Test-retest reliability of the special interest group on amputation medicine/Dutch working group on amputations and prosthetics mobility scale, in persons wearing a prosthesis after a lower-limb amputation

Disabil Rehabil. 2020 Jun;42(12):1762-1766. doi: 10.1080/09638288.2018.1528304. Epub 2019 Feb 14.

Abstract

Purpose: To assess the test-retest reliability of the Special Interest Group on Amputation Medicine Mobility Scale/Dutch Working Group on Amputations and Prosthetics, better known as SIGAM/WAP mobility scale, in persons with a lower-limb amputation.Method: Longitudinal study at the outpatient departments of a rehabilitation center and a university medical center. Persons with a lower-limb amputation, wearing a prosthesis, were assessed at the end of their multidisciplinary rehabilitation treatment twice, with a 3-week interval, by the same practitioner. Test-retest reliability was quantified using the intraclass correlation coefficient for agreement.Results: Eighty persons participated (mean age ± SD, 61 ± 15 years; 61% men; 76% vascular cause of amputation; 70% able to walk >50m). Fifty-one of them rated themselves to be stable with respect to their mobility and their intraclass correlation coefficient was 0.90 (95% confidence intervals 0.84-0.94).Conclusions: The Special Interest Group on Amputation Medicine Mobility Scale/Dutch Working Group on Amputations and Prosthetics had, at the outpatient departments of a rehabilitation center and a university medical center, excellent test-retest reliability in persons wearing a prosthesis after a lower-limb amputation.Implications for rehabilitationThe Special Interest Group on Amputation Medicine/Dutch Working Group on Amputations and Prosthetics Mobility Scale was developed to classify mobility after a lower-limb amputation and wearing a prosthesis.The Dutch translation of this mobility scale has excellent test-retest reliability.

Keywords: Amputation; mobility; prosthesis; reliability.

MeSH terms

  • Amputation, Surgical / rehabilitation*
  • Amputees / rehabilitation*
  • Artificial Limbs / statistics & numerical data*
  • Disability Evaluation
  • Female
  • Humans
  • Longitudinal Studies
  • Lower Extremity / surgery*
  • Male
  • Middle Aged
  • Mobility Limitation*
  • Netherlands
  • Outcome Assessment, Health Care* / methods
  • Outcome Assessment, Health Care* / standards
  • Reproducibility of Results
  • Treatment Outcome