Validation of the “Life Space Assessment - LSA” Questionnaire in a group of hemiplegic patients
DOI:
https://doi.org/10.5935/0104-7795.20150001Keywords:
Hemiplegia, Locomotion, Validation StudiesAbstract
The mobility of a hemiplegic patient is an interaction between their functional ability and external factors. The “Life Space Assessment” (LSA) questionnaire is a tool that assesses their mobility on 5 levels. Objective: To validate the LSA in a population of stroke survivors in physical therapy at a rehabilitation center, correlating it with measures of physical performance. Method: Instruments used in concurrent validation: Timed Up and Go Test (TUG), Postural Assessment Scale (PASS), Rivermead Mobility Index. Statistics: Descriptive, Spearman Index and Intra Class Correlation (ICC). Results: Thirty hemiplegic patients were assessed (73% male, mean age 58.6 years, mean time since injury 1.9 years). The LSA correlated significantly (p < 0.01) with age, TUG, PASS, and Rivermead. Inter-rater agreement: ICC 0.941 Intra-rater agreement 0.981. Conclusion: The LSA was valid in a population of chronic stroke survivors, with excellent intra and inter-rater correlation measures, correlating significantly with measurements of body structure, function, and motor activities (TUG, PASS, and Rivermead).
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References
Almeida SRM. Análise epidemiológica do Acidente Vascular Cerebral no Brasil. Rev Neurocienc. 2012;20(4):481-2.
Carvalho JJ, Alves MB, Viana GA, Machado CB, dos Santos BF, Kanamura AH, et al. Stroke epidemiology, patterns of management, and outcomes in Fortaleza, Brazil: a hospital-based multicenter prospective study. Stroke. 2011;42(12):3341-6. DOI: http://dx.doi.org/10.1161/STROKEAHA.111.626523
Tse T, Douglas J, Lentin P, Carey L. Measuring participation after stroke: a review of frequently used tools. Arch Phys Med Rehabil. 2013;94(1):177-92. DOI: http://dx.doi.org/10.1016/j.apmr.2012.09.002
Hill K, Ellis P, Bernhardt J, Maggs P, Hull S. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother. 1997;43(3):173-80. DOI: http://dx.doi.org/10.1016/S0004-9514(14)60408-6
Lord SE, McPherson K, McNaughton HK, Rochester L, Weatherall M. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil. 2004;85(2):234-9.
Evans CC, Hanke TA, Zielke D, Keller S, Ruroede K. Monitoring community mobility with global positioning system technology after a stroke: a case study. J Neurol Phys Ther. 2012;36(2):68-78. DOI: http://dx.doi.org/10.1097/NPT.0b013e318256511a
Rosso AL, Auchincloss AH, Michael YL. The urban built environment and mobility in older adults: a comprehensive review. J Aging Res. 2011;2011:816106. DOI: http://dx.doi.org/10.4061/2011/816106
Peel C, Sawyer Baker P, Roth DL, Brown CJ, Brodner EV, Allman RM. Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment. Phys Ther. 2005;85(10):1008-119.
Murata C, Kondo T, Tamakoshi K, Yatsuya H, Toyoshima H. Factors associated with life space among community-living rural elders in Japan. Public Health Nurs. 2006;23(4):324-31. DOI: http://dx.doi.org/10.1111/j.1525-1446.2006.00568.x
Uemura K, Shimada H, Makizako H, Yoshida D, Doi T, Yamada M, et al. Factors associated with life-space in older adults with amnestic mild cognitive impairment. Geriatr Gerontol Int. 2013;13(1):161-6. DOI: http://dx.doi.org/10.1111/j.1447-0594.2012.00878.x
Baker P S, Bodner E V, Allman R M. Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc.2003;(51):1610-1614. DOI: http://dx.doi.org/10.1046/j.1532-5415.2003.51512.x
Boyle PA, Buchman AS, Barnes LL, James BD, Bennett DA. Association between life space and risk of mortality in advanced age. J Am Geriatr Soc. 2010;58(10):1925-30. DOI: http://dx.doi.org/10.1111/j.1532-5415.2010.03058.x
Curcio CL, Alvarado BE, Gomez F, Guerra R, Guralnik J, Zunzunegui MV. Life-Space Assessment scale to assess mobility: validation in Latin American older women and men. Aging Clin Exp Res. 2013;25(5):553-60. DOI: http://dx.doi.org/10.1007/s40520-013-0121-y
Wilson JT, Hareendran A, Grant M, Baird T, Schulz UG, Muir KW, et al. Improving the assessment of outcomes in stroke: use of a structured interview to assign grades on the modified Rankin Scale. Stroke. 2002;33(9):2243-6. DOI: http://dx.doi.org/10.1161/01.STR.0000027437.22450.BD
Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatr. 1994;52(1):1-7. DOI: http://dx.doi.org/10.1590/S0004-282X1994000100001
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2):142-8. DOI: http://dx.doi.org/10.1111/j.1532-5415.1991.tb01616.x
Benaim C, Pérennou DA, Villy J, Rousseaux M, Pelissier JY. Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS). Stroke. 1999;30(9):1862-8. DOI: http://dx.doi.org/10.1161/01.STR.30.9.1862
Collen FM, Wade DT, Robb GF, Bradshaw CM. The Rivermead Mobility Index: a further development of the Rivermead Motor Assessment. Int Disabil Stud. 1991;13(2):50-4. DOI: http://dx.doi.org/10.3109/03790799109166684
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