ความน่าเชื่อถือในการวัดซ้ำของแบบประเมิน Modified Lower Extremity Functional Scale (Modified LEFS) ฉบับภาษาไทย และความสัมพันธ์กับ Knee Osteoarthritis Outcome Scores (KOOS) ฉบับภาษาไทย, Self-Pace Walk Test และ Timed Up and Go Test ในผู้ที่มีข้อเข่าเสื่อม
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ก.ย. 25, 2018
คำสำคัญ:
LEFS knee osteoarthritis functional scale physical function self-report outcome measure
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บทคัดย่อ
ที่มาและความสำคัญ:ประเทศไทยมีผู้สูงอายุที่มีข้อเข่าเสื่อมมากกว่า 6 ล้านคน ดังนั้นแบบประเมินตนเองที่วัดการเคลื่อนไหวของผู้มีเข่าเสื่อมจึงมีประโยชน์ทางคลินิก ชุมชนและวิจัย
วัตถุประสงค์: เพื่อประเมินความน่าเชื่อถือในการวัดซ้ำ และความตรงของ Modified LEFS ภาษาไทยโดยหาความสัมพันธ์กับ KOOS ภาษาไทย (หัวข้อปวด กิจวัตรประจำวัน กีฬาและนันทนาการ) และ 40m-SPWT และ TUG ในผู้มีข้อเข่าเสื่อม
วิธีการวิจัย:ประกอบด้วยการแปล LEFS ต้นฉบับภาษาอังกฤษเป็นภาษาไทยแปลกลับและประเมินความสอดคล้องของเนื้อหาเทียบกับต้นฉบับทดสอบความน่าเชื่อถือในการวัดซ้ำโดยให้ผู้ร่วมวิจัยตอบ Modified LEFS ภาษาไทย 2 ครั้งภายใน 7 วันทดสอบความสัมพันธ์กับ KOOS ภาษาไทยและทดสอบการเคลื่อนไหวประกอบด้วย 40m-SPWT และ TUG โดยใช้ Pearson correlation coefficient
ผลการวิจัย: พบว่า Modified LEFS ภาษาไทยมีค่าดัชนีความสอดคล้องของเนื้อหาสูง (IOC=0.8) และผลจากผู้ร่วมวิจัย 30 คน (หญิง 27 คน เฉลี่ยอายุ 65±8 ปี) พบว่ามีความน่าเชื่อถือในการวัดซ้ำสูง (ICC= 0.83, p<.001) และมีความสัมพันธ์สูงกับ KOOS ภาษาไทยหัวข้อกีฬาและนันทนาการ (r=0.72,p<.001) แต่สัมพันธ์ปานกลางหัวข้อกิจวัตรประจำวัน( r=0.59, p<.001) อาการปวด (r=0.41,p<.05) เช่นเดียวกับ40m-SPWT (r=-0.48,p<.001) และ TUG(r=-0.47,p<.001)
สรุปผล: : Modified LEFS ภาษาไทยสามารถนำมาใช้กับผู้มีข้อเข่าเสื่อมโดยมีความน่าเชื่อถือและความตรงในการวัดการเคลื่อนไหวในระดับที่ยอมรับได้
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Chaipinyo K, Khoprasert W, Likhitphithak W, Pareepon A. ความน่าเชื่อถือในการวัดซ้ำของแบบประเมิน Modified Lower Extremity Functional Scale (Modified LEFS) ฉบับภาษาไทย และความสัมพันธ์กับ Knee Osteoarthritis Outcome Scores (KOOS) ฉบับภาษาไทย, Self-Pace Walk Test และ Timed Up and Go Test ในผู้ที่มีข้อเข่าเสื่อม. Thai J Phys Ther [อินเทอร์เน็ต]. 25 กันยายน 2018 [อ้างถึง 3 เมษายน 2025];40(3):134-45. available at: https://he02.tci-thaijo.org/index.php/tjpt/article/view/147309
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References
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9. Veenhof C, Bijlsma JW, van den Ende CH, van Dijk GM, Pisters MF, Dekker J. Psychometric evaluation of osteoarthritis questionnaires: a systematic review of the literature. Arthritis Rheum. 2006 Jun; 55(3):480-92.
10. Pua YH, Cowan SM, Wrigley TV, Bennell KL. The Lower Extremity Functional Scale could be an alternative to the Western Ontario and McMaster Universities Osteoarthritis Index physical function scale. J Clin Epidemiol. 2009 Oct;62(10):1103-11.
11. Roos EM, Toksvig-Larsen S. Knee injury and Osteoarthritis Outcome Score (KOOS) - validation and comparison to the WOMAC in total knee replacement. Health Qual Life Outcomes. 2003;1:17.
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14. Stasi S, Papathanasiou G, Anagnostou M, et al. Lower Extremity Functional Scale (LEFS): Cross-Cultural Adaption into Greek and Reliability Properties of the Instrument. Health Science Journal. 2012;6(4):750-73.
