The Italian version of the Lower Extremity Functional Scale was reliable, valid, and responsive

Angelo Cacchio, Elisabetta De Blasis, Stefano Necozione, Francesco Rosa, Daniel L. Riddle, Ferdinando di Orio, Domenico De Blasis, Valter Santilli

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To determine the measurement properties of an Italian Version of the Lower Extremity Functional Scale (LEFS) in patients with lower extremity musculoskeletal dysfunction. Study Design and Setting: This is a prospective methodological study of repeated measures with a sample of 250 consecutive patients. Reliability, validity, and responsiveness were evaluated. Results: The Italian version of the LEFS showed a high degree of internal consistency with a Cronbach alpha of 0.94 (95% confidence interval [CI]: 0.91, 0.96). The test-retest reliability was high for both intra-interviewer and inter-interviewer measures with an ICC(2,1 and 2,k) of 0.91 (95% CI: 0.86, 0.93) and 0.89 (95% CI: 0.83, 0.91), respectively. The LEFS showed a better correlation with the 36-Item Short-Form Health Survey (SF-36) physical component summary score rather than with the SF-36 mental component summary score both at the initial assessment (r = 0.61 and 0.26, respectively) and at the discharge (r = 0.72 and 0.22, respectively). Receiver operating characteristic curve analysis revealed a large responsiveness for the LEFS (area under the curve [AUC] = 0.97) and a moderate responsiveness for the SF-36 (AUC = 0.68). Conclusion: The Italian version of the LEFS is a valid, reliable, and responsive tool that can be used to measure function in Italian patients with lower extremity musculoskeletal dysfunction.

Original languageEnglish
Pages (from-to)550-557
Number of pages8
JournalJournal of Clinical Epidemiology
Volume63
Issue number5
DOIs
Publication statusPublished - May 2010

Keywords

  • Cross-cultural
  • Disability
  • Lower Extremity Functional Scale (LEFS)
  • Reliability
  • Responsiveness
  • Validity

ASJC Scopus subject areas

  • Epidemiology

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