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European Journal of Physical and Rehabilitation Medicine 2009 December;45(4):507-12

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Evaluation of a Patient-Specific Index as an outcome measure for physiotherapy in Parkinson’s disease

Nijkrake M. J., Keus S. H. J., Quist-AnholtsG. W. L., Overeem S., De Roode M. H., Lindeboom R., Mulleners W., Bloem B. R., Munneke M.

1 Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre The Netherlands; 2 Research Centre of Allied Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; 3 Department of Rehabilitation and Allied Health Occupations, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands 4 Department of Physical Therapy, Leiden University Medical Center, The Netherlands 5 Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands 6 Department of Neurology, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands


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AIM: The aim of this paper was to develop and evaluate a patient-specific index for physiotherapy in Parkinson’s disease (PSI-PD).
METHODS: In the PSI-PD, patients 1) select problematic activities out of a predefined list, with one self-report item; 2) rank selected items in order of importance; and 3) rate severity for each ranked item. To examine test-retest reliability, a cohort of patients was asked to complete the PSI-PD twice. Afterwards, validity was evaluated using a telephone interview.
RESULTS: The PSI-PD was completed twice by 81 patients. Test-retest agreement for the selection of activity limitations was 73% to 94%. Items ranked by patients were categorized into domains, of which gait, transfers and dexterity were rated most frequently (41%-70%). Test-retest agreement for ranked domains ranged from 74% to 82%. Interviews confirmed that the PSI-PD reliably identified problem areas.
CONCLUSIONS: The PSI-PD is a relevant, reliable and valid instrument to identify limitations in everyday activities that are important for both PD patients and physiotherapists.

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