1. Cross-cultural adaptation of the Functional Ambulation Categories (FAC) in Danish patients with acquired brain injury.
- Author
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Lundquist, Camilla Biering and Brunner, Iris Charlotte
- Subjects
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REHABILITATION for brain injury patients , *CROSS-sectional method , *MULTITRAIT multimethod techniques , *DATA analysis , *RESEARCH funding , *ETHNOLOGY research , *ACCELEROMETERS , *TRANSLATIONS , *FUNCTIONAL status , *DESCRIPTIVE statistics , *PSYCHOLOGICAL adaptation , *WALKING , *STATISTICS , *HYPOTHESIS , *WALKING speed , *INTER-observer reliability - Abstract
Purpose: The Functional Ambulation Categories (FAC) is a measurement tool used to classify walking ability according to the amount of physical support required. In this study, the FAC is translated into Danish and the reliability and validity of the FAC are established in a population of patients with acquired brain injury (ABI). Methods: The study took place in a neuro-rehabilitation setting. The translation process followed an accepted forward–backward translation method in six steps. For the assessment of clinometric properties a cross-sectional study design was applied. Interrater reliability was assessed with weighted Cohen's kappa. Construct validity of the FAC was assessed with Spearman's rho by correlating the FAC to walking velocity assessed with the 10-meter walk test and to the number of daily steps assessed with accelerometers. Results: The FAC was successfully translated into Danish. For the assessment of clinometric properties, 53 patients were included. Almost perfect interrater reliability was found (κ = 0.92, p < 0.0001). Construct validity was high between FAC and walking velocity (r2 = 0.87, p < 0.0001) and moderate between FAC and the number of daily steps (r2 = 0.62, p < 0.0001). Conclusion: The Danish version of the FAC was found reliable and valid for use in-patients with ABI. IMPLICATIONS FOR REHABILITATION: The Functional Ambulation Categories (FAC) has been translated into Danish and is available for use by researchers and clinicians in Denmark. Steps to ensure high reliability are described and can be replicated in other settings and these steps include developing a practice scoring sheet with a patient case for each FAC score. The reliability and validity of the FAC have been established, and the results are generalizable to similar populations of patients with acquired brain injury. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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