Both ULFI-Sp models had RMSEA values 0.08, indicating acceptable fit [, The SPADI questionnaire of 13 items was also reduced and translated into Spanish with ten items [, A QuickDASH version of 11 items was validated in BCS. The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. 0000139257 00000 n 0000071173 00000 n The procedure of cross-cultural adaptation of a scale has been used in previous studies for different scales to be applied in the Spanish context [43, 44] Terwee, C.B. Cross-Cultural Adaptation, Reliability and Validity of the Spanish Version of the Upper Limb Functional Index. Le bras dominant a un effet sur la pDMCI. This may have been partially attributed to patient burden as the QuickDASH was the final questionnaire completed. Upper Limb Physical Function and Adverse Effects after Breast Cancer Surgery: A Prospective 2.5-Year Follow-up Study and Preoperative Measures. Today, do you or would you have any difficulty at all with: Feature papers represent the most advanced research with significant potential for high impact in the field. Larsson, I.L. Patel AA, Donegan D, Albert T: The 36-item short form. Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index. Salerno DF, Copley-Merriman C, Taylor TN, Shinogle J, Schulz RM: A review of functional status measures for workers with upper extremity disorders. CAS stream %PDF-1.3 Aytar A, Yuruk ZO, Tuzun EH, Baltaci G, Karatas M, Eker L. J Back Musculoskelet Rehabil. 2022 Sep 6;19(18):11203. doi: 10.3390/ijerph191811203. J Am Acad Orthop Surg 2007,15(2):126134. ; Marshall, P.W.M. 10.5014/ajot.2011.000794, Franchignoni F, Giordano A, Sartorio F, Vercelli S, Pascariello B, Ferriero G: Suggestions for refinement of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH): a factor analysis and Rasch validation study. This notably high level, when taken in context with the presence of the factor structure item loading Eigenvalues above 1.0, would indicate the potential for a shortened version of this tool. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. 0000071356 00000 n 0000157145 00000 n Mthodes : Les adultes ayant une dysfonction des membres suprieurs (MS) ont rpondu au questionnaire IFMS-20, aux questionnaires de l'chelle fonctionnelle des membres suprieurs (EFMS), de l'chelle de limitation de la douleur et de l'chelle de l'intensit de la douleur au cours de leurs premires valuations en physiothrapie (moment 1); de 24 48 heures plus tard (moment 2) et 3 semaines aprs le dbut du traitement ou le cong, selon l'chance la plus rapproche (moment 3). those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). Visualization and supervision: B.P.-H. and E.A.-C. All authors: Reviewing and editing the manuscript. permission is required to reuse all or part of the article published by MDPI, including figures and tables. This may have been partially attributed to the QuickDASH being the final questionnaire in the completion sequence and subsequent patient burden due to the number of questionnaires. 9W~=;?3W :~'$RRHdP! 0000086093 00000 n Results: Zero represents no pain/disability, and 10 represents the worst pain imaginable/severe disability for each item. 0000158831 00000 n 335 142 Kass RA, Tinsley HEA: Factor analysis. Clipboard, Search History, and several other advanced features are temporarily unavailable. This study aimed to assess. Garratt A. Furthermore, this is the first version of the ULFI-Sp abbreviated to 14 items that maintain the original psychometric properties. Google Scholar. ; Jnsson, C.; Olsson, A.C.; Gard, G.; Johansson, K. Womens Experience of Physical Activity Following Breast Cancer Treatment. 0000076601 00000 n ; Bartlett, M.; Bartlett, M.S. A total of 216 voluntary BCS from Virgen de la Victoria University Hospital of Malaga participated in the study. ; Spalek, R.; Ferriero, G. Cross-cultural adaptation, and validity of the italian version of the Upper Limb Functional Index (ULFI-I). The ULFI-Sp also provides a means of comparing upper limb health state in Spanish-speaking patients with their English-speaking counterparts in countries with a high Spanish population such as the United States. Cross-cultural adaptation, reliability and validity of the Turkish version of the Upper Limb Functional Index (ULFI). Federal government websites often end in .gov or .mil. permission provided that the original article is clearly cited. ; Roldn-Jimnez, C. Validation of the Upper Limb Functional Index on Breast Cancer Survivor. 2023 Feb 24;14:989403. doi: 10.3389/fneur.2023.989403. Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery. A4fUW#"b]x"x~|_QJ-6j=!OV^O% Pu1oA ?\oWG7G=],7 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. qw7dNKN}@"z`T|^$-E-qXsV\|e6E&%X]=8\EN@LqS;2r>/Q)esC7w+t#?r8YxqL,L'3'7_3f5b&@n]YE+J_KI"t96NE}e ~>|O2*M&oRo|U9]'' %? Bethesda, MD 20894, Web Policies Jay, M.; Creelman, B.; Baliski, C. Patient Reported Outcomes Associated with Surgical Intervention for Breast Cancer. Shamley, D.; Robb, K. An Early Warning Surveillance Programme for Detecting Upper Limb Deterioration after Treatment for Breast Cancer: A Novel Technology Supported System. Treatment Related Impairments in Arm and Shoulder in Patients with Breast Cancer: A Systematic Review. Though various region specific PROs have been used to assess upper-limb functional status, it is accepted that there is no gold standard [8, 1012]. The correlation matrix for the ULFI-Sp was determined suitable from the Kaiser-Meyer-Oklin values (0.89) and Barletts Test of Sphericity (p<0.001). ; Rapport, F.; Russell, I.T. Internal consistency analysis showed a level of 0.94 that sits below the accepted 0.95 thresholds for item reducndancy [20]. The normative values from ULFI-Sp score were mean and standard deviation of 5.885.6 points. 0000081950 00000 n Disclaimer. Similarly, the practical characteristics were not determined. This study aimed to assess the psychometric properties of the Upper Limb Functional Index Spanish version (ULFI-Sp) in the BCS. Criterion validity with the EQ-5D-3 L was fair and inversely correlated (r = -0.59). eCollection 2023 Jan. Phys Ther. Careers. Am J Occup Ther 2011,65(2):169178. Intended Population The UEFI is intended for use in individuals with upper extremity (including the shoulder, elbow, wrist and hand) dysfunction of musculoskeletal origin. Finally, the inclusion of Hispanic/Latino/ South American participants in future studies could potentially provide confirming or conflicting linguistic information due to the cultural and ethnic difference with respect to the Spanish participants. 0000079670 00000 n -, Cella D, Yount S, Rothrock N, Gershon R, Cook K, Reeve B, Ader D, Fries JF, Bruce B, Rose M. PROMIS Cooperative Group. 10.1016/S0894-1130(01)80036-3, Article 0000075099 00000 n Cronbach LJ: Coefficient alpha and the internal structure of tests. 10.1157/13093053. TheEQ-5D-3L was used to clarify the participants health status and provide a criterion standard for health comparison. Reliability for the UEFI-20 and UEFI-15 was the same (ICC=0.94 for both measures). Development and initial validation of the upper extremity functional index. For reliability a minimum of n=29 was required. See this image and copyright information in PMC. ; Hutchings, H.A. Clin in Plastic Surg 2008, 35: 239250. That is usually the journal article where the information was first stated. Possible range on the UEFI 20-item from 0 80 with 0 indicating lowest functional status and 80 indicating highest functional status. Schermelleh-Engel, K.; Moosbrugger, H.; Mller, H. Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. 0000155800 00000 n Cuesta-Vargas, A.I. Psychometrika 1951, 16: 297334. The UEFI has been adapted into other languages including Turkish, French Canadian and Spanish. 0000079311 00000 n A potential source of bias was that the scales were provided always in the same order. 0000154465 00000 n An external validation scale of the EQ-5D-3L and EQ-5D-3L-VAS was used with bilateral correlations to establish if status had changed and an error range of 010% was allowed in determining the test-retest reliability. The Stroke Impact Scale (SIS) is a self-report questionnaire that evaluates disability and health-related quality of life after stroke (Mudler & Nijland, 2016). PubMed 0000075258 00000 n FOIA Conclusions: We satisfied the recommended minimum ratio of five participants-per-item [24]. statement and , are consistently defined [6, 7, 26, 38]. Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. The exclusion criteria were under 18 years old and low reading comprehension due to completing the questionnaire. ; Roldn-Jimnez, C. Ultrasound Use in Metastatic Breast Cancer to Measure Body Composition Changes Following an Exercise Intervention. Dawson, J.; Rogers, K.; Fitzpatrick, R.; Carr, A. http://www.proqolid.org/instruments/upper_limb_functional_index_ulfi?fromSearch=yes&text=yes, Paises de habla hispana promueven uso del espaol en la ONU. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Positive minimal clinically important difference values were 8/80 for the UEFI-20 and 6.7/100 for the UEFI-15; pMCID was higher for people whose non-dominant arm was affected. << /Length 5 0 R /Filter /FlateDecode >> Liebenson, C. (2007). J Leisure Res 1979, 11: 120138. Disclaimer/Publishers Note: The statements, opinions and data contained in all publications are solely 0000005316 00000 n 1. ; Kim, S.-W.; Heo, C.-Y. ; Bot, S.D.M. 10.1016/j.jht.2008.11.005. Construct validity and factor structure were determined through the use of questionnaire principal component analysis (PCA) with the a-priori requirements for extraction being the satisfaction of all three points: screeplot inflection point, Eigenvalue>1.0 and accounting for >10% of variance. Background: The Upper Limb Functional Index (ULFI) is an internationally widely used outcome measure with robust, valid psychometric properties. Distribution and normality were determined by one-sample Kolmogorov-Smirnov tests (significance >0.05). The ULFI is a 25-item 3-point response option PRO that is scored by simple addition of the responses then converted to a 100 point percentage scale. Patient Reported Outcome Measures in Trials. Franchignoni F, Giordano A, Sartorio F, Vercelli S, Pascariello B, Ferriero G. Suggestions for refinement of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH): a factor analysis and Rasch validation study.To perform a comprehensive psychometric analysis of Disabilities of the Arm, Shoulder and Hand (DASH) to examine its properties and provide insights for an improved . ; Mahar, A.L. 0000075019 00000 n Schmitz, K.H. Health outcome assessment is an important component of patient care. https://doi.org/10.1186/1477-7525-11-126, DOI: https://doi.org/10.1186/1477-7525-11-126. Public Health 2023, 20, 4997. ^o_on/* G jTIr.1Urc~cz"SJ v8;' g /TF!o-+zlTuRYf.~?E=. 0000102640 00000 n . 0000075811 00000 n Upper Extremity Musculoskeletal DisordersGummesson (2006) . ; Amadio, P.C. J Bone Joint Surg Am 2005,87(5):10381046. In a study by Stratford et al[1], comparing Upper Extremity Functional Index (UEFI 20- item) and the Upper Extremity Functional Scale (UEFS), the discriminant cross-sectional validity of the UEFI was found to be 6.65 with p = .003 while the convergent cross-sectional validity coefficient between the UEFI and the UEFS was 0.82. 0000082479 00000 n Furthermore, as a new short version was developed, future studies should also address the correlation between the ULFI-Sp short version and different reduced versions of questionnaires, such as the QuickDASH or QuickDASH-9, in the BCS population. Gabel, C.P. The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. The factor structure has also been challenged [2123] which further questions validity. The upper limb functional index is broadly used outcome measure for musculoskeletal disorders of the upper limb. Occup Environ Med 2002,59(10):664670. Luque-Suarez, A.; Rondon-Ramos, A.; Fernandez-Sanchez, M.; Roach, K.E. Med Clin (Barc) 2006,127(12):441447. CAS Martn-Martn, J.; Pajares-Hachero, B.; Alba-Conejo, E.; Ribelles, N.; Cuesta-Vargas, A.I. Introduction The Upper Limb Functional Index . The Spanish version of the Upper Limb Functional Index (ULFI) has excellent psychometric properties for reliability and validity [. Cookies policy. Arm dominance affects pMCID. x]#+1vD7,1=r5^XJS/~`lc EY"/{pIQ$Da;U^Y|QTVMWM]_+^U>w?)Qn+W U>zM[ r^Of] DUU,#vasW8`5Z9wvU7]]Uir_ 7%[ucqsnWcyUN&w6 z56}=+J'[7*teJNP#k$ o{}_7N,qir/\Z,o~/wBrp+'M$ F,U/tkZzE x/x =_R&V${1_7E] ulv.Q\#g+xf, ,fVcUf17pfW{,:oWx?