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The Locomotor Capabilities Index: validity and reliability of the Swedish version in adults with lower limb amputation
Department of Rehabilitation Medicine, Hässleholm Hospital.
Department of Clinical Sciences, Lund University, Ortopedteknik AB, Kristianstad Hospital.
Kristianstad University, School of Health and Society.ORCID iD: 0000-0001-9283-5096
Department of Clinical Sciences, Lund University, Department of Orthopedics, Hässleholm and Kristianstad Hospitals.
2009 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 7, no 44Article in journal (Refereed) Published
Abstract [en]

Background: The Locomotor Capabilities Index (LCI) is a validated measure of lower-limb amputees' ability to perform activities with prosthesis. We have developed the LCI Swedish version and evaluated its validity and reliability. Methods: Cross-cultural adaptation to Swedish included forward/backward translations and field testing. The Swedish LCI was then administered to 144 amputees (55 women), mean age 74 (4093) years, attending post-rehabilitation prosthetic training. Construct validity was assessed by examining the relationship between the LCI and Timed "Up-and-Go" (TUG) test and between the LCI and EQ-5D health utility index in 2 subgroups of 40 and 20 amputees, respectively. Discriminative validity was assessed by comparing scores in different age groups and in unilateral and bilateral amputees. Test-retest reliability (1-2 weeks) was evaluated in 20 amputees (14 unilateral). Results: The Swedish LCI showed good construct convergent validity, with high correlation with the TUG (r = -0.75) and the EQ-5D (r = 0.84), and discriminative validity, with significantly worse mean scores for older than younger and for bilateral than unilateral amputees (p < 0.01), and high internal consistency (Cronbach alpha 0.95). In test-retest reliability the intraclass correlation coefficient was 0.91 (95% CI 0.79-0.96) but for the unilateral amputees was 0.83 (95% CI 0.56-0.94). Ceiling effect occurred in 23%. Conclusion: The Swedish version of the LCI demonstrated good validity and internal consistency in adult amputees. Test-retest reliability in a small subsample appears to be acceptable. The high ceiling effect of the LCI may imply that it would be most useful in assessing amputees with low to moderate functional abilities.

Place, publisher, year, edition, pages
2009. Vol. 7, no 44
Keywords [en]
PROSTHETIC PROFILE, DEFINED POPULATION, MAJOR AMPUTATION, ARTERIAL-DISEASE, FOLLOW-UP, MOBILITY, REHABILITATION, QUESTIONNAIRE, AMPUTEES, PATIENT
National Category
Nursing Social Sciences Interdisciplinary
Identifiers
URN: urn:nbn:se:hkr:diva-5724DOI: 10.1186/1477-7525-7-44ISI: 000267033400001PubMedID: 19463185ISBN: 1477-7525 (print)OAI: oai:DiVA.org:hkr-5724DiVA, id: diva2:286833
Available from: 2010-01-15 Created: 2010-01-15 Last updated: 2018-01-12Bibliographically approved

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Andersson, Ingemar H.

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CiteExportLink to record
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