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Arch Phys Med Rehabil. 2005 Nov;86(11):2184-8.

Functional measures across neurologic disease states: analysis of factors in common.

Author information

1
Medical Research Institute of New Zealand, Wellington. harry.mcnaughton@mrinz.ac.nz

Abstract

OBJECTIVE:

To describe the underlying dimensions for a range of functional measures across 3 neurologic diseases at different time points.

DESIGN:

Multiple cohort study.

SETTING:

Combination of public hospital wards and community.

PARTICIPANTS:

Patients (N=308) from 3 cohorts: paralytic poliomyelitis (n=38), mean of 25 years previously, assessed once; acute stroke admitted to hospital and followed up for 12 months postdischarge (n=181); and traumatic brain injury (TBI), admitted to hospital and followed up for 12 months postdischarge (n=89).

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURES:

The Barthel Index, FIM instrument, Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) physical component score (PCS) and mental component score (MCS), Community Integration Questionnaire (CIQ), and the London Handicap Score (LHS). Measures were compared at 2 time points: pre-event status for stroke, TBI and the polio cohort, and 12-month postdischarge status for stroke and TBI.

RESULTS:

The different measures generally correlated highly within disease states at each time point. Principal components analysis revealed 2 underlying dimensions, a physical dimension onto which loaded the Barthel Index, FIM, PCS, and LHS and a cognitive/emotional dimension onto which loaded the MCS and, for subjects with polio, the CIQ. These 2 dimensions accounted for 69% of the variance in measures at the pre-event time point and 85% of the variance at the 12-month time point.

CONCLUSIONS:

These data suggest 2 basic underlying dimensions across a wide range of measures in 3 different neurologic conditions even at different time points. Most of the variation in the measures can be captured using the 2 component summary scores (PCS, MCS) of the SF-36.

PMID:
16271568
DOI:
10.1016/j.apmr.2005.06.010
[Indexed for MEDLINE]

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