{"title":"在社区居住的脑卒中患者中比较双任务计时起立行走测试（认知）和 3 米倒退行走测试的心理测量特性。","authors":"Emel Taşvuran Horata, Fatma Eken, Gülşen Taşkın, Güzin Kara, Hilal Yeşil, Sevda Adar, Emre Baskan, Ümit Dündar","doi":"10.1080/10749357.2024.2377514","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is a need for practical, easy-to-use and accurately assessing balance tools in stroke patients.</p><p><strong>Objectives: </strong>This study aimed to compare the psychometric properties of the dual-task Timed Up-and-Go test (cognitive) (DTUG) and the 3-m walk backward test (3MBWT) in stroke patients.</p><p><strong>Methods: </strong>This study evaluated the practicality, validity, and reliability of the DTUG and the 3MBWT. The test-retest method was used for reliability. The Modified Four Square Step Test (MFSST), the Timed Up-and-Go (TUG), and Berg Balance Scale (BBS) were administered for concurrent validity. A cutoff value was calculated to discriminate between fallers and non-fallers.</p><p><strong>Results: </strong>The mean practicality times of the tests were 63.58 ± 47.32 sec for DTUG and 37.42 ± 24.036 sec for 3MBWT. Intraclass correlation coefficient of the DTUG and 3MBWT were 0.977, 0.964, respectively which showed excellent test - retest reliability. The DTUG demonstrated strong/very strong correlations with the MFSST (<i>r</i> = 0.724, <i>p</i> < 0.001), TUG (<i>r</i> = 0.909, <i>p</i> < 0.001), and BBS (<i>r</i> = -0.740, <i>p</i> < 0.001). The 3MBWT showed strong correlations with the MFSST (<i>r</i> = 0.835, <i>p</i> < 0.001), the TUG (<i>r</i> = 0.799, <i>p</i> < 0.001), and the BBS (<i>r</i> = -0.740, <i>p</i> < 0.001). The cutoff point was 36.945 s for DTUG and 14.605 s for 3MBWT.</p><p><strong>Conclusions: </strong>The 3MBWT was a more practical test than the DTUG; however, the DTUG was more discriminative than the 3MBWT in identifying fallers after stroke.</p><p><strong>Clinical trial registration number: </strong>NCT05211349.</p><p><strong>Url: </strong>https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000BRKZ&selectaction=Edit&uid=U0005GRO&ts=2&cx=z21bhg.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2000,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of psychometric properties of the dual-task timed up-and-go test (cognitive) and the 3-m walk backward test in community-dwelling stroke patients.\",\"authors\":\"Emel Taşvuran Horata, Fatma Eken, Gülşen Taşkın, Güzin Kara, Hilal Yeşil, Sevda Adar, Emre Baskan, Ümit Dündar\",\"doi\":\"10.1080/10749357.2024.2377514\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There is a need for practical, easy-to-use and accurately assessing balance tools in stroke patients.</p><p><strong>Objectives: </strong>This study aimed to compare the psychometric properties of the dual-task Timed Up-and-Go test (cognitive) (DTUG) and the 3-m walk backward test (3MBWT) in stroke patients.</p><p><strong>Methods: </strong>This study evaluated the practicality, validity, and reliability of the DTUG and the 3MBWT. The test-retest method was used for reliability. The Modified Four Square Step Test (MFSST), the Timed Up-and-Go (TUG), and Berg Balance Scale (BBS) were administered for concurrent validity. A cutoff value was calculated to discriminate between fallers and non-fallers.</p><p><strong>Results: </strong>The mean practicality times of the tests were 63.58 ± 47.32 sec for DTUG and 37.42 ± 24.036 sec for 3MBWT. Intraclass correlation coefficient of the DTUG and 3MBWT were 0.977, 0.964, respectively which showed excellent test - retest reliability. The DTUG demonstrated strong/very strong correlations with the MFSST (<i>r</i> = 0.724, <i>p</i> < 0.001), TUG (<i>r</i> = 0.909, <i>p</i> < 0.001), and BBS (<i>r</i> = -0.740, <i>p</i> < 0.001). The 3MBWT showed strong correlations with the MFSST (<i>r</i> = 0.835, <i>p</i> < 0.001), the TUG (<i>r</i> = 0.799, <i>p</i> < 0.001), and the BBS (<i>r</i> = -0.740, <i>p</i> < 0.001). The cutoff point was 36.945 s for DTUG and 14.605 s for 3MBWT.