The relationship between self-reports and objective measures of disability in patients with late sequelae of poliomyelitis: a validation study

Arch Phys Med Rehabil. 2000 Oct;81(10):1422-7. doi: 10.1053/apmr.2000.9172.

Abstract

Objective: To establish the validity of 2 objective measures of disability based on 2 self-reports in individuals with the late sequelae of poliomyelitis (LSP).

Design: Nonexperimental research design.

Setting: Regional ambulatory clinic specializing in the management of patients with LSP.

Participants: Seventeen community dwellers with LSP.

Intervention: Completion of 2 exercise tests: the 6-minute walk (6-MW) test and a steady-rate walking test to calculate the cardiorespiratory conditioning index (CRCI), and 2 health status questionnaires: the Sickness Impact Profile (SIP) and Medical Outcomes Study Short-Form 36 (SF-36).

Main outcome measures: 6-MW distance and the CRCI, and scores from the physical dimensions of the SIP and the SF-36.

Results: The 6-MW distance correlated significantly with the physical dimension scores of both the SIP (r = -.57, p < .05) and the SF-36 (r = .67, p < .05). Significant correlations were also observed between the CRCI and the physical dimension scores of the SIP (r = -.51, p < .05) and the SF-36 (r = .70, p < .01). The 2 objective measures correlated significantly with each other (r = .51, p < .05) as did the 2 physical dimension scores of the SIP and the SF-36 (r = -.80, p < .01).

Conclusions: Although objective measures of disability corroborated self-reports of patients with LSP and, thus, supported their validity, each measure has a distinct role in clinical decision making.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Canada
  • Diagnostic Techniques, Cardiovascular
  • Disability Evaluation*
  • Exercise Test*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postpoliomyelitis Syndrome / diagnosis*
  • Postpoliomyelitis Syndrome / rehabilitation*
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Walking