AI Article Synopsis
- The study focused on the Freezing of Gait Questionnaire (FOGQ) in people with Parkinson's disease (PD) to assess its effectiveness in identifying freezing of gait symptoms in the "off" state.
- It included 115 patients and tested the FOGQ's reliability and validity through various methods, showing strong internal consistency (α=0.92) and high test-retest reliability (ICC=0.89).
- Ultimately, the research determined that the FOGQ is a reliable tool for measuring freezing of gait, with an optimal cutoff point of 9/10 to distinguish between fallers and non-fallers, achieving an excellent diagnostic accuracy (AUC=0.92).
Article Abstract
Introduction: Freezing of gait, a common PD motor symptom, could increase the risk of falling. This study aimed to investigate the clinimetric attributes of the Freezing of Gait Questionnaire (FOGQ) for people with Parkinson disease in the "off" state.
Methods: A total of 115 patients with Parkinson disease (PD; mean age, 60.25 years) were included. Acceptability, internal consistency (by the Cronbach alpha, and test-retest by Intraclass Correlation [ICC]), and reliability of the Persian-translated version of the FOGQ were examined. Dimensionality was estimated by Exploratory Factor Analysis (EFA). Fall efficacy scale-international, unified Parkinson disease rating scale-II, Berg balance scale, functional reach test, and Parkinson disease questionnaire-39 were applied to determine the convergent validity. Diagnostic accuracy for obtaining optimal cutoff point, separating faller and non-faller groups, was analyzed by Receiver Operating Characteristics (ROC) curve analysis and Area Under the Curve (AUC). All tests were carried out in an "off" state.
Results: The Cronbach alpha was high (α=0.92). The test-retest showed high reliability (ICC=0.89). The FOGQ was unidimensional according to the EFA and had acceptable convergent validity with moderate to high correlation with other clinical scales. The optimal cutoff point to discriminate fallers from non-fallers during the "off" state was 9/10, with an AUC of 0.92.
Conclusion: Our results suggest that the FOGQ has appropriate reliability, validity, and discriminative ability for measuring FOG in patients with PD during the "off" state.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114865 | PMC |
| http://dx.doi.org/10.32598/bcn.12.1.882.11 | DOI Listing |
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