대한임상전기생리학회지 (Journal of the Korean Academy of Clinical Electrophysiology)

대한임상전기생리학회 (The Korean Academy of Clinical Electrophysiology)
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뇌졸중 환자에서 Figure-of-8 walk test의 신뢰도와 타당도

The Reliability and Validity of Figure-of-8 Walk Test in Patients with Stroke

  • 김양호 (서남대학교 물리치료학과) ;
  • 임재헌 (서남대학교 물리치료학과)
  • Kim, Yang-Ho (Department of Physical Therapy, Seonam University) ;
  • Lim, Jae-Heon (Department of Physical Therapy, Seonam University)
  • 투고 : 2012.05.25
  • 심사 : 2012.06.07
  • 발행 : 2012.06.30
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초록

Purpose : The purpose of this study was to establish intra-rater, inter-rater, test-retest reliability, and concurrent validity of figure-of-8 walk test in people with stroke. Methods : The subjects of this study were 17 patients who were diagnosed with a stroke. Subjects were tested twice by the same raters, with 1 day between tests. Subjects were assessed by two physical therapists. Test-retest reliability was calculated using intraclass correlation coefficients (ICC). The concurrent validity was demonstrated by spearman correlation of F8WT with 10m walking test (10MWT), timed up and go test (TUG), Berg balance scale (BBS), dynamic gait index (DGI) and four square step test (FSST). Results : Intra-rater, inter-rater, test- retest of F8WT time, showed high reliability. Intra-rater, inter-rater, test-retest of F8WT steps demonstrated high reliability. Intra-rater, inter-rater, test-retest of F8WT total smoothness score showed below moderate reliability. There was a significant positive correlation of F8WT time with 10MWT, TUG, FSST. There was a significant negative correlation of F8WT time with DGI, BBS. There was a significant positive correlation of F8WT steps with 10MWT, TUG, FSST. There was a significant negative correlation of F8WT steps with DGI. There was a significant positive correlation of F8WT test total smoothness score with BBS. Conclusion : The time, and number of steps in F8WT show high inter, intra-rater, test-retest reliability. The F8WT smoothness shows below moderate reliability. The F8WT shows high concurrent validity with other comparable balance, and walking tests. The F8WT is a valid and reliable measure for assessing walking function in patients with a stroke.

