Balance assessment under dual task conditions in patients with total knee arthroplasty: a test-retest reliability and concurrent validity study.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-01-01 Epub Date: 2024-02-21 DOI:10.1080/09593985.2024.2321222

Damla Özcan, Bayram Unver, Vasfi Karatosun

{"title":"Balance assessment under dual task conditions in patients with total knee arthroplasty: a test-retest reliability and concurrent validity study.","authors":"Damla Özcan, Bayram Unver, Vasfi Karatosun","doi":"10.1080/09593985.2024.2321222","DOIUrl":null,"url":null,"abstract":"Background: Under dual-task (DT), functional mobility and balance testing can detect balance and mobility problems in activities of daily living, especially in situations that cannot be identified under single-task conditions.Objective: Determine the test-retest reliability and concurrent validity of the Four Square Step Test (FSST) under DT conditions for people with total knee arthroplasty (TKA).Method: A total of 30 patients with TKA participated in this research, and patients were tested with the FSST under DT conditions. In addition, concurrent validity of the dual-task FSST was calculated using Timed Up and Go (TUG) under the single-task condition and Hospital for Special Surgery (HSS) Knee Score. Patients performed two FSST trials on the same day under DT conditions.Results: The intraclass correlation coefficients (ICC2,1) two-way random effects model, and minimal detectable changes with 95% confidence intervals (MDC95) values of the FSST under DT conditions were .97 and 3.43, respectively. The Pearson's correlation coefficient of the FSST with the TUG and HSS was .65 and -.40, respectively.Conclusion: The FSST has been found to be a reliable and valid clinical assessment tool for dynamic balance under DT conditions in patients with TKA. For identify balance disorders in daily life at early points, clinicians and researchers can use the FSST under DT conditions in TKA.Clinical trial registration number: NCT06108466.","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"93-98"},"PeriodicalIF":1.6000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2024.2321222","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Under dual-task (DT), functional mobility and balance testing can detect balance and mobility problems in activities of daily living, especially in situations that cannot be identified under single-task conditions.

Objective: Determine the test-retest reliability and concurrent validity of the Four Square Step Test (FSST) under DT conditions for people with total knee arthroplasty (TKA).

Method: A total of 30 patients with TKA participated in this research, and patients were tested with the FSST under DT conditions. In addition, concurrent validity of the dual-task FSST was calculated using Timed Up and Go (TUG) under the single-task condition and Hospital for Special Surgery (HSS) Knee Score. Patients performed two FSST trials on the same day under DT conditions.

Results: The intraclass correlation coefficients (ICC_2,1) two-way random effects model, and minimal detectable changes with 95% confidence intervals (MDC₉₅) values of the FSST under DT conditions were .97 and 3.43, respectively. The Pearson's correlation coefficient of the FSST with the TUG and HSS was .65 and -.40, respectively.

Conclusion: The FSST has been found to be a reliable and valid clinical assessment tool for dynamic balance under DT conditions in patients with TKA. For identify balance disorders in daily life at early points, clinicians and researchers can use the FSST under DT conditions in TKA.

Clinical trial registration number: NCT06108466.

查看原文本刊更多论文

全膝关节置换术患者在双重任务条件下的平衡评估：测试重复可靠性和并发有效性研究。

背景：在双任务（DT）条件下，功能性移动和平衡测试可以发现日常生活活动中的平衡和移动问题，尤其是在单任务条件下无法发现的情况：确定在 DT 条件下对全膝关节置换术（TKA）患者进行四方步测试（FSST）的重复测试可靠性和并发有效性：共有 30 名全膝关节置换术（TKA）患者参与了此次研究，并在 DT 条件下对患者进行了四方步测试。此外，还使用单任务条件下的定时起立行走（TUG）和美国特殊外科医院（HSS）膝关节评分计算了双任务 FSST 的并发有效性。患者在同一天的 DT 条件下进行了两次 FSST 试验：在 DT 条件下，FSST 的类内相关系数（ICC2,1）双向随机效应模型和 95% 置信区间（MDC95）最小可检测变化值分别为 0.97 和 3.43。FSST 与 TUG 和 HSS 的皮尔逊相关系数分别为 0.65 和 -.40：研究发现，FSST 是一种可靠有效的临床评估工具，可用于评估 TKA 患者在 DT 条件下的动态平衡能力。临床医生和研究人员可以在 TKA 患者的 DT 条件下使用 FSST 来早期识别日常生活中的平衡障碍：临床试验注册号：NCT06108466。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.