The responsiveness of the lucerne ICF-based multidisciplinary observation scale: A comparison with the functional independence measure and the barthel index

Vanbellingen, Tim; Ottiger, B; Pflugshaupt, Tobias; Mehrholz, J; Bohlhalter, Stephan; Nef, Tobias; Nyffeler, Thomas (2016). The responsiveness of the lucerne ICF-based multidisciplinary observation scale: A comparison with the functional independence measure and the barthel index. Frontiers in neurology, 7(152), p. 152. Frontiers Media S.A. 10.3389/fneur.2016.00152

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BACKGROUND: Good responsive functional outcome measures are important to measure change in stroke patients. The aim of study was to compare the internal and external responsiveness, floor and ceiling effects of the motor, cognition, and communication subscales of the Lucerne ICF-based Multidisciplinary Observation Scale (LIMOS) with the motor and cognition subscales of the Functional Independence Measure (FIM), and the Barthel Index (BI), in a large cohort of stroke patients. METHODS: One hundred eighteen stroke patients participated in this study. Admission and discharge score distributions of the LIMOS motor, LIMOS cognition and communication, FIM motor and FIM cognition, and BI were analyzed based on skewness and kurtosis. Floor and ceiling effects of the scales were determined. Internal responsiveness was assessed with t-tests, effect sizes (ESs), and standardized response means (SRMs). External responsiveness was investigated with linear regression analyses. RESULTS: The LIMOS motor and LIMOS cognition and communication subscales were more responsive, expressed by higher ESs (ES = 0.65, SRM = 1.17 and ES = 0.52, SRM = 1.17, respectively) as compared with FIM motor (ES = 0.54, SRM = 0.96) and FIM cognition (ES = 0.41, SRM = 0.88) and the BI (ES = 0.41, SRM = 0.65). The LIMOS subscales showed neither floor nor ceiling effects at admission and discharge (all <15%). In contrast, ceiling effects were found for the FIM motor (16%), FIM cognition (15%) at discharge and the BI at admission (22%) and discharge (43%). LIMOS motor and LIMOS cognition and communication subscales significantly correlated (p < 0.0001) with a change in the FIM motor and FIM cognition subscales, suggesting good external responsiveness. CONCLUSION: We found that the LIMOS motor and LIMOS cognition and communication, which are ICF-based multidisciplinary standardized observation scales, might have the potential to better detect changes in functional outcome of stroke patients, compared with the FIM motor and FIM cognition and the BI.

Item Type:

Journal Article (Original Article)

Division/Institute:

10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Gerontechnology and Rehabilitation
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
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10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Geriatric Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services

UniBE Contributor:

Vanbellingen, Tim; Pflugshaupt, Tobias; Bohlhalter, Stephan; Nef, Tobias and Nyffeler, Thomas

Subjects:

600 Technology > 610 Medicine & health
500 Science > 570 Life sciences; biology

ISSN:

1664-2295

Publisher:

Frontiers Media S.A.

Language:

English

Submitter:

Vanessa Vallejo

Date Deposited:

08 Dec 2016 13:42

Last Modified:

26 Jun 2017 13:50

Publisher DOI:

10.3389/fneur.2016.00152

PubMed ID:

27725808

Uncontrolled Keywords:

BI, FIM, LIMOS, functional outcome, responsivenes, stroke

BORIS DOI:

10.7892/boris.90482

URI:

https://boris.unibe.ch/id/eprint/90482

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