Timed 360° Turn Test for Assessing People With Chronic Stroke
Autor: | Tai Wa Liu, Eric W C Tam, Shirley Sm Fong, Clara H. Shiu, Patrick W.H. Kwong, Shamay Ssm Ng |
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Rok vydání: | 2016 |
Předmět: |
Male
030506 rehabilitation Muscle Strength Dynamometer medicine.medical_specialty Time Factors Intraclass correlation Concurrent validity Physical Therapy Sports Therapy and Rehabilitation Walking Disability Evaluation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Muscle Strength Muscle Skeletal Gait Stroke Aged Observer Variation Rehabilitation Reproducibility of Results Middle Aged medicine.disease Healthy Volunteers Test (assessment) Paresis Cross-Sectional Studies medicine.anatomical_structure Lower Extremity Case-Control Studies Berg Balance Scale Chronic Disease Exercise Test Physical therapy Female Ankle 0305 other medical science Psychology Ankle Joint 030217 neurology & neurosurgery |
Zdroj: | Archives of Physical Medicine and Rehabilitation. 97:536-544 |
ISSN: | 0003-9993 |
Popis: | Objectives To investigate (1) the intrarater, interrater, and test-retest reliability of the timed 360° turn test in subjects with stroke; (2) the concurrent validity of the timed 360° turn test by exploring its correlation with other measures of stroke-specific impairments; and (3) the cutoff times that best discriminate individuals with stroke from healthy older adults. Design Cross-sectional study. Setting University-based rehabilitation center. Participants Individuals with chronic stroke (n=72) and healthy individuals (n=35) of similar age (N=107). Interventions Not applicable. Main Outcome Measures The timed 360° turn test was administered along with the Fugl-Meyer assessment of the lower extremity, measurement of muscle strength of ankle dorsiflexors and plantarflexors using a handheld dynamometer, Berg Balance Scale, limit of stability test, five times sit-to-stand (FTSTS) test, 10-m walk test, and timed Up and Go (TUG) test. Results The 360° turn times showed excellent intrarater, interrater, and test-retest reliability in individuals with stroke. A minimal detectable change of .76 seconds was found for subjects turning toward the affected side and 1.22 seconds for subjects turning toward the unaffected side. The 360° turn times were found to correlate significantly with Fugl-Meyer assessment of the lower extremity scores, dosiflexor strength of the affected ankle, plantarflexor strength of both ankles, FTSTS test times, balance performance, gait speed, and TUG test times. The 360° turn times of 3.43 to 3.49 seconds were shown to discriminate reliably between individuals with stroke and healthy older adults. Conclusions The timed 360° turn test is a reliable and an easily administered clinical tool to assess the turning ability of subjects with chronic stroke. |
Databáze: | OpenAIRE |
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