Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis

Abstract

Objective: The objective of this study was to determine the psychometric properties of the Tinetti Performance-Oriented Mobility Assessment (POMA) scale to measure balance and gait impairments in individuals with knee osteoarthritis (OA). Methods: A convenient sample of 25 individuals with bilateral OA knee were recruited. The convergent validity was determined by correlation analysis between scores of Berg Balance Scale (BBS) with balance subscale (POMA-B) and the Timed Up and Go Test (TUGT) with gait subscale (POMA-G). The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined. Results: Score of BBS was significantly correlated with POMA-B scores, r s = 0.63, p = 0.001, whereas TUGT showed a negative correlation with POMA-G, r s = −0.481, p = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G. Conclusion: The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.

Effect of Action Observation Therapy in the Rehabilitation of Neurologic and Musculoskeletal Conditions: A Systematic Review

“… 15 A pooled analysis of these scores from a total of 91 patients revealed a significant positive effect size of 1.45 (95% CI, 0.93-1.97) in favor of the AOT group ( fig 3 ), with a low heterogeneity ( I 2 =0%), exceeding the MDC of 0.97 as referenced in the literature. 54 Belleli et al 15 also reported a significant change in the motor component of the FIM ( P =.01) in the AOT group, with a clinically significant change in the absolute functional gain score (MCID>22), 55 along with a reduction in the number of the walking aids needed ( P =.01). Despite more patients in the AOT group being prescribed a walker at baseline, 96.7% were mobilizing with a single crutch at discharge vs the 73.3% in the control group ( P =.01).…”

Influence of lower-limb mechanical axis on the curative effect of medial high tibial osteotomy for knee osteoarthritis

“…The advantages of the performance-oriented mobility assessment are that it includes both balance and gait components and its reliability and effectiveness have been clinically recognized in various neurological diseases [ 18 ]. Parveen et al used the performance-oriented mobility assessment in patients with knee arthritis, which lead to high interrater reliability; thus, confirming the suitability of the assessment for increasing the movement and balance ability in patients with knee arthritis [ 19 ]. In this study, the Tinetti assessment score, VAS and KSS are all outcomes scores.…”

Psychometric properties and domains of postural control tests for individuals with knee osteoarthritis: a systematic review

“…Five studies (Parveen & Noohu, 2017;Pirayeh et al, 2018;Takacs et al, 2014a;Takacs et al, 2014b; used Kellgren-Lawrence radiological criteria to determine OA severity (Kellgren & Lawrence, 1957). Two studies included people with radiological severity of Grade 1 and above (Pirayeh et al, 2018;, whilst three included Grade 2 severity and above (Takacs, et al, 2014a;Takacs et al 2014b;Parveen & Noohu, 2017). One study used clinical criteria only to define OA (Kanko et al, 2019).…”