Terrence McDonald, Paul E Ronksley, Lisa L Cook, Alka B Patel, Seidel Judy, Brendan Cord Lethebe, Lee A Green
The Impact of Primary Care Clinic and Family Physician Continuity on Patient Health Outcomes: A Retrospective Analysis From Alberta, Canada
Annals of family medicine
current scales measure motor impairment adults spina bifida sb limited complexity variable interpretation ie subjectively defined impairment levels inclusion muscles groups always practical test clinical setting novel motor impairment tool adults sb evaluated content validity tool uses findings manual muscle testing hip flexion knee extension categorize individuals four motor impairment groups expert feedback obtained tool content validity measured using lawshes content validity ratio cvr critical values recommended ayre scally data phase 1 phase 2 used revise survey calculate cvr tool respectively benchmark cvr 0636 26 experts recruited 17 received survey 15 participated either phase 1 n 6 2 n 11 cvr values impairment group follows intact strength 095 thoracic strength 090 hip flexor dominant strength 089 knee extensor dominant strength 082 cvr tool overall 089 qualitative expert feedback revealed common barriers manual muscle testing suggestions improving tool however experts also noted value preserving simplicity tool high content validity coupled expert feedback suggests tool may give clinicians researchers practical method classifying individuals extent motor impairment