The Clinical Application of modified Emory Functional Ambulation Profile for Chronic Stroke Patients (만성 편마비 환자의 modified Emory Functional Ambulation Profile의 임상 적용 )

Seong Yeol KIm (김성렬); Je-Hoon Lee (이제훈); 안승헌

The Clinical Application of modified Emory Functional Ambulation Profile for Chronic Stroke Patients

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2010, 5(4), pp.655-666
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Seong Yeol KIm ¹, Je-Hoon Lee ², 안승헌 ³

¹경남대학교
²대한올림픽 위원회 태릉선수촌 물리치료실
³국립재활원

Candidate

ABSTRACT

Purpose：The examine the reliability and validity of the modified Emory Functional Ambulation Profile(mEFAP) for assessing gait function in chronic stroke patients. Methods：A total of 45 stroke patients, who had a stroke more than 6 months, participated in the study. Reliability was determined by Intra-class Correlation Coefficient(ICC3,1), including Bland and Altman method (Standard Error of Measurement: SEM, Small Real Differences: SRD). Validity was examined by correlating results to the gait ability(mEFAP, Modified Motor Assessment Scale-Gait(MMAS-G), Scandinavian Stroke Scale- Gait(SSS-G), Functional Ambulation Category(FAC), 10m Waking Test(10m WT)), and Fugl Meyer-Lower/ Extremity(FM-L/E), Berg Balance Scale(BBS). Results：Inter-rater reliability for the total mEFAP was High(ICC2,1=.998), and absolute reliability were excellent (SEM: 1.75, SRD: 4.85). Subjects without assistance factor performed better on all tests than did subjects who had stroke. There were significant correlations between the mEFAP and MMAS-G, SSS-G, FAC(r=-.66∼-.79), 10 m WT(r=-.86), and FM-L/E, BBS(r=-.72∼-.78), indicating good validity. Increased times on the mEFAP correlated with poor performance on the gait ability, motor function of lower extremity, BBS and slow gait speeds on the 10 m WT in stroke patients. Conclusion：The mEFAP can be administered easily and comprehensively. It is a reliable gait assessment tool for patients with stroke and correlated with known of function, the mEFAP may be a clinically useful measure of ambulation.

KEYWORDS

Balance, Gait, Modified Emory Functional Ambulation Profile, Stroke

Citation status

* References for papers published after 2023 are currently being built.

[journal] 김재현 / 2009 / Reliability and Validity of Gait Assessment Tools for Elderly Person / 대한물리치료학회지 / 대한물리치료학회 21(1) : 41~48

[journal] 안승헌 / 2007 / Correlation Between Balance, Walking Test and Functional Performance in Stroke Patients: BBS, TUG, Fugl-Meyer, MAS-G, C？GS, and MBI / 한국전문물리치료학회지 / 한국전문물리치료학회 14(3) : 64~71

[journal] 안승헌 / 2009 / Reliability and Validity of the Postural Assessment Scale for Stroke in Chronic Stroke Patients / 대한물리치료학회지 / 대한물리치료학회 21(1) : 9~18

[journal] Yi-jung Chung / 2007 / Characteristics of Initiation and Termination of Tibialis Anterior Contraction in Adults With Hemiplegia: A Preliminary Study / 한국전문물리치료학회지 / 한국전문물리치료학회 14(4) : 50~57

[journal] Allet L / 2009 / Effect of different walking aids on walking capacity of patients with poststroke hemiparesis / Arch Phys Med Rehabil 90(8) : 1408~1413

[journal] Atkinson G / 1998 / Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine / Sports Med 26(4) : 217~238

[journal] Baer HR / 2001 / Modified emory functional ambulation profile an outcome measure for the rehabilitation of poststroke. Gait Dysfunction / Stroke 32(4) : 973~979

[journal] Barber M / 2004 / Validity and reliability of estimating the scandinavian stroke scale score from medical records / Cerebrovasc Dis 17(2) : 224~227

[journal] Bland JM / 1986 / Statistical methods for assessing agreement between two methods of clinical measurement / Lancet 1(8476) : 307~310

[journal] Bogl / 1996 / Use of the berg balance test to predict falls in elderly persons / Phys Ther 76(6) : 576~585

[journal] Carr JH / 1985 / Investi- gation of a new motor assessment scale for stroke patients / Phys Ther 65(2) : 175~180

[journal] Duncan PW / 1983 / Reliability of the fugl-meyer assessment of sensorimotor recovery following cerebrovascular accident / Phys Ther 63(10) : 1606~1610

[journal] Fisher AG / 1993 / Nationally speaking. Improving functional assessment in occupational therapy: Recommendations and philosophy for change / Am J Occup Ther 47(3) : 199~200

