Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke
BackgroundThe Performance-Oriented Mobility Assessment (POMA) is a reliable instrument for evaluating the mobility (balance and gait) of patients with chronic stroke to manage their risk of falling; however, it has not been validated among Chinese patients with stroke. This study aimed to evaluate t...
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1461069/full |
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| author | Ming Zhong Yongnan Jing Xiaofeng Zhao Ying Gao Yanju Jiang Yihao Liu Chunping Du Chunping Du |
| author_facet | Ming Zhong Yongnan Jing Xiaofeng Zhao Ying Gao Yanju Jiang Yihao Liu Chunping Du Chunping Du |
| author_sort | Ming Zhong |
| collection | DOAJ |
| description | BackgroundThe Performance-Oriented Mobility Assessment (POMA) is a reliable instrument for evaluating the mobility (balance and gait) of patients with chronic stroke to manage their risk of falling; however, it has not been validated among Chinese patients with stroke. This study aimed to evaluate the reliability and validity of the Chinese POMA in patients with stroke.MethodsThe POMA was applied to volunteer patients with stroke from the Shanghai MCC Hospital. The patients underwent the Chinese POMA, Berg balance scale (BBS), and timed up and go (TUG) tests on the first day of inpatient treatment. The same physician repeated the tests the next day to assess test–retest reliability, and upon the patient’s discharge from the inpatient department, two different physicians measured inter-rater reliability.ResultsThe study involved 76 patients with stroke (age: 62.04 ± 9.76 years; 34.2% female). The results showed that the Chinese POMA had good overall internal consistency (σ=. 875), with a moderate consistency between its two subscales (balance σ = 0.875; gait σ = 0.668). The individual items showed high test–retest (ICC = 0.997) and inter-rater reliability (ICC = 0.988). The content validity test showed high correlations between the Chinese POMA, the BBS (rs = 0.70), and the TUG (rs = −0.75). However, the confirmatory factor analysis suggested that the two-factor model (balance and gait) was mediocre.ConclusionThe Chinese POMA showed acceptable reliability and validity for evaluating mobility (balance and gait) in Chinese patients with stroke in terms of their risk of falling. However, further evaluation of the two-factor model (balance and gait) is required. |
| format | Article |
| id | doaj-art-9cc7e3f29a8b4389a7802949f8b38229 |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-9cc7e3f29a8b4389a7802949f8b382292024-11-13T06:21:03ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-11-011510.3389/fneur.2024.14610691461069Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic strokeMing Zhong0Yongnan Jing1Xiaofeng Zhao2Ying Gao3Yanju Jiang4Yihao Liu5Chunping Du6Chunping Du7Department of Sports Medicine, Sichuan Provincial Orthopedics Hospital, Chengdu, ChinaDepartment of Rehabilitation, Shanghai MCC Hospital, Shanghai, ChinaDepartment of Rehabilitation, Shanghai MCC Hospital, Shanghai, ChinaSchool of Acupuncture-Moxibustion and Tuina and School of Health Preservation and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Rehabilitation, Shanghai MCC Hospital, Shanghai, ChinaSchool of Psychology, Faculty of Health and Life Sciences, University of Exeter, Exeter, United KingdomRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, ChinaBackgroundThe Performance-Oriented Mobility Assessment (POMA) is a reliable instrument for evaluating the mobility (balance and gait) of patients with chronic stroke to manage their risk of falling; however, it has not been validated among Chinese patients with stroke. This study aimed to evaluate the reliability and validity of the Chinese POMA in patients with stroke.MethodsThe POMA was applied to volunteer patients with stroke from the Shanghai MCC Hospital. The patients underwent the Chinese POMA, Berg balance scale (BBS), and timed up and go (TUG) tests on the first day of inpatient treatment. The same physician repeated the tests the next day to assess test–retest reliability, and upon the patient’s discharge from the inpatient department, two different physicians measured inter-rater reliability.ResultsThe study involved 76 patients with stroke (age: 62.04 ± 9.76 years; 34.2% female). The results showed that the Chinese POMA had good overall internal consistency (σ=. 875), with a moderate consistency between its two subscales (balance σ = 0.875; gait σ = 0.668). The individual items showed high test–retest (ICC = 0.997) and inter-rater reliability (ICC = 0.988). The content validity test showed high correlations between the Chinese POMA, the BBS (rs = 0.70), and the TUG (rs = −0.75). However, the confirmatory factor analysis suggested that the two-factor model (balance and gait) was mediocre.ConclusionThe Chinese POMA showed acceptable reliability and validity for evaluating mobility (balance and gait) in Chinese patients with stroke in terms of their risk of falling. However, further evaluation of the two-factor model (balance and gait) is required.https://www.frontiersin.org/articles/10.3389/fneur.2024.1461069/fullstrokeperformance-oriented mobility assessmentrisk-of-fallbalancegaitreliability |
| spellingShingle | Ming Zhong Yongnan Jing Xiaofeng Zhao Ying Gao Yanju Jiang Yihao Liu Chunping Du Chunping Du Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke Frontiers in Neurology stroke performance-oriented mobility assessment risk-of-fall balance gait reliability |
| title | Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke |
| title_full | Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke |
| title_fullStr | Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke |
| title_full_unstemmed | Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke |
| title_short | Evaluating the reliability and validity of a Chinese version of the performance-oriented mobility assessment among patients with chronic stroke |
| title_sort | evaluating the reliability and validity of a chinese version of the performance oriented mobility assessment among patients with chronic stroke |
| topic | stroke performance-oriented mobility assessment risk-of-fall balance gait reliability |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1461069/full |
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