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Reliability and concurrent validity of Four Square Step Test scores in subjects with chronic stroke: a pilot study.

Identifieur interne : 000A34 ( Main/Exploration ); précédent : 000A33; suivant : 000A35

Reliability and concurrent validity of Four Square Step Test scores in subjects with chronic stroke: a pilot study.

Auteurs : Esther Y. Goh [Singapour] ; Salan Y. Chua ; Sze-Jia Hong ; Shamay S. Ng

Source :

RBID : pubmed:23416218

Descripteurs français

English descriptors

Abstract

OBJECTIVES

To establish (1) the intrarater and interrater reliability of Four Square Step Test (FSST) times in persons with chronic stroke; (2) the concurrent validity of FSST times with standing balance and functional mobility measures; and (3) the FSST cutoff score for distinguishing the differences in dynamic balance performance of persons with chronic stroke from healthy control adults.

DESIGN

Cross-sectional study.

SETTING

University-based rehabilitation center.

PARTICIPANTS

Convenience sample of subjects (N=30) consisting of community-dwelling persons with chronic stroke (n=15) and healthy control adults (n=15).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

FSST scores; balance and functional mobility measured using Berg Balance Scale (BBS) scores; Timed Up & Go (TUG) test scores; and limits of stability (LOS) measured by dynamic posturography.

RESULTS

FSST times showed good intrarater reliability, with intraclass correlation coefficients ranging from .82 to .83 and an interrater reliability >.99. An FSST cutoff score of 11 seconds was able to discriminate between healthy adults older than 50 years and persons with stroke (sensitivity, 73.3%; specificity, 93.3%). FSST times were correlated with LOS scores for directional control in the backward direction (r=.64; P=.01). FSST was approaching a significant correlation with TUG scores (r=.59; P=.02) and LOS scores for endpoint excursion in the forward direction (r=-.58; P=.02). However, there was no correlation with BBS scores.

CONCLUSION

FSST is an easy-to-administer clinical test with good intrarater and interrater reliability in persons with chronic stroke to assess dynamic standing balance. FSST times of 11 seconds are able to differentiate between persons with chronic stroke and healthy adults older than 50 years. The correlation of FSST times with standing balance and functional mobility measures requires further research with a larger sample size.


DOI: 10.1016/j.apmr.2013.01.027
PubMed: 23416218


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Chronic Disease (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Disability Evaluation (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Mobility Limitation (MeSH)</term>
<term>Observer Variation (MeSH)</term>
<term>Physical Therapy Modalities (MeSH)</term>
<term>Pilot Projects (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>ROC Curve (MeSH)</term>
<term>Reproducibility of Results (MeSH)</term>
<term>Stroke Rehabilitation (MeSH)</term>
<term>Walking (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen (MeSH)</term>
<term>Biais de l'observateur (MeSH)</term>
<term>Courbe ROC (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladie chronique (MeSH)</term>
<term>Marche à pied (MeSH)</term>
<term>Mobilité réduite (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Projets pilotes (MeSH)</term>
<term>Reproductibilité des résultats (MeSH)</term>
<term>Réadaptation après un accident vasculaire cérébral (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Techniques de physiothérapie (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études transversales (MeSH)</term>
<term>Évaluation de l'invalidité (MeSH)</term>
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<term>Aged</term>
<term>Chronic Disease</term>
<term>Cross-Sectional Studies</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mobility Limitation</term>
<term>Observer Variation</term>
<term>Physical Therapy Modalities</term>
<term>Pilot Projects</term>
<term>Postural Balance</term>
<term>ROC Curve</term>
<term>Reproducibility of Results</term>
<term>Stroke Rehabilitation</term>
<term>Walking</term>
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<term>Biais de l'observateur</term>
<term>Courbe ROC</term>
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<term>Maladie chronique</term>
<term>Marche à pied</term>
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<term>Projets pilotes</term>
<term>Reproductibilité des résultats</term>
<term>Réadaptation après un accident vasculaire cérébral</term>
<term>Sujet âgé</term>
<term>Techniques de physiothérapie</term>
<term>Équilibre postural</term>
<term>Études transversales</term>
<term>Évaluation de l'invalidité</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To establish (1) the intrarater and interrater reliability of Four Square Step Test (FSST) times in persons with chronic stroke; (2) the concurrent validity of FSST times with standing balance and functional mobility measures; and (3) the FSST cutoff score for distinguishing the differences in dynamic balance performance of persons with chronic stroke from healthy control adults.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Cross-sectional study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>University-based rehabilitation center.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>Convenience sample of subjects (N=30) consisting of community-dwelling persons with chronic stroke (n=15) and healthy control adults (n=15).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>Not applicable.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
</p>
<p>FSST scores; balance and functional mobility measured using Berg Balance Scale (BBS) scores; Timed Up & Go (TUG) test scores; and limits of stability (LOS) measured by dynamic posturography.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>FSST times showed good intrarater reliability, with intraclass correlation coefficients ranging from .82 to .83 and an interrater reliability >.99. An FSST cutoff score of 11 seconds was able to discriminate between healthy adults older than 50 years and persons with stroke (sensitivity, 73.3%; specificity, 93.3%). FSST times were correlated with LOS scores for directional control in the backward direction (r=.64; P=.01). FSST was approaching a significant correlation with TUG scores (r=.59; P=.02) and LOS scores for endpoint excursion in the forward direction (r=-.58; P=.02). However, there was no correlation with BBS scores.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>FSST is an easy-to-administer clinical test with good intrarater and interrater reliability in persons with chronic stroke to assess dynamic standing balance. FSST times of 11 seconds are able to differentiate between persons with chronic stroke and healthy adults older than 50 years. The correlation of FSST times with standing balance and functional mobility measures requires further research with a larger sample size.</p>
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<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">FSST is an easy-to-administer clinical test with good intrarater and interrater reliability in persons with chronic stroke to assess dynamic standing balance. FSST times of 11 seconds are able to differentiate between persons with chronic stroke and healthy adults older than 50 years. The correlation of FSST times with standing balance and functional mobility measures requires further research with a larger sample size.</AbstractText>
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