Article

AIM: To examine the interrater agreement of the two gait performance measures -
the Functional Mobility Scale (FMS) and Gillette Functional Assessment
Questionnaire - walking scale (FAQ) - within health professionals and parents in
children with neuromotor disorders, measured in an inpatient setting and at home.
METHOD: Seventy-one children with a neuromotor diagnosis
(44 males, 27 females;
median age 12y 11mo [interquartile range 4y-10mo]) were consecutively recruited
when starting an inpatient active gait rehabilitation programme. Physiotherapists
and nurses independently scored the level of children's gait performance with the
FMS and the FAQ, while parents' scores regarding the children's gait performance
at home were obtained by interview or telephone call at the same measurement
points. RESULTS: Linear weighted kappa coefficients were substantial to almost
perfect for all comparisons. Kappa coefficients ranged from 0.62 to 0.85 for the
FMS-5, from 0.79 to 0.92 for the FMS-50, from 0.83 to 0.90 for the FMS-500, and
from 0.69 to 0.77 for the FAQ. Friedman tests did not reveal significant
differences between the different rater groups. INTERPRETATION: The unexpectedly
high level of interrater agreement between parents, physiotherapists, and nurses
demonstrates that the FMS and FAQ can reliably assess gait performance in an
inpatient setting. Inpatient scores correspond well to the children's performance
in their usual environment. WHAT THIS PAPER ADDS: The Functional Mobility Scale
and Gillette Functional Assessment Questionnaire - walking scale measure gait
performance reliably at home and in an inpatient setting. Physiotherapists,
nurses, and parents reliably score gait performance. Inpatient gait performance
scores correspond well to children's performance at home. Physiotherapists and
nurses in an inpatient setting can reliably estimate gait performance at home.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS