The Pittsburgh Impairment Testing Tool (PITT) for Spina Bifida Can Predict Ambulation and Transfer Ability in Adults with Spina Bifida

Details

• Alternative Title:
  Am J Phys Med Rehabil
• Personal Author:
  Dicianno, Brad E. ; Pearson, Elise M. ; Mesoros, Matthew ; Houtrow, Amy J. ; McKernan, Gina
• Description:
  Objective:
  
  The aim of this study was to evaluate the predictive accuracy of the Pittsburgh Impairment Testing Tool (PITT). It was hypothesized that PITT would have a good overall accuracy (≥80%) for predicting both ambulation and transfer ability and that overall accuracy of PITT would be higher than that of other scales.
  
  Design:
  
  A retrospective chart review was used to classify 409 adults with spina bifida according to seven neurological scales. A Naïve Bayes classifier was used to obtain accuracy estimates for predicting both ambulation and transfer ability as a function of each scale.
  
  Results:
  
  PITT was the only scale demonstrating >80% overall accuracy for predicting both ambulation and transfer ability. While several scales demonstrated ≥80% overall accuracy in predicting transfer ability, none were useful in predicting inability to transfer. Inability to transfer was difficult for all tools to predict.
  
  Conclusion:
  
  PITT demonstrated good overall accuracy for predicting both ambulation and transfer ability. Sensory and anatomic levels were less useful than motor level in predicting functional ability.
  
  
• Subjects:
  Adolescent Adult Bayes Theorem Disability Evaluation Female Humans Male Middle Aged Predictive Value Of Tests Retrospective Studies Spinal Dysraphism Walking Young Adult

  More +
• Keywords:
  Motor Skills Myelomeningocele Neurologic Examination Spina Bifida Spinal Dysraphism Walking Wheelchair
• Source:
  Am J Phys Med Rehabil. 103(11):994-999
• Pubmed ID:
  38679812
• Pubmed Central ID:
  PMC11486934
• Document Type:
  Journal Article
• Funding:
  U01 DD001078/DD/NCBDD CDC HHSUnited States/ ; U01DD001078/ACL/ACL HHSUnited States/
• Volume:
  103
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:298801650f42bdea3bcfe0bcf118d4ba6cf1eacfefe17cc654c2351e6a8e64f2c66f71c3ba4b09b330155feda7f665a46d91a09d23acaf40edb1dca052eaa329
• Download URL:
  https://stacks.cdc.gov/view/cdc/166689/cdc_166689_DS1.pdf
• File Type:
  [PDF - 99.12 KB ]