Nikolaos Chrysagis1, Emmanouil K Skordilis2, Dimitra Koutsouki3. 1. Department of Physical Therapy, Technological Educational Institute of Athens, Athens, Greece; Laboratory of Adapted Physical Activity/Developmental and Physical Disabilities, Athens, Greece. 2. Department of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: eskord@phed.uoa.gr. 3. Laboratory of Adapted Physical Activity/Developmental and Physical Disabilities, Athens, Greece; Department of Physical Education and Sport Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Abstract
OBJECTIVE: To examine the validity and clinical utility of functional assessments (1-minute walk test, 10-meter walk test, Timed Up & Go [TUG] test, Timed Up and Down Stairs [TUDS] test, sit-to-stand [STS] test, and lateral step-up [LSU] test). DESIGN: Cross-sectional study. SETTING: Four special schools for adolescents with physical disabilities. PARTICIPANTS: Adolescents with spastic tetraplegia and diplegia (at levels I-III) were selected through convenience sampling (N=35; mean age, 14.97±2.03y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: GMFM-88 (dimensions D and E), 1-minute walk, 10-meter walk, TUG, TUDS, STS, and LSU tests. Data were analyzed using Pearson intercorrelations, multiple regression analysis, and multivariate analysis of variance (MANOVA). RESULTS: Significant moderate to high intercorrelations were found. Three significant positive predictors emerged (1-minute walk, 10-meter walk, and LSU) with the following regression equation: YGMFM-88 (dimensions D and E) = 5.708 + .402 × X1-minute walk + .920 × XLSU + .404 × X10-meter walk The MANOVA was significant (Λ=.163, F=14.732, P<.001, η(2)=.596), and post hoc comparisons revealed significant differences across Gross Motor Function Classification System Expanded and Revised levels in all paired comparisons for the 1-minute walk and LSU tests. For the 10-meter walk test, significant differences were evident in the level I versus level III and level II versus level III comparisons. No significant differences were found in the 10-meter walk test between levels I and II. CONCLUSIONS: These functional assessments (1-minute walk, LSU, and 10-meter walk tests) are simple to administer, quick, low cost, and user-friendly. Although these assessments are not a substitute for the criterion standard (GMFM-88), they may be used for a quick assessment in adolescents with cerebral palsy (levels I-III) either at school or during rehabilitation, especially when time is limited.
OBJECTIVE: To examine the validity and clinical utility of functional assessments (1-minute walk test, 10-meter walk test, Timed Up & Go [TUG] test, Timed Up and Down Stairs [TUDS] test, sit-to-stand [STS] test, and lateral step-up [LSU] test). DESIGN: Cross-sectional study. SETTING: Four special schools for adolescents with physical disabilities. PARTICIPANTS: Adolescents with spastic tetraplegia and diplegia (at levels I-III) were selected through convenience sampling (N=35; mean age, 14.97±2.03y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: GMFM-88 (dimensions D and E), 1-minute walk, 10-meter walk, TUG, TUDS, STS, and LSU tests. Data were analyzed using Pearson intercorrelations, multiple regression analysis, and multivariate analysis of variance (MANOVA). RESULTS: Significant moderate to high intercorrelations were found. Three significant positive predictors emerged (1-minute walk, 10-meter walk, and LSU) with the following regression equation: YGMFM-88 (dimensions D and E) = 5.708 + .402 × X1-minute walk + .920 × XLSU + .404 × X10-meter walk The MANOVA was significant (Λ=.163, F=14.732, P<.001, η(2)=.596), and post hoc comparisons revealed significant differences across Gross Motor Function Classification System Expanded and Revised levels in all paired comparisons for the 1-minute walk and LSU tests. For the 10-meter walk test, significant differences were evident in the level I versus level III and level II versus level III comparisons. No significant differences were found in the 10-meter walk test between levels I and II. CONCLUSIONS: These functional assessments (1-minute walk, LSU, and 10-meter walk tests) are simple to administer, quick, low cost, and user-friendly. Although these assessments are not a substitute for the criterion standard (GMFM-88), they may be used for a quick assessment in adolescents with cerebral palsy (levels I-III) either at school or during rehabilitation, especially when time is limited.
Keywords:
CP; Cerebral palsy; GMFCS E&R; GMFM-66; GMFM-88; Gross Motor Function Classification System Expanded and Revised; Gross Motor Function Measure-66; Gross Motor Function Measure-88; LSU; MANOVA; Outcome and process assessment (health care); Rehabilitation; Reproducibility of results; STS; TUDS; TUG; Timed Up & Go; Timed Up and Down Stairs; cerebral palsy; lateral step-up; multivariate analysis of variance; sit-to-stand
Authors: Cyntia R J A de Baptista; Amanda M Vicente; Mariana A Souza; Juliana Cardoso; Vanessa M Ramalho; Ana C Mattiello-Sverzut Journal: Rehabil Res Pract Date: 2020-08-20
Authors: Elisabeth Halma; Johannes Bernardus Josephus Bussmann; Hendrika Johanna Gerarda van den Berg-Emons; Emanuel Maria Sneekes; Robert Pangalila; Fabienne Carmen Schasfoort Journal: Child Care Health Dev Date: 2019-12-03 Impact factor: 2.508