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참고문헌

  1. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 3rd ed. Philadelphia, Lippincott Williams & Wilkins, 2007:300.
  2. Lamontagne A, Fung J. Faster is better: implications for speed-intensive gait training after stroke. Stroke. 2004;35(11):2543-8. https://doi.org/10.1161/01.STR.0000144685.88760.d7
  3. Carr JH, Shepherd RB. Neurological rehabilitation: optimizing motor performance. 2nd ed. New York, Churchill Livingstone, 2010:95-6.
  4. Patla AE. Adaptability of human gait: implications for the control of locomotion. New York, North Holland, 1991:3-17.
  5. Bloem BR, Valkenburg VV, Slabbekoorn M et al. The multiple tasks test: development and normal strategies. Gait Posture. 2001;14(3):191-202. https://doi.org/10.1016/S0966-6362(01)00141-2
  6. Dite W, Temple VA. Development of a clinical measure of turning for older adults. Am J Phys Med Rehabil. 2002;81(11):857-66. https://doi.org/10.1097/00002060-200211000-00010
  7. Podsiadlo D, Richardson S. The timed" Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  8. Wolf SL, Catlin PA, Gage K et al. Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Phys Ther. 1999;79(12):1122-33.
  9. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1410-5. https://doi.org/10.1016/j.apmr.2007.08.109
  10. Hess RJ, Brach JS, Piva SR et al. Walking skill can be assessed in older adults: validity of the Figure-of-8 Walk Test. Phys Ther. 2010;90(1):89-99. https://doi.org/10.2522/ptj.20080121
  11. Hase K, Stein RB. Turning strategies during human walking. J Neurophysiol. 1999;81(6): 2914-22. https://doi.org/10.1152/jn.1999.81.6.2914
  12. Kiriyama K, Warabi T, Kato M et al. Medial-lateral balance during stance phase of straight and circular walking of human subjects. Neurosci Lett. 2005;388(2):91-5. https://doi.org/10.1016/j.neulet.2005.06.041
  13. Courtine G, Schieppati M. Human walking along a curved path. II. Gait features and EMG patterns. Eur J Neurosci. 2003;18(1):191-205. https://doi.org/10.1046/j.1460-9568.2003.02737.x
  14. Guglielmetti S, Nardone A, De Nunzio AM et al. Walking along circular trajectories in Parkinson's disease. Mov Disord. 2009;24(4):598-604. https://doi.org/10.1002/mds.22424
  15. Lim JH, Park JS, Seo SK. Correlation of curved walking ability with straight walking ability and motor function in patients with hemiplegia.Kor Acad Clin Elec. 2011;23(3):13-9.
  16. Suzuki K, Nakamura R, Yamada Y et al. Determinants of maximum walking speed in hemiparetic stroke patients. Tohoku J Exp Med. 1990;162(4):337-44. https://doi.org/10.1620/tjem.162.337
  17. Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil. 2005;86(8):1641-7. https://doi.org/10.1016/j.apmr.2005.01.011
  18. Flansbjer UB, Holmback AM, Downham D et al. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med. 2005;37(2):75-82. https://doi.org/10.1080/16501970410017215
  19. Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002;83(11):1566-71. https://doi.org/10.1053/apmr.2002.35469
  20. Blennerhassett JM, Jayalath VM. The Four Square Step Test is a feasible and valid clinical test of dynamic standing balance for use in ambulant people poststroke. Arch Phys Med Rehabil. 2008;89(11):2156- 61. https://doi.org/10.1016/j.apmr.2008.05.012
  21. Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
  22. Juneja G, Czyrny JJ, Linn RT. Admission balance and outcomes of patients admitted for acute inpatient rehabilitation. Am J Phys Med Rehabil. 1998;77(5):388-93. https://doi.org/10.1097/00002060-199809000-00005
  23. Berg KO, Maki BE, Williams JI et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073- 80.
  24. Lee CH. The research methodology for physical therapists and occupational therapists. 3rd ed. Seoul, Geychuk Munwhasa, 2007;400-1.
  25. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74. https://doi.org/10.2307/2529310
  26. Guralnik JM, Simonsick EM, Ferrucci L et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):85-94.
  27. Stevenson TJ. Detecting change in patients with stroke using the Berg Balance Scale. Aust J Physiother. 2001;47(1):29-38.
  28. Rehm-Gelin SL, Light KE, Freund JE. Reliability of timed-functional movements for clinical assessment of a frail elderly population. Phys Occup Ther Geriatr. 1997;15(1):1-19. https://doi.org/10.1080/J148v15n01_01
  29. Brooks VB. The neural basis of motor control. New York. Oxford University Press, 1986;182-3.
  30. McConvey J, Bennett SE. Reliability of the Dynamic Gait Index in individuals with multiple sclerosis. Arch Phys Med Rehabil. 2005;86(1):130-3. https://doi.org/10.1016/j.apmr.2003.11.033
  31. Creel GL, Light KE, Thigpen MT. Concurrent and construct validity of scores on the Timed Movement Battery. Phys Ther. 2001;81(2):789-98. https://doi.org/10.1093/ptj/81.2.789
  32. Chen DH. Interrelationship analysis of the obstacle crossing in individuals and kinematic characteristics with strokes. Dongshin University. Dissertation of Master's Degree. 2009.
  33. Labruyere R, van Hedel HJ. Curve walking is not better than straight walking in estimating ambulation-related domains after incomplete spinal cord injury. Arch Phys Med Rehabil. 2012;93(5):796- 801. https://doi.org/10.1016/j.apmr.2011.11.009
  34. Lee KM, Han SH, Kim YS. Effects of asymmetrical weight bearing during straight and circular walking in hemiplegic patients. J Korean Acad Rehab Med. 2003;27(2):173-7.

피인용 문헌

  1. The Effect of Dual Task Training based on the International Classification of Functioning, Disability, and Health on Walking Ability and Self-Efficacy in Chronic Stroke vol.12, pp.1, 2017, https://doi.org/10.13066/kspm.2017.12.1.121