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PHYS THER
Vol. 74, No. 9, September 1994, pp. 861-871

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Right arrow Injuries and Conditions: Lower Extremity
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Research Reports

Validity and Reliability of a New Assessment of Lower-Extremity Dysfunction

Ulrika Öberg, Birgitta Öberg and Tommy Öberg

U Öberg, PT, is Director, Department of Physical Therapy, County Hospital, S-575 81 Eksjö, Sweden, and Doctoral Student, University of Linköping, S-581 85 Linköping, Sweden.
B Öberg, PhD, PT, is Associate Professor, Department of Caring Sciences, University of Linköping.
T Öberg, MD, PhD, is Director and Associate Professor, Department of Biomechanics and Orthopaedic Technology, University College of Health Sciences, PO Box 1038, S-551 11 Jönköping, Sweden.

Background and Purpose. A 20-variable assessment system for evaluation of lower-extremity dysfunction has been constructed with special consideration of the needs of the physical therapist. The variables are classified into five subgroups: hip impairment, knee impairment, physical disability, social disability, and pain. Subjects. One hundred five patients with osteoarthrosis of the hip and knee, all accepted for total joint replacement arthroplasty, were tested. The mean age of the patients was 69 years (SD=9.0, range=46–91). Methods. The original grouping of the variables was analyzed for content validity with a factor analysis. The results from a subgroup of 42 patients were tested for intertester reliability with the Goodman-Kruskal gamma coefficient. Results. The factor analysis indicated a factor solution consistent with the primary grouping except for two variables. The correlation between two independent physical therapists was .99 to 1.00 for different variables, indicating exellent intertester reliability. Conclusion and Discussion. In the authors' opinion, the new assessment system provides a reasonably valid, reliable, inexpensive, and easy-to-use measurement and fulfills the needs of the physical therapist for functional evaluation of the lower extremity.

Key Words: Lower extremity, hip/knee • Tests and measurements, functional


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