The Speed Precision ObsTacle CourSe (SPOTS): a reliable, valid and sensitive obstacle course for assessing walking adaptability for people with central neurological disorders.

IF 2.2 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-17 DOI:10.1080/09638288.2026.2643932

Vanessa Janssens, Marjan Coremans, Liesel Cornelis, Laure De Bruyn, Charlotte Heremans, Sarah Meyer, Laura Pattyn, Geert Verheyden

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引用次数: 0

Abstract

Purpose: This prospective study examined the psychometric properties of the Speed Precision ObsTacle courSe (SPOTS), a six-item, triangle-shaped obstacle course to assess walking adaptability in individuals with a central neurological disorder (CND).

Materials and methods: Inter- and intra-rater reliability, validity and sensitivity of the SPOTS were evaluated in adults with CND undergoing inpatient rehabilitation. The SPOTS was performed on 2 consecutive days, and 1 month later, alongside clinical assessments on the first and last day. Completion time was recorded, and three raters performed clinician-rated assessments for motor and cognitive function based on video recordings. Reliability of the clinician-rated SPOTS score was assessed with Intraclass Correlation Coefficients (ICC), Bland-Altman, and weighted Kappa analysis; validity with Spearman rank correlation coefficients and sensitivity to change with the minimal detectable change (MDC).

Results: Thirty-five independent walkers (FAC ≥3) with CND were recruited. The SPOTS showed excellent inter-rater (ICC: 0.90-0.93) and intra-rater reliability (ICC: 0.91-0.96). Adequate to excellent correlations (r = 0.36-0.66) were found with other common balance and gait assessments. An MDC value of 4.63 points (6.4% of SPOTS) was found.

Conclusion: The SPOTS is a new, promising, reliable, valid and sensitive tool for assessing advanced walking adaptability in patients with CND.

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速度精确障碍训练（spot）：一种可靠、有效和敏感的障碍训练，用于评估中枢神经疾病患者的行走适应性。

目的：本前瞻性研究考察了速度精确障碍赛（SPOTS）的心理测量特性，这是一个六项三角形障碍赛，用于评估中枢神经障碍（CND）患者的行走适应性。材料与方法：在接受住院康复治疗的成人慢性阻塞性肺病患者中，评估了spot量表的信度、效度和灵敏度。连续2天和1个月后进行斑点观察，并在第一天和最后一天进行临床评估。完成时间被记录下来，三位评分者根据录像对运动和认知功能进行临床评定。采用类内相关系数（Intraclass Correlation Coefficients， ICC）、Bland-Altman和加权Kappa分析评估临床医师评定的SPOTS评分的可靠性；效度与Spearman等级相关系数和敏感性变化与最小可检测变化（MDC）。结果：招募35名患有CND的独立步行者（FAC≥3）。评价结果显示，评价间信度（ICC: 0.90 ~ 0.93）和评价内信度（ICC: 0.91 ~ 0.96）良好。与其他常见的平衡和步态评估存在足够的相关性（r = 0.36-0.66）。MDC值为4.63分（spot的6.4%）。结论：斑点是一种新的、有前途的、可靠、有效、灵敏的评估慢性阻塞性肺病患者晚期行走适应性的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.