TY - JOUR PY - 2011// TI - Development and validation of a movement and activity in physical space score as a functional outcome measure JO - Archives of physical medicine and rehabilitation A1 - Herrmann, Stephen D. A1 - Snook, Erin M. A1 - Kang, Minsoo A1 - Scott, Caralynn B. A1 - Mack, Mick G. A1 - Dompier, Thomas P. A1 - Ragan, Brian G. SP - 1652 EP - 1658 VL - 92 IS - 10 N2 - OBJECTIVE: To develop and validate a functional measure, the Movement and Activity in Physical Space (MAPS) score, that encompasses both physical activity and environmental interaction. DESIGN: Observational matched-pair cohort with 2-month follow-up. SETTING: General community under free-living conditions. PARTICIPANTS: Adult participants (N=18; n=9 postsurgical, n=9 matched control; mean age ± SD, 28.9±12.0y) were monitored by an accelerometer and global positioning system receiver for 3 days within 1 week (4.1±2.8d) after knee surgery (T=0) and 2 months later (T+2). The healthy controls were matched for age, sex, smoking, perceived physical activity level, and occupation of a postsurgical participant. Correlation, t test (with Bonferroni adjustment: α=.05/2), analysis of variance, and intraclass correlation coefficient were used to establish validity and reliability evidence. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: MAPS scores. RESULTS: MAPS scores were moderately correlated with the Knee Injury and Osteoarthritis Outcome Score (P<.05). There was a significant group difference at T = 0 for MAPS (t(9.9)=-3.60; P=.01). Analysis of variance results for the MAPS indicated a time and group interaction (F(1,12)=4.60, P=.05). Reliability of 3 days of MAPS scores ranged from 0.75 to 0.81 (postsurgical and control), and 2-month test-retest reliability in the control group was 0.94. CONCLUSIONS: The results provide a foundation of convergent and known-group difference validity evidence along with reliability evidence for the use of MAPS as a functional outcome measure.
Language: en
LA - en SN - 0003-9993 UR - http://dx.doi.org/10.1016/j.apmr.2011.05.001 ID - ref1 ER -