé : Objective
To determine the sensitivity to change and minimal clinically important difference (MCID) for the self-administered Locomotor Capabilities Index-5 (LCI-5) in people with lower limb amputation undergoing prosthetic training.
Design
Prospective single-group observational study.
Methods
The LCI-5 was administered to 110 patients (69 males [63%]; median [interquartile range] age, 60 [48–69] years) before and after prosthetic training. The external anchor administered after the program was a 7-point Global Rating of Change Scale (GRCS) designed to quantify the effect (improvement or deterioration) of the intervention.
Results
Test–retest reliability of the LCI-5 (n = 30) was high (intraclass correlation coefficient [ICC2,1] = 0.92). The minimum detectable change at the 95% confidence level was 5.66 points. After triangulating these results with those of the mean-change approach and receiver operating characteristic (ROC) curve analysis (area under the ROC curve ≥ 0.90), based on a different GRCS score splitting, we identified 2 cutoffs for the LCI-5: a change of 7 points, indicating the MCID, and 12 points, indicating “large improvement” in locomotor capabilities (12.5% and 21.4% of the maximum possible score, respectively).
Conclusions
The LCI-5 showed a high ability to detect change over time (responsiveness). The 2 proposed values (MCID of 7 points and large improvement of 12 points), based on a mix of distribution- and anchor-based approaches, represent cutoffs that can accurately identify 2 different levels of true change (as perceived by the patient) in locomotor capability after prosthetic training.Permalink : ./index.php?lvl=notice_display&id=84110 Exemplaires (1)
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