PMID- 25159714
OWN - NLM
STAT- MEDLINE
DCOM- 20150126
LR  - 20191210
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 95
IP  - 12
DP  - 2014 Dec
TI  - Examining the function in sitting test for validity, responsiveness, and minimal 
      clinically important difference in inpatient rehabilitation.
PG  - 2304-11
LID - S0003-9993(14)00965-4 [pii]
LID - 10.1016/j.apmr.2014.07.415 [doi]
AB  - OBJECTIVES: To determine the responsiveness of the Function In Sitting Test 
      (FIST), compare scores at admission and discharge from inpatient rehabilitation 
      (IPR) with other balance and function measures, and determine the minimal 
      clinically important difference (MCID). DESIGN: Prospective, nonblinded, 
      reference-standard comparison study. SETTING: Four accredited inpatient 
      rehabilitation units. PARTICIPANTS: Population-based sample of adults (N=125) 
      with sitting balance dysfunction, excluding persons with spinal cord injury, 
      significant bracing/orthotics, and inability to perform testing safely. 
      INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: FIST, FIM, and Berg Balance 
      Scale (BBS) at admission and discharge, and Global Rating of Change for function 
      and balance at discharge. RESULTS: The FIST demonstrated good to excellent 
      concurrent validity with the BBS and FIM at admission and discharge (Spearman 
      rho=.71-.85). Significant improvement (P<.000; 95% confidence interval [CI], 
      10.73-15.41) occurred in the FIST from admission (mean +/- SD: 36.81+/-15.53) to 
      discharge (mean +/- SD: 49.88+/-6.90). The standard error of measurement for the FIST 
      was 1.40, resulting in a minimal detectable change of 5.5 points. The receiver 
      operator characteristic curve differentiated participants with meaningful balance 
      changes (area under the curve, .78; P>.000; 95% CI, .66-.91), with a change in 
      FIST score of >/=6.5 points designating the MCID. Findings support the strong 
      responsiveness of the FIST during IPR as evidenced by the large effect size 
      (.83), standardized response mean (1.04), and index of responsiveness (1.07). 
      CONCLUSIONS: In this study, the FIST correlated well with balance and function 
      measures (concurrent validity) and was responsive to change during IPR. A 
      clinically meaningful change was indicated by an increase in score of >/=6.5 
      points.
CI  - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Gorman, Sharon L
AU  - Gorman SL
AD  - Department of Physical Therapy, Samuel Merritt University, Oakland, CA. 
      Electronic address: sgorman@samuelmerritt.edu.
FAU - Harro, Cathy C
AU  - Harro CC
AD  - Physical Therapy Department, Grand Valley State University, College of Health 
      Professions, Grand Rapids, MI.
FAU - Platko, Christina
AU  - Platko C
AD  - Physical Therapy Department, Mary Free Bed Rehabilitation Hospital, Grand Rapids, 
      MI.
FAU - Greenwald, Cara
AU  - Greenwald C
AD  - Physical Therapy Department, Alta Bates Summit Medical Center, Herrick Campus, 
      Berkeley, CA.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Validation Study
DEP - 20140824
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Area Under Curve
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Outcome Assessment
MH  - Postural Balance/*physiology
MH  - Prospective Studies
MH  - Psychomotor Performance
MH  - ROC Curve
MH  - Sensation Disorders/*physiopathology/*rehabilitation
MH  - Young Adult
OTO - NOTNLM
OT  - Outcome assessment (health care)
OT  - Postural balance
OT  - Psychometrics
OT  - Rehabilitation
EDAT- 2014/08/28 06:00
MHDA- 2015/01/27 06:00
CRDT- 2014/08/28 06:00
PHST- 2014/05/07 00:00 [received]
PHST- 2014/07/22 00:00 [revised]
PHST- 2014/07/29 00:00 [accepted]
PHST- 2014/08/28 06:00 [entrez]
PHST- 2014/08/28 06:00 [pubmed]
PHST- 2015/01/27 06:00 [medline]
AID - S0003-9993(14)00965-4 [pii]
AID - 10.1016/j.apmr.2014.07.415 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2014 Dec;95(12):2304-11. doi: 10.1016/j.apmr.2014.07.415. 
      Epub 2014 Aug 24.