{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T17:48:44Z","timestamp":1773337724683,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,23]],"date-time":"2022-04-23T00:00:00Z","timestamp":1650672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>More than 52.4% of people with a lower extremity amputation (PLEA) will fall at least once each year. Previously established standardized scales that evaluate a concern for falling (CFF) were developed primarily among community\u2010dwelling older adults. The reliability of commonly used scales to evaluate a CFF among PLEA is needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate test\u2010retest relative and absolute reliability, and agreement of the Modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE), Falls Efficacy Scale \u2010 International (FES\u2010I), Consequences of Falling (COF) Scale, Perceived Control Over Falling (PCOF) Scale, and Perceived Ability to Manage Falls (PAMF) Scale among PLEA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Web\u2010based cross\u2010sectional repeated\u2010measures study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Rehabilitation hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Adults with a transtibial or transfemoral level amputation, who had completed a prosthetic rehabilitation program, and at minimum of 1 year using a prosthesis for ambulation were recruited after regularly scheduled appointments (<jats:italic>N<\/jats:italic> = 22, mean age \u00b1 SD, 63.5 \u00b1 12.9 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Initial and re\u2010test scores on the mSAFFE, FES\u2010I, COF, PCOF, and PAMF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intraclass correlation coefficients (ICCs) demonstrated excellent relative reliability of the mSAFFE (ICC\u00a0=\u00a00.92, 95% confidence interval [CI]: 0.82\u20100.97), good relative reliability of the FES\u2010I (ICC\u00a0=\u00a00.87, 95% CI: 0.70\u20100.94), and fair relative reliability of the COF (ICC\u00a0=\u00a00.78, 95% CI: 0.53\u20100.90) and PAMF (ICC\u00a0=\u00a00.73, 95% CI: 0.46\u20100.88) scales. The ICC value of the PCOF scale could not be validly calculated and was not further analyzed. Calculated standard error of measurement values for the mSAFFE, FES\u2010I, COF, and PAMF scales were small in magnitude, and Bland\u2010Altman graphs demonstrated good agreement of initial and re\u2010test scores for all scales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides initial evidence on the suitability and reliable use of the mSAFFE, FES\u2010I, COF, and PAMF scales within this population. Further evaluation of the validity of these scales is needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12785","type":"journal-article","created":{"date-parts":[[2022,2,12]],"date-time":"2022-02-12T09:43:47Z","timestamp":1644659027000},"page":"437-444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The reliability of four standardized concern for falling scales among adults with a major lower extremity amputation"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0625-4218","authenticated-orcid":false,"given":"Kristin","family":"Nugent","sequence":"first","affiliation":[{"name":"Faculty of Health and Rehabilitation Sciences University of Western Ontario  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael W.","family":"Payne","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine &amp; Dentistry, Department of Physical Medicine and Rehabilitation University of Western Ontario  London Ontario Canada"},{"name":"Department of Physical Medicine and Rehabilitation Parkwood Institute  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Viana","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine &amp; Dentistry, Department of Physical Medicine and Rehabilitation University of Western Ontario  London Ontario Canada"},{"name":"Department of Physical Medicine and Rehabilitation Parkwood Institute  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7571-3895","authenticated-orcid":false,"given":"Susan W.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Faculty of Health and Rehabilitation Sciences University of Western Ontario  London Ontario Canada"},{"name":"Schulich School of Medicine &amp; Dentistry, Department of Physical Medicine and 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