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The lower extremity gain scale : A performance-based measure to assess recovery after hip fracture
ZIMMERMAN S; HAWKES WG; HEBEL JR; FOX KM; LYDICK E; MAGAZINER J
ARCH PHYS MED REHABIL , 2006, vol. 87, n° 3, p. 430-436 Doc n°: 124983 Localisation : Documentation IRR Descripteurs : DE12 - EXPLORATION EXAMENS BILANS - MEMBRE INFERIEUR, DE34 - TRAUMATISMES - HANCHE
Article consultable sur : http://www.archives-pmr.org
Objective: To develop and determine the reliability and validity of a sensitive observational measure to assess recovery in clinically meaningful areas of function after hip fracture. Design: Used survey data to identify activities difficult to per-form after fracture; conducted focus groups; interviewed patients; and developed a standardized protocol to prospectively test the highest ranking activities. Setting: Evaluations conducted in 8 Baltimore hospitals or the patients' residence. Participants: Patients 2 to 24 months postfracture, 65 years and older, and community-dwelling. Interventions: Not applicable. Main Outcome Measure: The Lower Extremity Gain Scale (LEGS). Results: Nine performance-based activities were appropriate for administration in clinical and research settings: (1) walk 3m (10ft); put on a (2) sock and (3) shoe on the fractured side; (4) rise from an armless chair; step (5) up and (6) down 4 stairs; get (7) on and (8) off the toilet; and (9) reach for an item on the ground from a sitting position. Reproducibility is good and measures of internal consistency and content, concurrent, and construct validity are high. Conclusions: The LEGS can be easily administered by clinicians in a short time as part of care. Research and clinical scoring methods and performance norms can track recovery in activities that are most relevant in the lives of patients. Langue : ANGLAIS |
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