Translation, Cross-Cultural Adaptation and Reliability of the Lower Extremity Functional Scale into a Gujarati Version and Validation

Brahmbhatt, Bhoomika; Sheth, Megha

doi:10.7860/jcdr/2018/35965.11876

Cited by 2 publications

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“…A higher score indicated better lower extremity function. LEFS has high internal consistency (Cronbach's α = 0.809) and test–retest reliability (ICC = 0.809, 95% confidence interval = 0.58, 0.94) 8 …”

Section: Methodsmentioning

confidence: 99%

Comparison of fatigue and functional status in elderly type 2 diabetes patients versus age and gender matched individuals

Bhatt,

Sheth

2024

Aging Medicine

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IntroductionFatigue is a common yet not frequently explored complication of diabetes. There are fewer studies available on the impact of diabetes on the severity of fatigue and the functional status of patients.MethodsFifty individuals meeting the inclusion criteria were included. The individuals were divided into two groups: group A (diabetic elderly individuals) and group B (nondiabetic age and gender‐matched individuals). An observational analytical study was conducted. Outcome measures used were: fatigue severity scale (FSS), lower extremity functional scale (LEFS), 6‐minute walk distance (6MWD), and 30‐second chair stand test. SPSS 16 was used to analyze data.ResultsAs per the normality test, a between‐group comparison of fatigue severity scale (FSS) score, chair stand test score, and LEFS score was carried out by a nonparametric Mann–Whitney test, which showed a statistically significant difference between the groups (P < 0.05). Between‐group comparison of 6MWD was carried out by parametric unpaired t test. The results showed a statistically significant difference in the distance walked by both groups.ConclusionHigher levels of fatigue and impaired functional status along with reduced strength and function of lower limbs was seen in elderly patients with type 2 diabetes Inclusion of symptom assessment and strategies to reduce the burden of fatigue in diabetes patient should be incorporated.

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Section: Methodsmentioning

confidence: 99%

Comparison of fatigue and functional status in elderly type 2 diabetes patients versus age and gender matched individuals

Bhatt,

Sheth

2024

Aging Medicine

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Hindi version of the lower extremity functional scale: a study of translation, validation and cross-cultural adaptation

Sandhu,

Sharma,

Jaiswal

et al. 2024

Rev Pesq Fisio

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BACKGROUND: Lower Extremity Function Scale (LEFS) serves as a patient-reported outcome measure, used to evaluate the functional status of lower extremity in different musculoskeletal conditions. It was originally developed in English language (E-LEFS) and numerous translations in different languages are available to measure its usability among different cultures. OBJECTIVES: To translate the English version of the Lower Extremity Function Scale (E-LEFS) into Hindi language and to evaluate its content validity, cross-cultural adaptation along with the concurrent validity and reliability. METHOD: Process of forward and backward translation was carried out by two bilingual translators and a physiotherapist after obtaining developer’s approval, for which the Beaton guidelines were used. For the content validation, Delphi method of was employed in which 12 field experts of more than 5 years of experience participated. Cultural adaptation procedures were then carried out with 12 patients, who reported in out-patient department of the hospital through convenience sampling who were asked about whether the H-LEFS was well understood by the patients. Their responses were recorded as positive and negative responses. This process was followed by concurrent validation which was conducted by comparing the scores with the SF-36 scale, involving 30 patients with activity limitation in their daily life. Lastly, 50 patients were recruited for intra-rater reliability testing. RESULT: The scale was successfully translated and verified by the bi-lingual language experts. Content validity came out to be significant with each item scoring more than 0.92. Nearly all items, excluding item no. 8, 16, 17, 18, and 19 received universal agreement with a content validity ratio of 1. The average scale-level validity stood at 0.98, indicating excellent level of validity and the scale was found to be well adapted by the native people as out of 12 patients, 10 patients provided 100% positive response. Concurrent validation using Pearson’s correlation coefficient came out excellent with the values of 0.993 for E-LEFS and 0.890 for SF-36. Cronbach's alpha and ICC values were calculated as 1.00 for Intra-rater reliability. CONCLUSION: LEFS was well translated into Hindi language with an excellent content and concurrent validity and is found to be highly reliable. Hence, it is recommended for the usage of native Hindi speaking population.

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Translation, Cross-Cultural Adaptation and Reliability of the Lower Extremity Functional Scale into a Gujarati Version and Validation

Cited by 2 publications

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Comparison of fatigue and functional status in elderly type 2 diabetes patients versus age and gender matched individuals

Comparison of fatigue and functional status in elderly type 2 diabetes patients versus age and gender matched individuals

Hindi version of the lower extremity functional scale: a study of translation, validation and cross-cultural adaptation

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