期刊文章%@ 2369-2529 I JMIR出版物%V 9 %N 3卡塔尔世界杯8强波胆分析 %P 38101 %T电信技术中以移动为重点的物理结果测量(缩放):塔斯马尼亚大学健康与医学学院健康科学学院%A Bird,Marie-Louise %A Peel,Felix %A Schmidt,Matt %A Fini,Natalie A %A Ramage,Emily %A Sakakibara,Brodie M %A Simpson,Dawn B %A Mather,Carey %A Cadilhac,Dominique A %A Ahuja,Kiran D K %A Bridgman,Heather %A English,Coralie %+澳大利亚朗塞斯顿纽纳姆路，7250,61 3 63245497，birdm@utas.edu.au %K可靠性%K移动健康%K远程医疗%K远程健康%K康复%K移动%K咨询%K物理功能%K评估%K Zoom %D 2022 %7 22.8.2022 %9原始论文%J JMIR Rehabil辅助技术%G英文%X背景:通过远程健康提供的康复提供了目前有限的面对面医疗保健的一种替代方案。有效的康复取决于准确和相关的评估，可靠地测量随时间的功能变化。一套测量康复对身体功能影响的相关评估的可靠性是未知的。目的:我们旨在测量通过Zoom(一种常用的电信平台)提供的以移动为重点的身体结果测量的组内可靠性和组间可靠性，并将Zoom与现场测量进行比较。方法:在该可靠性试验中，招募健康志愿者在远程研究人员的指导下，在笔记本电脑前完成7项以移动为重点的结果测量。一位亲临现场的研究者(提供基准分数)同时记录了他们的分数。使用组内相关系数(ICC)和Bland-Altman图评估握力、功能延伸测试、从坐到站5时间、3米和4米步行以及计时上走的组间和组内可靠性。之所以选择这些测试，是因为它们涵盖了一系列广泛的身体流动性、力量和平衡结构; require little to no assistance from a clinician; can be performed in the limits of a home environment; and are likely to be feasible over a telehealth delivery mode. Results: A total of 30 participants (mean age 36.2, SD 12.5 years; n=19, 63% male) completed all assessments. Interrater reliability was excellent for Grip Strength (ICC=0.99) and Functional Reach Test (ICC=0.99), good for 5-Time Sit to Stand (ICC=0.842) and 4-Meter Walk (ICC=0.76), moderate for Timed Up and Go (ICC=0.64), and poor for 3-Meter Walk (ICC=–0.46). Intrarater reliability, accessed by the remote researcher, was excellent for Grip Strength (ICC=0.91); good for Timed Up and Go, 3-Meter Walk, 4-Meter Walk, and Functional Reach (ICC=0.84-0.89); and moderate for 5-Time Sit to Stand (ICC=0.67). Although recorded simultaneously, the following time-based assessments were recorded as significantly longer via Zoom: 5-Time Sit to Stand (1.2 seconds), Timed Up and Go (1.0 seconds), and 3-Meter Walk (1.3 seconds). Conclusions: Untimed mobility-focused physical outcome measures have excellent interrater reliability between in-person and telehealth measurements. Timed outcome measures took approximately 1 second longer via Zoom, reducing the reliability of tests with a shorter duration. Small time differences favoring in-person attendance are of a similar magnitude to clinically important differences, indicating assessments undertaken using telecommunications technology (Zoom) cannot be compared directly with face-to-face delivery. This has implications for clinicians using blended (ie, some face-to-face and some via the internet) assessments. High intrarater reliability of mobility-focused physical outcome measures has been demonstrated in this study. %M 35994327 %R 10.2196/38101 %U https://rehab.www.mybigtv.com/2022/3/e38101 %U https://doi.org/10.2196/38101 %U http://www.ncbi.nlm.nih.gov/pubmed/35994327