Transcultural adaptation and validation of a French version of the Prosthetic Limb Users Survey of Mobility 12-item Short-Form (PLUS-M/FC-12) in active amputees

Background:Self-report survey instruments can be used to improve clinical care for lower-limb prosthesis users on a global scale by pooling comparable health outcomes data from multiple countries. The language translation process is critical to the quality and comparability of a translated survey instrument.Objectives:The goals of this research were to translate the Prosthetic Limb Users Survey of Mobility (PLUS-M) item bank from English to Japanese using established guidelines, and linguistically validate the translated instrument by assessing its clarity, comprehension, and cultural applicability with Japanese prosthesis users.Study design:Instrument translation and qualitative interviews.Methods:The translation process included two forward translations, reconciliation, backward translation, and review by clinical experts in Japan. Adult lower-limb prosthesis users participated in a linguistic validation study by responding to translated survey items and providing item-by-item feedback through cognitive interviews.Results:Following expert reviews, translated items were classified as grammatically and contextually unchanged (n = 21), minor revision required (n = 19), major revision required (n = 3), or removed (n = 1). Cognitive interviews with 10 participants indicated that additional revisions were required (n = 4). Items were revised and retested until it was determined that they were clear, well understood, and culturally applicable.Conclusions:Use of a multistep translation and linguistic validation processes resulted in a linguistically comparable Japanese translation of the PLUS-M item bank. Japanese translations of the PLUS-M 7- and 12-item short forms were created for use in clinical practice and research. Availability of these linguistically comparable instruments is expected to facilitate opportunities for international comparison of prosthetic mobility data.

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Japanese translation and linguistic validation of the Prosthetic Limb Users Survey of Mobility (PLUS-M)

Balkman

Samejima

Fujimoto³

et al. 2021

“…The PLUS-M is a self-report instrument assessing mobility of adults with LLA. 26,27 It has been validated in several languages and assesses perceived ability to perform actions that require the use of both lower limbs, ranging from household ambulation to outdoor recreational activities. 26,27 A total mean score between 0 and 60 points is calculated; a higher score indicating better mobility.…”

Section: Methodsmentioning

confidence: 99%

“…26,27 It has been validated in several languages and assesses perceived ability to perform actions that require the use of both lower limbs, ranging from household ambulation to outdoor recreational activities. 26,27 A total mean score between 0 and 60 points is calculated; a higher score indicating better mobility. The LCI-5 is a 14-item questionnaire of ambulatory capabilities, evaluating gait-related skills in adults with LLA.…”

Section: Methodsmentioning

confidence: 99%

Functional outcomes and user preferences of individuals with transfemoral amputations using two types of knee joints in under-resourced settings

Andrysek

Michelini

Eshraghi

et al. 2021

Background: Information relating to prosthetic performance can inform clinical practice and improve patient outcomes in underresourced countries.Objectives: The main goal of this study was to compare functional outcomes and user preferences of individuals with transfemoral amputations using common types of knee joints in an under-resourced country. Study design: Prospective, longitudinal, before and after trial. Methods: Twenty individuals with unilateral transfemoral amputations from a center in Cambodia transitioned from a commonly used single-axis manually locking knee International Committee of the Red Cross (ICRC) to a more advanced multiaxis knee joint with stance control All-Terrain Knee (ATK). Data were collected for the ICRC knee joint and the ATK immediately after fitting, after acclimation, and as part of a long-term follow-up. A timed walk test assessed walking distance and efficiency. Mobility and user-preferences were evaluated through questionnaires. Results: Distance during the timed walk test was significantly higher for the ATK compared with ICRC (P , 0.001), with functional gains retained at follow-up. No differences were found for gait efficiency and the mobility questionnaires. All participants, except one, preferred the ATK prosthesis. Benefits included greater knee stability and fewer perceived knee collapses; however, some disliked the appearance of the ATK. Conclusions: The findings suggest positive outcomes with prosthetic services in under-resourced regions and the ICRC system, as well as the potential for improved functional outcomes with more advanced multiaxis knee components.

“…One hundred eight (108) full texts (spanning 60 individual outcome measures) were selected and included. 19,21-128 A flow diagram of the study selection process according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline 129 can be viewed in Figure 1. 10,11 The quality of included studies investigating the psychometric properties of outcome measures according to COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias checklists ranged from “inadequate” through to “very good,” 10,11 with the kappa coefficient for quality assessment ranging from moderate to almost perfect agreement (k = 0.566–0.859).…”

Section: Introductionmentioning

confidence: 99%

Recommendations from the ISPO lower-limb COMPASS: Patient-reported and performance-based outcome measures

Tan

Halford

Lukin³

et al. 2023

Background:Outcome measures (patient-reported and performance-based) are used widely but not uniformly within the clinical setting for individuals with lower-limb absence (LLA). The need for more detailed information by funding bodies, service planners and providers, and researchers requires the systematic and routine use of outcome measures. Currently, there is no consensus on which outcome measure(s) should be used for individuals with LLA. The aim of the International Society of Prosthetics and Orthotics (ISPO) lower-limb Consensus Outcome Measures for Prosthetic and Amputation Services (COMPASS) was to produce a recommended list of outcome measures to be actively promoted for routine use within clinical practice before and after an episode of care.Methods:Between May and June 2021, 46 users, clinicians, researchers, managers, and policymakers working in the field of LLA and prosthetic users met virtually. Consensus participants were first asked to complete an online survey with questions based on the results from a systematic review and the outcomes from an expert panel. A modified Delphi technique was used to determine outcome measures for use in routine clinical practice. This paper discusses the ISPO lower-limb COMPASS process from which recommendations were made.Results:The ISPO lower-limb COMPASS resulted in the following 6 recommendations: (1) Amputee Mobility Predictor, Timed Up and Go, Two-Minute Walk Test, Prosthetic Evaluation Questionnaire—Residual Limb Health, Prosthetic Evaluation Questionnaire—Utility, and Trinity Amputation and Prosthesis Experience Scales-Revised, which make up the ISPO lower-limb COMPASS; (2) Comprehensive High-Level Activity Mobility Predictor and Six-Minute Walk Test are 2 additional outcome measures recommended for higher-activity-level individuals with LLA, which make up the COMPASS+; (3) Patient-Specific Function Scale makes up the COMPASS Adjunct; (4) a generic health-related quality of life outcome measure such as the European Quality of Life-5D-5L or Patient-Reported Outcomes Measurement Information System—29 item can be used to supplement the COMPASS; (5) outcome measures suited to low- and middle-income countries need to be developed with a focus on activities such as sitting cross-legged, kneeling, squatting, and other culturally important mobility-related activities; and (6) translation, validation, and open sharing of translated outcome measures included in the COMPASS, COMPASS+, and COMPASS Adjunct occurs.Conclusion:The above recommendations represent the current status of knowledge on outcome measures for LLA based on research and international consensus and hence, will change over time. This work has been developed for clinicians and researchers to improve knowledge on outcome measures to guide clinical decision-making and future research initiatives.