PMID- 36977312
OWN - NLM
STAT- Publisher
LR  - 20230328
IS  - 2045-7723 (Electronic)
IS  - 1079-0268 (Linking)
DP  - 2023 Mar 28
TI  - Studies in the Falls Efficacy Scale-International for patients with cervical 
      compressive myelopathy: Reliability, validity, and minimum clinically important 
      difference.
PG  - 1-11
LID - 10.1080/10790268.2023.2192849 [doi]
AB  - CONTEXT: Patients with cervical compressive myelopathy (CCM) often complain of 
      body balance problems, such as fear of falling and bodily unsteadiness. However, 
      no accepted patient-reported outcome measures (PROMs) for this symptomatology 
      exist. The Falls Efficacy Scale-International (FES-I) is one of the most widely 
      used PROMs for evaluating impaired body balance in various clinical fields. 
      OBJECTIVE: To examine reliability, validity, and minimum clinically important 
      difference (MCID) of the FES-I for the evaluation of impaired body balance in 
      patients with CCM. METHODS: Patients who underwent surgery for CCM were 
      retrospectively reviewed. The FES-I was administered preoperatively and at 1 year 
      postoperatively. Further, cJOA-LE score (subscore for lower extremities in the 
      Japanese Orthopaedic Association score for cervical myelopathy) and stabilometric 
      data, obtained at the same time points of the FES-I administration, were 
      analyzed. Reliability was examined through internal consistency with Cronbach's 
      alpha. Convergent validity was studied using correlation analysis. The MCID was 
      estimated using anchor- and distribution-based methods. RESULTS: Overall, 151 
      patients were included for analysis. Cronbach's alpha coefficient was the 
      acceptable value of 0.97 at both baseline and 1 year postoperatively. As for 
      convergent validity, the FES-I had significant correlations with the cJOA-LE 
      score and stabilometric parameters both at baseline and 1 year postoperatively. 
      The MCID calculated using anchor- and distribution-based methods was 5.5 and 10, 
      respectively. CONCLUSION: FES-I is a reliable and valid PROM to evaluate body 
      balance problems for the CCM population. The established thresholds of MCID can 
      help clinicians recognize the clinical significance of changes in patient status.
FAU - Hirai, Hiromichi
AU  - Hirai H
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Fujishiro, Takashi
AU  - Fujishiro T
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Yano, Toma
AU  - Yano T
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Obo, Takuya
AU  - Obo T
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Mizutani, Masahiro
AU  - Mizutani M
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Usami, Yoshitada
AU  - Usami Y
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Hayama, Sachio
AU  - Hayama S
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Nakaya, Yoshiharu
AU  - Nakaya Y
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Nakano, Atsushi
AU  - Nakano A
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
FAU - Neo, Masashi
AU  - Neo M
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      Takatsuki, Japan.
LA  - eng
PT  - Journal Article
DEP - 20230328
PL  - England
TA  - J Spinal Cord Med
JT  - The journal of spinal cord medicine
JID - 9504452
SB  - IM
OTO - NOTNLM
OT  - Body balance
OT  - Cervical spondylotic myelopathy
OT  - Falls Efficacy Scale-International
OT  - Ossification of the posterior longitudinal ligament
OT  - Patient-reported outcome measure
EDAT- 2023/03/29 06:00
MHDA- 2023/03/29 06:00
CRDT- 2023/03/28 16:22
PHST- 2023/03/28 16:22 [entrez]
PHST- 2023/03/29 06:00 [pubmed]
PHST- 2023/03/29 06:00 [medline]
AID - 10.1080/10790268.2023.2192849 [doi]
PST - aheadofprint
SO  - J Spinal Cord Med. 2023 Mar 28:1-11. doi: 10.1080/10790268.2023.2192849.