PMID- 31489812
OWN - NLM
STAT- MEDLINE
DCOM- 20200819
LR  - 20200819
IS  - 1973-9095 (Electronic)
IS  - 1973-9087 (Linking)
VI  - 56
IP  - 1
DP  - 2020 Feb
TI  - The minimal clinically-important difference of the Prosthesis Evaluation 
      Questionnaire - Mobility Scale in subjects undergoing lower limb prosthetic 
      rehabilitation training.
PG  - 82-87
LID - 10.23736/S1973-9087.19.05799-X [doi]
AB  - BACKGROUND: There is increasing interest in psychometrically sound outcome 
      measures of mobility for people with lower limb amputation (LLA), in order to 
      accurately monitor the impact of the prosthetic training during and after 
      rehabilitation. AIM: To determine the minimum detectable change (MDC) and minimal 
      clinically important difference (MCID) for the Prosthesis Evaluation 
      Questionnaire-Mobility Scale (PEQ-MS) in people with LLA. DESIGN: Prospective 
      single-group observational study. SETTING: Two free-standing Rehabilitation 
      Hospitals. POPULATION: Eighty-seven adult inpatients with LLA undergoing 
      prosthetic rehabilitation. METHODS: Patients completed the self-report PEQ-MS 
      twice, immediately before and after prosthetic rehabilitation training. We 
      administered a 7-point Global Rating of Change scale at the end of training as 
      external anchor, to quantify the effect (improvement/deterioration) of the 
      intervention. RESULTS: Test-retest reliability of the PEQ-MS (N.=24) was high 
      (ICC2,1=0.90). The MDC at the 95% confidence level was 5.5 points. This value, 
      together with those of the mean-change approach and receiver-operating 
      characteristic-curve analysis (AUC>0.89), suggested the selection of a MCID for 
      PEQ-MS of eight points of change, i.e. 16.7% of the maximum possible score (95% 
      CI: 6.5-9.5). CONCLUSIONS: The PEQ-MS showed a high ability to detect change over 
      time (responsiveness).The above MCID value - derived from a triangulation of 
      distribution (MDC) and anchor-based methods - represents a minimal level of 
      change (perceived as important by the patient) in mobility of people with LLA 
      undergoing prosthetic rehabilitation training. CLINICAL REHABILITATION IMPACT: 
      The PEQ-MS is a widely used and analyzed outcome measure. The present study 
      calculated - in a sample of people with LLA undergoing prosthetic training - both 
      the MDC and MCID of the PEQ-MS, showing the high responsiveness of this tool. 
      These values increase confidence in interpreting change in PEQ-MS values, and can 
      help in clinical decision making.
FAU - Franchignoni, Franco
AU  - Franchignoni F
AD  - Unit of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri IRCCS, Lissone, Monza-Brianza, Italy - franco.franchignoni@icsmaugeri.it.
FAU - Ferriero, Giorgio
AU  - Ferriero G
AD  - Unit of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri IRCCS, Lissone, Monza-Brianza, Italy.
FAU - Giordano, Andrea
AU  - Giordano A
AD  - Unit of Bioengineering, Istituti Clinici Scientifici Maugeri IRCCS, Veruno, 
      Novara, Italy.
FAU - Monticone, Marco
AU  - Monticone M
AD  - Department of Medical Sciences and Public Health, University of Cagliari, 
      Cagliari, Italy.
AD  - Unit of Neurorehabilitation, Department of Neuroscience and Rehabilitation, G. 
      Brotzu Hospital, Cagliari, Italy.
FAU - Grioni, Giuseppe
AU  - Grioni G
AD  - Department of Physical Medicine and Rehabilitation, Istituti Clinici Scientifici 
      Maugeri IRCCS, Castel Goffredo, Mantua, Italy.
FAU - Burger, Helena
AU  - Burger H
AD  - University Institute of Rehabilitation, Ljubljana, Slovenia.
AD  - Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
LA  - eng
PT  - Journal Article
DEP - 20190904
PL  - Italy
TA  - Eur J Phys Rehabil Med
JT  - European journal of physical and rehabilitation medicine
JID - 101465662
SB  - IM
MH  - Aged
MH  - Amputees/*rehabilitation
MH  - *Artificial Limbs
MH  - Female
MH  - Humans
MH  - Lower Extremity/surgery
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - *Outcome Assessment, Health Care
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - Surveys and Questionnaires
EDAT- 2019/09/07 06:00
MHDA- 2020/08/20 06:00
CRDT- 2019/09/07 06:00
PHST- 2019/09/07 06:00 [pubmed]
PHST- 2020/08/20 06:00 [medline]
PHST- 2019/09/07 06:00 [entrez]
AID - S1973-9087.19.05799-X [pii]
AID - 10.23736/S1973-9087.19.05799-X [doi]
PST - ppublish
SO  - Eur J Phys Rehabil Med. 2020 Feb;56(1):82-87. doi: 
      10.23736/S1973-9087.19.05799-X. Epub 2019 Sep 4.