Clinician-administered performance-based tests via telehealth in people with chronic lower limb musculoskeletal disorders: Test-retest reliability and agreement with in-person assessment.

Autor:	Lawford BJ; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Dobson F; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Bennell KL; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Merolli M; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Graham B; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Haber T; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Teo PL; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Mackenzie D; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., McManus F; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia., Lamb KE; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia., Hinman RS; School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	Journal of telemedicine and telecare [J Telemed Telecare] 2024 Sep; Vol. 30 (8), pp. 1300-1319. Date of Electronic Publication: 2022 Nov 30.
DOI:	10.1177/1357633X221137387
Abstrakt:	Introduction: Uptake of telehealth has surged, yet no previous studies have evaluated the clinimetric properties of clinician-administered performance-based tests of function, strength, and balance via telehealth in people with chronic lower limb musculoskeletal pain. This study investigated the: (i) test-retest reliability of performance-based tests via telehealth, and (ii) agreement between scores obtained via telehealth and in-person. Methods: Fifty-seven adults aged ≥45 years with chronic lower limb musculoskeletal pain underwent three testing sessions: one in-person and two via videoconferencing. Tests included 30-s chair stand, 5-m fast-paced walk, stair climb, timed up and go, step test, timed single-leg stance, and calf raises. Test-retest reliability and agreement were assessed via intraclass correlation coefficients (ICC; lower limit of 95% confidence interval (CI) ≥0.70 considered acceptable). ICCs were interpreted as poor (<0.5), moderate (0.5-0.75), good (0.75-0.9), or excellent (>0.9). Results: Test-retest reliability was good-excellent with acceptable lower CI for stair climb test, timed up and go, right leg timed single-leg stance, and calf raises (ICC = 0.84-0.91, 95% CI lower limit = 0.71-0.79). Agreement between telehealth and in-person was good-excellent with acceptable lower CI for 30-s chair stand, left leg single-leg stance, and calf raises (ICC = 0.82-0.91, 95% CI lower limit = 0.71-0.85). Discussion: Stair climb, timed up and go, right leg timed single-leg stance, and calf raise tests have acceptable reliability for use via telehealth in research and clinical practice. If re-testing via a different mode (telehealth/in-person), clinicians and researchers should consider using the 30-s chair stand test, left leg timed single-leg stance, and calf raise tests. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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