[journal] Eng JJ / 2002 / Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion / Stroke 33(3) : 756~761

[journal] Fox KM / 1996 / A portable neuromuscular function assessment for studying recovery from hip fracture / Arch Phys Med Rehabil 77(2) : 171~176

[journal] Fugl-Meyer AR / 1975 / The post-stroke hemiplegic patient / Scand J Rehabil Med 7(1) : 13~31

[journal] Garland SJ / 2003 / Recovery of standing balance and functional mobility after stroke / Arch Phys Med Rehabil 84(12) : 1753~1759

[journal] Goldie PA / 1996 / Deficit and change in gait velocity during rehabilitation after stroke / Arch Phys Med Rehabil 77(10) : 1074~1082

[journal] Goldsmith CH / 1993 / Criteria for clinically important changes in outcomes: development, scoring and evaluation of rheumatoid arthritis patient and trial profiles. OMERACT Committee / J Rheumatol 20(3) : 561~565

[journal] Holden MK / 1984 / Clinical gait assessment in the neurologically impaired: reliability and meaningfulness / Phys Ther 64(1) : 35~40

[journal] Hurkmans HL / 2003 / Techniques for measuring weight bearing during standing and walking / Clin Biomech 18(7) : 576~589

[journal] Katherine J / 2002 / Step training with body weight support: the effect of treadmill speed and practice paradigm on poststroke locomotor recovery / Arch Phys Med Rehabil 83(5) : 683~691

[journal] Liaw LJ / 2006 / Psychometric properties of the modified emory functional ambulation profile in stroke patients / Clin Rehabil 20(5) : 429~437

[journal] Liaw LJ / 2008 / The relative and absolute reliability of two balance performance measures in chronic stroke patients / Disabil Rehabil 30(9) : 656~661

[journal] Means KM / 1996 / The obstacle course: a tool for the assessment of functional balance and mobility in the elderly / J Rehabil Res Dev 33(4) : 413~429

[journal] Mehrholz J / 2007 / Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke / Arch Phys Med Rehabil 88(10) : 1314~1319

[journal] Michal KL / 2005 / Early cycling test as a predictor of walking performance in stroke patients / Physiother Res Int 10(1) : 1~9

[journal] Moe-Nilssen R / 2004 / Estimation of gait cycle characteristics by trunk accelerometry / J Biomech 37(1) : 121~126

[journal] Perry J / 1995 / Classification of walking handicap in the stroke population / Stroke 26(6) : 982~989

[journal] Pomeroy VM / 2004 / Reliability of measurement of tempo-spatial parameters of gait after stroke using GaitMat II / Clin Rehabil 18(2) : 222~227

[other] Portney LG / 2000 / Foundations of clinical research: application to practice. 2nd ed. Upper Saddle River / Prentice Hall Health

[journal] Richards JD / 2003 / A comparison of knee kinematic characteristics of stroke patients and age-matched healthy volunteers / Clin Rehabil 17(5) : 565~571

[other] Rothstein JM / 1999 / Primer on Measure- ment: An introductory guide to measurement issues. Aleaxndria, VA / American Physical Therapy Association

[journal] Schmid A / 2007 / Improve- ments in speed-based gait classifications are meaningful / Strok 38(7) : 2096~2100

[journal] Schuck P / 2003 / The 'smallest real difference' as a measure of sensitivity to change: a critical analysis / Int J Rehabil Res 26(2) : 85~91

[book] Shumway-Cook A / 1995 / Motor control: theory and practical application (1st ed) / Williams & Wilkins

[journal] Simondson JA / 2003 / Greenwood KM. The mobility scale for acute stroke Patients: concurrent validity / Clin Rehabil 17(5) : 558~564

[journal] Smidt N / 2002 / Inter observer reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis / Arch Phys Med Rehabil 83(8) : 1145~1150

[journal] Steffen TM / 2002 / Age and gender-related test performance in community dwelling elderly people: Six-minute walk test, Berg balance scale, timed up & go test, and gait speeds / Phys Ther 82(2) : 128~137

[journal] Thomas M / 2004 / Clinical gait and balance scale(gabs): validation and utilization / J Neurol Sci 217(1) : 89~99

[journal] Thomas JI / 2005 / A Pilot study to explore the predictive validity of 4 measures of falls risk in frail elderly patients / Arch Phys Med Rehabil 86(8) : 1636~1640

[journal] Wolf SL / 1999 / Establishing the reliability and validity of measurements of walking time using the emory functional ambulation profile / Phys Ther 79(12) : 1122~1133

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45