Article

OBJECTIVE: To assess the psychometric
properties of the Trans-femoral Fitting Predictor (TFP). DESIGN: Prospective
observational study. SETTING: Hospital sites (N=9). PARTICIPANTS: Transfemoral
amputees (N=93). INTERVENTION: The TFP, a 9-item instrument describing graded
tasks, aims to assess the prosthetic potential of transfemoral amputees. The
instrument was used in its paper form (N=93) and for a video assessment of a
subset of these amputees (n=75). MAIN OUTCOME MEASURE(S): Reliability and
validity of the TFP, both paper and video assessments. RESULTS: The TFP yielded
Cronbach alpha of .92, and all intraclass correlation coefficients between values
were greater than 0.8, with narrow 95% confidence intervals. Factor analysis
suggested the TFP had 2 constructs representing more advanced and less advanced
tasks. Both discriminant analysis and logistic regression suggested that tasks 7
(stand with early walking aid [EWA] for 30s) and 8 (walk to the end of the
parallel bars with the EWA and turn around) were more predictive of whether an
amputee will go on to receive a prosthesis. CONCLUSION: The TFP is a simple,
valid, and reliable measure of prosthetic potential for transfemoral amputees.
Video assessment with the TFP was very successful and in the future could be used
for both training purposes and to provide expert assessment through telehealth.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS