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Reliability and validity of three functional tests in ambulatory patients with spinal cord injury

PONCUMHAK P; SAENGSUWAN J; KAMRUECHA W; AMATACHAYA S
SPINAL CORD , 2013, vol. 51, n° 3, p. 214-217
Doc n°: 162209
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1038/sc.2012.126
Descripteurs : AE21 - ORIGINE TRAUMATIQUE, DF15 -SIT-TO-STAND

A cross-sectional study. OBJECTIVES: To investigate reliability,
discriminative ability and concurrent validity of three functional tests
(including the 10-meter walk test (10MWT), timed up and go test (TUGT) and five
times sit-to-stand test (FTSST)) using the Functional Independence Measure
Locomotor (FIM-L) scores as a standard criterion. SETTING: A tertiary
rehabilitation center, Thailand. METHODS: Subjects were 66 patients with spinal
cord injury (SCI), who were able to walk at least 50 m unassisted with or without
a walking device (FIM-L scores 6-7). They were tested for functional ability
using the 10MWT, TUGT and FTSST. Sixteen subjects also assessed the ability using
three assessors to evaluate the inter-tester reliability of the tools.Results:The
three functional tests demonstrated excellent inter-tester reliability
(intraclass correlation coefficient (3,3)=0.997-1.00) and could clearly
distinguish between subjects who walked with and without a walking device. In
addition, the tests showed significant correlation with walking categories or
FIM-L scores (r(pb)=0.778, -0.692 and -0.595 for the 10MWT, TUGT and FTSST,
respectively, P<0.001). CONCLUSION: The findings support reliability and validity
of the 10MWT, TUGT and FTSST to assess levels of independences in ambulatory
subjects with SCI.

Langue : ANGLAIS

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