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Purpose
The purpose of the Physiological Cost Index (PCI) is to measure the energy expenditure index of gait in different populations.
Area of Assessment
Aerobic CapacityFunctional Mobility
Gait
The purpose of the Physiological Cost Index (PCI) is to measure the energy expenditure index of gait in different populations.
3
minutes
Time to administer is dependent on the time it takes for patients to reach a steady-state (plateau) in heart rate and oxygen consumption
Children
5 - 17
yearsAdult
18 - 64
yearsElderly Adult
65 - 99
yearsLance Bennett, Katie Buck, Lauren Cordova, Jessie McLaughlin, Tyler Mullen (Duke Doctor of Physical Therapy Students); Derek Clewley, PT, DPT, PhD (faculty)
Healthy Adults (Graham, 2005; n = 40; Mean Age = 34.5 (12.6) years; British sample)
Intrarater reliability
Interrater reliability
Healthy adults (Graham, 2005)
The PCI appears to measure what it is purported to measure and therefore demonstrates adequate face validity.
Stroke (Danielsson et al., 2007; n = 20; Median Age = 54 years; Median Time Post-Stroke = 19 months)
Stroke (Danielsson et al., 2007)
Stroke (Danielsson et al.)
Stroke (Fredrickson et al., 2007; n = 17; Mean Age = 58.6 years; Mean Time Post-Stroke = 44 months)
Stroke with Hemiplegia (Delussu et al., 2014; n = 6; Mean Age = 66 years; Mean Time Post-Stroke = 8 weeks)
Stroke with Hemiparesis (Danielsson, et al; Sample with Hemiparesis >6 months Post-Stroke):
Intrarater Reliability
Stroke with Hemiparesis (Danielsson, et al; Sample with Hemiparesis >6 months Post-Stroke)
Concurrent Validity:
Stroke (Fredrickson et al., 2007)
Stroke with Hemiplegia (Delussu, 2014)
Construct Validity:
Stroke (Delussu, 2014)
Discriminant Validity:
Stroke (Delussu, 2014)
Healthy Children (Bratterby et al., 2011; n = 20; Mean Age (SD) = 10.4 ± 3.3 years)
Cystic Fibrosis (Bratterby et al., 2011; n = 11; Mean Age (SD) = 9.9 ± 2.5 years)
Cerebral Palsy (Bratterby et al., 2011; n = 8; Mean Age (SD) = 8.9 ± .08 years)
Standard Error of Measurement was calculated using standard deviation and intraclass correlation values reported by Bratterby et al.
Healthy Children (Bratterby et al., 2011; n = 20; Mean Age (SD) = 10.4 ± 3.3 years)
Cystic Fibrosis (Bratterby et al., 2011; n = 11; Mean Age (SD) = 9.9 ± 2.5)
Cerebral Palsy (Bratterby et al., 2011; n = 8; Mean Age (SD) = 8.9 ± .08 years)
Minimal detectable change was calculated using calculated SEM values from data reported by Bratterby et al.
Healthy Children (Bratterby et al., 2011; n = 20; Mean Age = 10.4 ± 3.3)
Cystic Fibrosis (Bratterby et al., 2011; n = 11; Mean Age = 9.9 ± 2.5)
Cerebral Palsy (Bratterby et al., 2011; n = 8; Mean Age (SD) = 8.9 ± .08 years)
Healthy Children (Bratterby et al., 2011; n = 20; Mean Age = 10.4 ± 3.3)
Cystic Fibrosis (Bratterby et al., 2011; n = 11; Mean Age = 9.9 ± 2.5)
Cerebral Palsy (Bratterby et al., 2011; n = 8; Mean Age (SD) = 8.9 ± .08 years)
Concurrent Validity:
Spastic Cerebral Palsy (Bowen et al., 1998; n = 10 [n = 5 children with spastic CP, n = 5 healthy controls])
Unilateral Lower Limb Amputees: (Hagberg et al., 2011; n = 28 [Amputation Level: transtibial n=8, knee disarticulation n=5, transfemoral n=13, hip disarticulation n=2]; Mean Age = 49 years)
*Standard Error of Measurement was calculated using standard deviation and intraclass correlation values reported by Hagberg et al.
Unilateral Lower Limb Amputees: (Hagberg et al., 2011)
*Minimal detectable change was calculated using calculated SEM values from data reported by Hagberg et al. 2011
Unilateral Lower Limb Amputees: (Hagberg et al., 2011)
Transfemoral Amputees: (Vllasolli et al., 2015; n = 22; Mean Age= 40.6 +/-12.5 years; Mean Period of Prosthetic Use = 17.1 (10.5) years; Kosovan sample)
Transtibial Amputees: (Vllasolli et al., 2015; n = 61; Mean Age = 39.7 +/-13.1 years; Mean Period of Prosthetic Use = 14.5 (7.5) years; Kosovan sample)
Unilateral Lower Limb Amputees: (Hagberg et al., 2011)
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.