\:U/ 0000088483 00000 n interesting to readers, or important in the respective research area. Chesworth BM, Hamilton CB, Walton DM, et al. Bada X, Roset M, Montserrat S, Herdman M, Segura A: The Spanish version of EuroQoL: A description and its applications. 0000076681 00000 n A two stage observational study was conducted. A two stage observational study was conducted. Subjects were asked to fulfil the questionnaire as part of an assessment. 0000000016 00000 n The QuickDASH-Sp had greater than >30% of missing responses affecting 41 of the 126 respondent questionnaires. ; Abrams, G.; Mastick, J.; et al. % (Additional file 1). Chicago: Scientific Software International; 2007. 0000155188 00000 n 0000098017 00000 n It is also reported to have no advantage over the DASH for measuring clinical change [35]. All questionnaires were completed and two assessors performed the initial and any subsequent assessments, but were blinded to baseline scores in order to ensure independent collection of outcome data. Value Health 2002, 5: 372381. Polish Cross-Cultural Adaptation of the Lower Limb Functional Index (LLFI) Demonstrates a Valid Outcome Measure for the Lower Limb Region and Joints. 0000076764 00000 n The 15-item was developed to fit the Rasch analysis and it has been recommended because it's unidimensional. Methods: A two stage observational study was conducted. 0000157317 00000 n 2019). Baltimore, MD: Lippincott Williams & Wilkins. The full sample determined internal consistency, concurrent criterion validity, construct validity and factor structure; a subgroup (n = 35) determined reliability at seven days. Qual Life Res 2009,18(8):10431051. Fayers PM, Machin D, et al. positive feedback from the reviewers. stream An index close to 0.95 was considered acceptable, while an index of 0.97 was considered indicative of a good fit [, Factor structure by MLE was carried out with the software Statistical Package Social Science Version 25.0 (SPSS 25.0) [, BCS were aged 51.64 (9.10). 0000088903 00000 n [Epub ahead of print], PROQoLD website. Scree Plot of the exploratory one-factor solution. 0000077003 00000 n ; van der Windt, D.A.W.M. A shortened version of the FMA-EU, which includes 6 . Cuesta-Vargas A, Gonzalez-Sanchez M, Farasyn A: Development of a Spanish version of the Backache Index Cross cultural linguistic adaptation and reliability. 0000073196 00000 n 0000156486 00000 n 0000075653 00000 n This study aimed to assess the psychometric properties of the Upper Limb Functional Index Spanish version (ULFI-Sp) in the BCS. Legal and Forensic Medicine Area, Department of Human Anatomy, Legal Medicine and History of Science, Faculty of Medicine, University of Malaga, 29010 Mlaga, Spain, Grupo Clinimetra en Fisioterapia (F-14), Instituto de Investigacin Biomdica de Mlaga (IBIMA), 29590 Mlaga, Spain, UGCI Oncologa Mdica, Hospitales Universitarios Regional y Virgen de la Victoria, 29010 Mlaga, Spain, Instituto de Investigacin Biomdica de Mlaga (IBIMA), 29590 Mlaga, Spain, Department Physiotherapy, Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain, School of Clinical Science, Faculty of Health, Queensland University of Technology, Brisbane, QLD 4000, Australia. The developed short version of the ULFI-SP is preferable to assess upper limb function in Spanish BCS. Hervs MT, Navarro Collado MJ, Peir S, Rodrigo Prez JL, Lpez Matu P, Martnez Tello I: panish version of the DASH questionnaire. 0000139515 00000 n A two stage . The ULFI with a three-point option improved both the responsiveness and practicality [7]. Davis, L.E. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. 10.1016/j.jht.2009.09.007, Michener LA, Leggins BG: A review of self-report scales for the assessment of functional limitation and disability of the shoulder. 