</p><p><strong>Conclusions: </strong>The 3MBWT was a more practical test than the DTUG; however, the DTUG was more discriminative than the 3MBWT in identifying fallers after stroke.</p><p><strong>Clinical trial registration number: </strong>NCT05211349.</p><p><strong>Url: </strong>https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000BRKZ&selectaction=Edit&uid=U0005GRO&ts=2&cx=z21bhg.</p>\",\"PeriodicalId\":23164,\"journal\":{\"name\":\"Topics in Stroke Rehabilitation\",\"volume\":\" \",\"pages\":\"1-10\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-07-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Topics in Stroke Rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10749357.2024.2377514\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Topics in Stroke Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10749357.2024.2377514","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景：需要实用、易用且准确评估脑卒中患者平衡能力的工具：本研究旨在比较脑卒中患者双任务定时上-下行走测试（认知）（DTUG）和 3 米倒走测试（3MBWT）的心理测量学特性：本研究评估了 DTUG 和 3MBWT 的实用性、有效性和可靠性。方法：本研究对 DTUG 和 3MBWT 的实用性、有效性和可靠性进行了评估。同时还采用了改良四平步测试（MFSST）、定时上走测试（TUG）和伯格平衡量表（BBS）来评估其有效性。计算出了区分跌倒者和非跌倒者的临界值：DTUG和3MBWT测试的平均实用时间分别为63.58±47.32秒和37.42±24.036秒。DTUG和3MBWT的类内相关系数分别为0.977和0.964，显示出极佳的测试-重测可靠性。DTUG 与 MFSST 的相关性很强/非常强（r = 0.724，p r = 0.909，p r = -0.740，p r = 0.835，p r = 0.799，p r = -0.740，p 结论：3MBWT比DTUG更实用，但在识别脑卒中后跌倒者方面，DTUG比3MBWT更有鉴别力：NCT05211349.Url: https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000BRKZ&selectaction=Edit&uid=U0005GRO&ts=2&cx=z21bhg.
Comparison of psychometric properties of the dual-task timed up-and-go test (cognitive) and the 3-m walk backward test in community-dwelling stroke patients.
Background: There is a need for practical, easy-to-use and accurately assessing balance tools in stroke patients.
Objectives: This study aimed to compare the psychometric properties of the dual-task Timed Up-and-Go test (cognitive) (DTUG) and the 3-m walk backward test (3MBWT) in stroke patients.
Methods: This study evaluated the practicality, validity, and reliability of the DTUG and the 3MBWT. The test-retest method was used for reliability. The Modified Four Square Step Test (MFSST), the Timed Up-and-Go (TUG), and Berg Balance Scale (BBS) were administered for concurrent validity. A cutoff value was calculated to discriminate between fallers and non-fallers.
Results: The mean practicality times of the tests were 63.58 ± 47.32 sec for DTUG and 37.42 ± 24.036 sec for 3MBWT. Intraclass correlation coefficient of the DTUG and 3MBWT were 0.977, 0.964, respectively which showed excellent test - retest reliability. The DTUG demonstrated strong/very strong correlations with the MFSST (r = 0.724, p < 0.001), TUG (r = 0.909, p < 0.001), and BBS (r = -0.740, p < 0.001). The 3MBWT showed strong correlations with the MFSST (r = 0.835, p < 0.001), the TUG (r = 0.799, p < 0.001), and the BBS (r = -0.740, p < 0.001). The cutoff point was 36.945 s for DTUG and 14.605 s for 3MBWT.
Conclusions: The 3MBWT was a more practical test than the DTUG; however, the DTUG was more discriminative than the 3MBWT in identifying fallers after stroke.
期刊介绍：
Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues.
The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.
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