http://www.jneuroengrehab.com/content/11/1/114
1
Department of Secondary Special Education, College of Education, Jeonju
University, Jeonju, Jeollabuk-do, Republic of Korea
2 Department of Occupational Therapy, School of Medicine, Wonkwang University, PO Box 570–749, 460 Iksandae-ro, Iksan, Jeollabuk-do, Republic of Korea
2 Department of Occupational Therapy, School of Medicine, Wonkwang University, PO Box 570–749, 460 Iksandae-ro, Iksan, Jeollabuk-do, Republic of Korea
Journal of NeuroEngineering and Rehabilitation 2014, 11:114
doi:10.1186/1743-0003-11-114
The electronic version of this article is the complete one and can be found online at: http://www.jneuroengrehab.com/content/11/1/114
The electronic version of this article is the complete one and can be found online at: http://www.jneuroengrehab.com/content/11/1/114
| Received: | 24 March 2014 |
| Accepted: | 23 July 2014 |
| Published: | 31 July 2014 |
© 2014 Park and Choi; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Abstract
Background
Although activity and participation are the target domains in stroke rehabilitation
interventions, there is insufficient evidence available regarding the validity of
participation measurement. The purpose of this study was to investigate the psychometric
properties of the London Handicap Scale in community-dwelling stroke patients, using
Rasch analysis.
Methods
Participants were 170 community-dwelling stroke survivors. The data were analyzed
using Winsteps (version 3.62) with the Rasch model to determine the unidimensionality
of item fit, the distribution of item difficulty, and the reliability and suitability
of the rating process for the London Handicap Scale.
Results
Data of 16 participants did not fit the Rasch model and there were no misfitting items.
The person separation value was 2.42, and the reliability was .85; furthermore, the
rating process for the London Handicap Scale was found to be suitable for use with
stroke patients.
Conclusions
This was the first trial to investigate the psychometric properties of the London
Handicap Scale using Rasch analysis; the results supported the suitability of this
scale for use with stroke patients.
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