0000158338 00000 n Future studies should include a more significant BCS sample, allowing for segmenting data for an MLE and CFA analysis. Cite this article. Angst, F.; Schwyzer, H.-K.; Aeschlimann, A.; Simmen, B.R. Bravini, E.; Franchignoni, F.; Giordano, A.; Sartorio, F.; Ferriero, G.; Vercelli, S.; Foti, C. Classical Test Theory and Rasch Analysis Validation of the Upper Limb Functional Index in Subjects with Upper Limb Musculoskeletal Disorders. London: SAGE Publications Ltd; 2005. Today, do you or would you have any difficulty at all with: Today, do you or would you have any difficulty at all with: Upper Extremity Functional Scale . All authors have read and agreed to the published version of the manuscript. Measurement error was determined from SEM and MDC90 being respectively at 3.52% and 8.03%. 18, No. 0000155336 00000 n Methods A two stage observational study was conducted. 0000073041 00000 n A two stage observational study was conducted involving: initial translation and cross-cultural adaptation of the ULFI [7] to Spanish; then subsequent prospective concurrent completion with a general health questionnaire, the Euroqol Health Questionnaire 5 Dimensions (EQ-5D-3L) [41] and an upper limb regional criterion, the QuickDASH-Sp [42]. ; Stratford, P.; Kirkpatrick, S.; Farley, C.R. ]^Fd[j'u~VVN8 =@qYh',qQZMI+!ZEV]it^*w8 xref The Patient-Reported Outcomes Measurement Information System (PROMIS): Progress of an NIH Roadmap Cooperative Group During its First Two Years. 2023; 20(6):4997. The Upper Extremity Functional Index (UEFI) We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. 0000074860 00000 n The UEFI is addressed to patients diagnosed with orthopaedic conditions that affect the upper limb (shoulder, elbow, wrist or hand). Medical oncologists recruited women from the Medical Oncology Unit at the hospital. Reliability and validity of two versions of the upper extremity functional index. Hagstrom, A.D.; Shorter, K.A. articles published under an open access Creative Common CC BY license, any part of the article may be reused without MDC values were 9.4/80 for the UEFI-20 and 8.8/100 for the UEFI-15. Greenslade JR, Mehta RL, Belward P, Warwick DJ: DASH and Boston Questionnaire assessment of carpal tunnel syndrome outcome: what is the responsiveness of an outcome questionnaire? (Gor-Garca-Fogeda et al. Type text, add images, blackout confidential details, add comments, highlights and more. The purpose of study is to develop and validate a ULFI Spanish-version (ULFI-Sp). 2023 Mar 12;20(6):4997. doi: 10.3390/ijerph20064997. Cross-Cultural Adaptation, Reliability, and Validity of the Greek Version of the Upper Extremity Functional Index. 0000158978 00000 n 0000158689 00000 n The study was carried out following the ethical research principles of the Helsinki Declaration of 1964. 0000076361 00000 n Flowchart of the translation of the Upper Limb Functional Index (ULFI) from English to Spanish. Share your form with others. In light of the present results, the developed version of the ULFI-SP is preferable to assess the upper limb function in Spanish women after breast cancer surgery. ; Osborne, J.W. The QuickDASH criterion was not available for criterion comparison due to the excessive number of missing responses. 10.2522/ptj.20100199, Lehman LA, Sindhu BS, Shechtman O, Romero S, Velozo CA: A comparison of the abiity of two upper extremity assessments to measure change in function. The intra-class correlation coefficient (ICC) and minimal detectable change (MDC) quantified test-retest reliability (Time 1-Time 2). 10.1016/j.apmr.2008.06.024, Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC: Quality criteria were proposed for measurement properties of health status questionnaires. This provided accessibility to the ULFI for the second largest geographically used language. Is Kinesiophobia Associated with Lymphedema, Upper Extremity Function, and Psychological Morbidity in Breast Cancer Survivors? Spanish Version of SPADI (Shoulder Pain and Disability Index) in Musculoskeletal Shoulder Pain: A New 10-Items Version after Confirmatory Factor Analysis. 