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PHYS THER
Vol. 79, No. 12, December 1999, pp. 1122-1133

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Research Reports

Establishing the Reliability and Validity of Measurements of Walking Time Using the Emory Functional Ambulation Profile

Steven L Wolf, Pamela A Catlin, Katherine Gage, Karen Gurucharri, Renee Robertson and Kathleen Stephen

SL Wolf, PT, PhD, FAPTA, is Director, Division of Research, Professor, Department of Rehabilitation Medicine, and Associate Professor, Department of Anatomy and Cell Biology, Emory School of Medicine, Atlanta, Ga. Address all correspondence to Dr Wolf at Center for Rehabilitation Medicine, 1441 Clifton Rd NE, Atlanta, GA 30322 (USA) (steve{at}spinal.emory.edu)
PA Catlin, PT, EdD, is Professor and Director, Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine
K Gage, K Gurucharri, R Robertson, and K Stephen were students in the Master of Physical Therapy Program, Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, at the time of the study. This study was completed in partial fulfillment of their degree requirements

Background and Purpose. The Emory Functional Ambulation Profile (E-FAP) measures time to walk in different environments and accounts for use of assistive devices. This study assessed the reliability and validity of walking time measurements using these components. Subjects. Twenty-eight subjects who had strokes and 28 subjects without impairment were recruited. Methods. The E-FAP, Berg Balance Test, Functional Reach Test, and Timed 10-Meter Walk Test were administered in random order during a single data collection session. Results. Interrater reliability for the total E-FAP was ≥.997. Subjects without impairment performed better on all 4 tests than did subjects who had strokes. Increased times on the E-FAP correlated with poor performance on the Berg Balance Test and slow gait speeds on the Timed 10-Meter Walk Test in the subjects who had strokes. The E-FAP scores and the Functional Reach Test scores were not correlated. Conclusion and Discussion. The E-FAP can be administered easily and inexpensively. Because the E-FAP scores differentiated subject groups and correlated with known measures of function, the E-FAP may be a clinically useful measure of ambulation.

Key Words: Ambulation • Balance • Functional assessment • Gait speed • Stroke




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