15. Cacchio A, De Blasis E, Necozione S, et al. The Italian version of the Lower Extremity Functional Scale was reliable, valid, and responsive. J Clin Epidemiol.. 2010 May; 63(5):550-7.
16. Pereira LM, Dias JM, Mazuquin BF, Castanhas LG, Menacho MO, Cardoso JR. Translation, cross-cultural adaptation and analysis of the psychometric properties of the lower extremity functional scale (LEFS): LEFS- BRAZIL. Braz J PhysTher. 2013 May-Jun; 17(3):272-80.
17. Metsavaht L, Leporace G, Riberto M, et al. Translation and cross-cultural adaptation of the lower extremity functional scale into a Brazilian Portuguese version and validation on patients with knee injuries. J Orthop Sports PhysTher. 2012 Nov; 42(11):932-9.
18. Hou WH, Yeh TS, Liang HW. Reliability and validity of the Taiwan Chinese version of the Lower Extremity Functional Scale. J Formos Med Assoc. 2012 May;113(5):313-20.
19. Williams VJ, Piva SR, Irrgang JJ, Crossley C, Fitzgerald GK. Comparison of reliability and responsiveness of patient-reported clinical outcome measures in knee osteoarthritis rehabilitation. J Orthop Sports PhysTher. 2012 Aug;42(8):716-23.
20. Bennell K, Dobson F, Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res (Hoboken). 2011 Nov; 63(11):350-70.
21. Dobson F, Hinman RS, Hall M, Terwee CB, Roos EM, Bennell KL. Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review. Osteoarthritis Cartilage. Dec; 20(12):1548-62.
22. Dobson F, Hinman RS, Roos EM, et al. OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis. Osteoarthritis Cartilage. 2013 Aug; 21(8):1042-52.
23. Elboim-Gabyzon M, Rozen N, Laufer Y. Gender differences in pain perception and functional ability in subjects with knee osteoarthritis. ISRN Orthop 2012:413105.
24. Mansournia MA, Danaei G, Forouzanfar MH, et al. Effect of physical activity on functional performance and knee pain in patients with osteoarthritis : analysis with marginal structural models. Epidemiology. Jul;23(4):631-40.
25. Dobson F, Hinman RS, Hall M, Terwee CB, Roos EM, Bennell KL. Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review. Osteoarthritis Cartilage. Dec; 20(12):1548-62.
26. Stasi S, Papathanasiou G, Korres N, et al. Validation of the Lower Extremity Functional Scale in community-dwelling elderly people (LEFS-Greek); determination of functional status cut-off points using TUG test. Eur Geriatr Med. 2013 Sep;4(4): 237-41.
27. Stratford PW, Kennedy D, Pagura SM, Gollish JD. The relationship between self-report and performance-related measures: questioning the content validity of timed tests. Arthritis Rheum. 2003 Aug; 49(4):535-40.
28. Chirawattanakul A.Statistics for health science research. First edition Bangkok: Wittayapat. 2013:312
29. Stratford PW, Kennedy DM, Hanna SE. Condition-specific Western Ontario McMaster Osteoarthritis Index was not superior to region-specific Lower Extremity Functional Scale at detecting change. J Clin Epidemiol. 2004 Oct;57(10):1025-32.
30. Naal FD, Impellizzeri FM, Torka S, Wellauer V, Leunig M, von Eisenhart-Rothe R. The German Lower Extremity Functional Scale (LEFS) is reliable, valid and responsive in patients undergoing hip or knee replacement. Qual Life Res. 2014 Aug.
2. Prasartritha T.Knee Osteoarthritis.1st ed. Bangkok: Reungpanya; 2010.
3. Thanerat T, Warongchayakul C, Phakaihran W, et al. A study of acupressure on range of knee joint movement in osteoarthritis. Chula Med J. 2013;57(5).
4. Howe TE, Dawson LJ, Syme G, Duncan L, Reid J. Evaluation of outcome measures for use in clinical practice for adults with musculoskeletal conditions of the knee: a systematic review. Man Ther. 2011 Apr;17(2):100-18.
5. Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. PhysTher. 1999 Apr;79(4):371-83.
6. Maly MR, Costigan PA, Olney SJ. Determinants of self-report outcome measures in people with knee osteoarthritis. Arch Phys Med Rehabil. 2006 Jan;87(1):96-104.
7. Committee AR. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). 2012 [cited 2017September]; Available from: https://www.rheumatology.org/Practice/Clinical/Clinicianresearchers/Outcomes_Instrumentation/Western_Ontario_and_McMaster_Universities_Osteoarthritis_Index_(WOMAC)/.
8. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)-development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998 Aug; 28(2):88-96.
9. Veenhof C, Bijlsma JW, van den Ende CH, van Dijk GM, Pisters MF, Dekker J. Psychometric evaluation of osteoarthritis questionnaires: a systematic review of the literature. Arthritis Rheum. 2006 Jun; 55(3):480-92.