0000071853 00000 n 10.1007/s11136-009-9529-4, Pransky G, Feuerstein M, Himmelstein J, Katz JN, Vickers-Lahti M: Measuring functional outcomes in work-related upper extremity disorders. Stock SR, Streiner D: The impact of neck and upper limb musculoskeletal disorders on the lives of affected workers: development of a new functional status index. Binkley, J.M. Adv Orthop 2012, 273421: 10. Criterion validity determined from the relationship between the ULFI-Sp and EQ-5D-3L (r=0.59) and EQ-5D-3L-VAS (r=0.51) indicated a fair and inverse correlation. sharing sensitive information, make sure youre on a federal The .gov means its official. 10.1016/j.jclinepi.2006.03.012, Lehman LA, Woodbury M, Velozo CA: Examination of the factor structure of the Disabilities of the Arm, Shoulder, and Hand questionnaire. A physiotherapist (CRJ) supervised the procedure. ; Bubis, L.D. The Upper Extremity Functional Index (UEFI) is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. You are accessing a machine-readable page. Conclusions: Given the high prevalence of ULD in this population and the broader versions of ULFI across different languages, this studys results may be transferred to clinical practice and integrated as part of upper limb assessment after breast cancer. ; Goldhahn, J. Conclusions: A questionnaire must provide a single-factor structure so that it can be summated to provide a single or summary score. The Pearsons r correlation coefficient used the criteria of poor (r<0.49), fair (r=0.50-0.74) and strong (r>0.75) [46]. eCollection 2023 Jan. Tudini F, Levine D, Healy M, Jordon M, Chui K. Front Pain Res (Lausanne). Conclusions : Les deux mesures de l'IFMS montrent une fiabilit et une validit acceptables. The upper extremity functional index evaluates the impairment the subject perceives they encounter when performing 20 types of activities of daily living. California Privacy Statement, Provided by the Springer Nature SharedIt content-sharing initiative. This indicated that the correlation matrix was unlikely to be an identity matrix and was therefore suitable for PCA. Cuesta-Vargas, A.I., Gabel, P.C. Their presenting conditions were representative of the five categories of the full sample and expressed with a 95% CI using scores on the ULFI-Sp from the participants at baseline and on repetition at day seven. Roldn-Jimnez, C.; Martn-Martn, J.; Pajares, B.; Ribelles, N.; Alba, E.; Cuesta-Vargas, A.I. 0000072523 00000 n ; Okoli, J.; Gabram, S. Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery. Int J Environ Res Public Health. 0000076521 00000 n A KayserMeyerOlkin (KMO) Measure of Sampling Adequacy (>0.70) [, Construct validity and factor structure were determined through the use of Maximum Likelihood Extraction (MLE), with the requirements for extraction being the satisfaction of all three points: scree plot inflexion point, Eigenvalue > 1.0, and accounting for > 10% of the variance [, ULFI internal consistency was evaluated by Cronbachs coefficients calculated at an anticipated value range of 0.800.95 [, Correlation between items and confirmatory factor analysis (CFA) was made to test whether measures of a construct are consistent with this constructs nature. 10.2106/JBJS.D.02060, Beaton DE, Katz JN, Fossel AH, Wright JG, Tarasuk V, Bombardier C: Measuring the whole or the parts? Paper should be a substantial original Article that involves several techniques or approaches, provides an outlook for government site. Physiotherapy Canada 52 (2001): 259-267. In order to be human-readable, please install an RSS reader. A two stage observational study was conducted. CFA revealed a poor fit, and a new 14-item model (short version) was further tested. Res. A physical therapy outpatients population was used for evaluation of the ULFI-Sps four critical psychometric properties. Health Qual Life Outcomes. The results for the psychometric properties support the findings of the previous research on the original English version of the ULFI indicating broad cross-cultural adaptions would be appropriate to other diverse cultural and linguistic groups.
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