PROFILE PD: Profile Of Function and Impairment Level Experience with Parkinson Disease -- Clinimetric Properties of a Rating Scale for Physical Therapist Practice
Identifieur interne : 000309 ( Ncbi/Curation ); précédent : 000308; suivant : 000310PROFILE PD: Profile Of Function and Impairment Level Experience with Parkinson Disease -- Clinimetric Properties of a Rating Scale for Physical Therapist Practice
Auteurs : Margaret Schenkman [États-Unis] ; Kimberly Mcfann [États-Unis] ; Anna Bar [États-Unis]Source :
- Journal of neurologic physical therapy : JNPT [ 1557-0576 ] ; 2010.
Abstract
Individuals with Parkinson disease (PD) experience a range of deficits of body systems and activities. A clinical test is needed that is reliable, valid, applicable to physical therapist practice, and appropriate for use in early and mid-stages of the disease. PROFILE PD is one such scale, consisting of 24 items that would typically be assessed during the physical therapist's examination and evaluation of individuals with PD. The purpose of this paper is to report on clinimetric properties of the PROFILE PD and to make the test available for use.
Inter-rater reliability was determined using the intra-class correlation coefficient (ICC). Construct validity was determined by comparing scores on the PROFILE PD with the gold standard (UPDRS) as well as scales of physical activity and participation. Construct validity and structure of the PROFILE PD were further examined using exploratory factor analysis (EFA) using Principal Component Analysis (PCA) with Promax rotation which allows a correlated factor structure.
Inter-rater reliability was estimated as 0.97. Construct validity was demonstrated with the UPDRS (r = 0.86, p < 0.0001), Schwab & England Activities of Daily Living Scale (S&E) (r = -0.83, p < 0.0001), and Continuous Scale Physical Functional Performance test (CS-PFP) (r = -0.62, p < 0.0001). PCA demonstrated a that the test comprises a single scale.
The PROFILE PD is a reliable and valid scale that can be used to quantify alterations in body systems and activity of individuals in early and mid-stages of PD. Use of the scale can provide an overall summary of the impact of PD on body systems and activities.
Url:
DOI: 10.1097/NPT.0b013e3181fd1b8d
PubMed: 21084919
PubMed Central: 3014090
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PMC:3014090Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">PROFILE PD: <bold>Pr</bold>
ofile <bold>O</bold>
f <bold>F</bold>
unction and <bold>I</bold>
mpairment <bold>L</bold>
evel <bold>E</bold>
xperience with <bold>P</bold>
arkinson <bold>D</bold>
isease -- Clinimetric Properties of a Rating Scale for Physical Therapist Practice</title>
<author><name sortKey="Schenkman, Margaret" sort="Schenkman, Margaret" uniqKey="Schenkman M" first="Margaret" last="Schenkman">Margaret Schenkman</name>
<affiliation wicri:level="2"><nlm:aff id="A1"> Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Denver, Aurora, CO 80045</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Colorado</region>
</placeName>
<wicri:cityArea> Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Denver, Aurora</wicri:cityArea>
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<author><name sortKey="Mcfann, Kimberly" sort="Mcfann, Kimberly" uniqKey="Mcfann K" first="Kimberly" last="Mcfann">Kimberly Mcfann</name>
<affiliation wicri:level="2"><nlm:aff id="A2"> Biostatistics and Informatics, University of Colorado Denver, Aurora, CO 80045</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Colorado</region>
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<wicri:cityArea> Biostatistics and Informatics, University of Colorado Denver, Aurora</wicri:cityArea>
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<author><name sortKey="Bar N, Anna E" sort="Bar N, Anna E" uniqKey="Bar N A" first="Anna" last="Bar">Anna Bar</name>
<affiliation wicri:level="2"><nlm:aff id="A2"> Biostatistics and Informatics, University of Colorado Denver, Aurora, CO 80045</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">PROFILE PD: <bold>Pr</bold>
ofile <bold>O</bold>
f <bold>F</bold>
unction and <bold>I</bold>
mpairment <bold>L</bold>
evel <bold>E</bold>
xperience with <bold>P</bold>
arkinson <bold>D</bold>
isease -- Clinimetric Properties of a Rating Scale for Physical Therapist Practice</title>
<author><name sortKey="Schenkman, Margaret" sort="Schenkman, Margaret" uniqKey="Schenkman M" first="Margaret" last="Schenkman">Margaret Schenkman</name>
<affiliation wicri:level="2"><nlm:aff id="A1"> Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Denver, Aurora, CO 80045</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Colorado</region>
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<wicri:cityArea> Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Denver, Aurora</wicri:cityArea>
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<author><name sortKey="Mcfann, Kimberly" sort="Mcfann, Kimberly" uniqKey="Mcfann K" first="Kimberly" last="Mcfann">Kimberly Mcfann</name>
<affiliation wicri:level="2"><nlm:aff id="A2"> Biostatistics and Informatics, University of Colorado Denver, Aurora, CO 80045</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<wicri:cityArea> Biostatistics and Informatics, University of Colorado Denver, Aurora</wicri:cityArea>
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<author><name sortKey="Bar N, Anna E" sort="Bar N, Anna E" uniqKey="Bar N A" first="Anna" last="Bar">Anna Bar</name>
<affiliation wicri:level="2"><nlm:aff id="A2"> Biostatistics and Informatics, University of Colorado Denver, Aurora, CO 80045</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background and Purpose</title>
<p id="P1">Individuals with Parkinson disease (PD) experience a range of deficits of body systems and activities. A clinical test is needed that is reliable, valid, applicable to physical therapist practice, and appropriate for use in early and mid-stages of the disease. PROFILE PD is one such scale, consisting of 24 items that would typically be assessed during the physical therapist's examination and evaluation of individuals with PD. The purpose of this paper is to report on clinimetric properties of the PROFILE PD and to make the test available for use.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Inter-rater reliability was determined using the intra-class correlation coefficient (ICC). Construct validity was determined by comparing scores on the PROFILE PD with the gold standard (UPDRS) as well as scales of physical activity and participation. Construct validity and structure of the PROFILE PD were further examined using exploratory factor analysis (EFA) using Principal Component Analysis (PCA) with Promax rotation which allows a correlated factor structure.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Inter-rater reliability was estimated as 0.97. Construct validity was demonstrated with the UPDRS (r = 0.86, p < 0.0001), Schwab & England Activities of Daily Living Scale (S&E) (r = -0.83, p < 0.0001), and Continuous Scale Physical Functional Performance test (CS-PFP) (r = -0.62, p < 0.0001). PCA demonstrated a that the test comprises a single scale.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The PROFILE PD is a reliable and valid scale that can be used to quantify alterations in body systems and activity of individuals in early and mid-stages of PD. Use of the scale can provide an overall summary of the impact of PD on body systems and activities.</p>
</sec>
</div>
</front>
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