10. Pua YH, Cowan SM, Wrigley TV, Bennell KL. The Lower Extremity Functional Scale could be an alternative to the Western Ontario and McMaster Universities Osteoarthritis Index physical function scale. J Clin Epidemiol. 2009 Oct;62(10):1103-11.
11. Roos EM, Toksvig-Larsen S. Knee injury and Osteoarthritis Outcome Score (KOOS) - validation and comparison to the WOMAC in total knee replacement. Health Qual Life Outcomes. 2003;1:17.
12. Chaipinyo K.Test-Retest Reliability and Construct Validity of the Thai Version of Knee Osteoarthritis Outcome Score (KOOS). Thai J of PhysTher. 2009; 31(2): 67-76
13. Hoogeboom TJ, de Bie RA, den Broeder AA, van den Ende CH. The Dutch Lower Extremity Functional Scale was highly reliable, valid and responsive in individuals with hip/knee osteoarthritis: a validation study. BMC MusculoskeletDisord. 2012;13:117.
14. Stasi S, Papathanasiou G, Anagnostou M, et al. Lower Extremity Functional Scale (LEFS): Cross-Cultural Adaption into Greek and Reliability Properties of the Instrument. Health Science Journal. 2012;6(4):750-73.
15. Cacchio A, De Blasis E, Necozione S, et al. The Italian version of the Lower Extremity Functional Scale was reliable, valid, and responsive. J Clin Epidemiol.. 2010 May; 63(5):550-7.
16. Pereira LM, Dias JM, Mazuquin BF, Castanhas LG, Menacho MO, Cardoso JR. Translation, cross-cultural adaptation and analysis of the psychometric properties of the lower extremity functional scale (LEFS): LEFS- BRAZIL. Braz J PhysTher. 2013 May-Jun; 17(3):272-80.
17. Metsavaht L, Leporace G, Riberto M, et al. Translation and cross-cultural adaptation of the lower extremity functional scale into a Brazilian Portuguese version and validation on patients with knee injuries. J Orthop Sports PhysTher. 2012 Nov; 42(11):932-9.
18. Hou WH, Yeh TS, Liang HW. Reliability and validity of the Taiwan Chinese version of the Lower Extremity Functional Scale. J Formos Med Assoc. 2012 May;113(5):313-20.
19. Williams VJ, Piva SR, Irrgang JJ, Crossley C, Fitzgerald GK. Comparison of reliability and responsiveness of patient-reported clinical outcome measures in knee osteoarthritis rehabilitation. J Orthop Sports PhysTher. 2012 Aug;42(8):716-23.
20. Bennell K, Dobson F, Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res (Hoboken). 2011 Nov; 63(11):350-70.
21. Dobson F, Hinman RS, Hall M, Terwee CB, Roos EM, Bennell KL. Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review. Osteoarthritis Cartilage. Dec; 20(12):1548-62.
22. Dobson F, Hinman RS, Roos EM, et al. OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis. Osteoarthritis Cartilage. 2013 Aug; 21(8):1042-52.
23. Elboim-Gabyzon M, Rozen N, Laufer Y. Gender differences in pain perception and functional ability in subjects with knee osteoarthritis. ISRN Orthop 2012:413105.
24. Mansournia MA, Danaei G, Forouzanfar MH, et al. Effect of physical activity on functional performance and knee pain in patients with osteoarthritis : analysis with marginal structural models. Epidemiology. Jul;23(4):631-40.
25. Dobson F, Hinman RS, Hall M, Terwee CB, Roos EM, Bennell KL. Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review. Osteoarthritis Cartilage. Dec; 20(12):1548-62.
26. Stasi S, Papathanasiou G, Korres N, et al. Validation of the Lower Extremity Functional Scale in community-dwelling elderly people (LEFS-Greek); determination of functional status cut-off points using TUG test. Eur Geriatr Med. 2013 Sep;4(4): 237-41.
27. Stratford PW, Kennedy D, Pagura SM, Gollish JD. The relationship between self-report and performance-related measures: questioning the content validity of timed tests. Arthritis Rheum. 2003 Aug; 49(4):535-40.
28. Chirawattanakul A.Statistics for health science research. First edition Bangkok: Wittayapat. 2013:312
29. Stratford PW, Kennedy DM, Hanna SE. Condition-specific Western Ontario McMaster Osteoarthritis Index was not superior to region-specific Lower Extremity Functional Scale at detecting change. J Clin Epidemiol. 2004 Oct;57(10):1025-32.
30. Naal FD, Impellizzeri FM, Torka S, Wellauer V, Leunig M, von Eisenhart-Rothe R. The German Lower Extremity Functional Scale (LEFS) is reliable, valid and responsive in patients undergoing hip or knee replacement. Qual Life Res. 2014 Aug.