Article

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 x X1-minute walk + .920 x XLSU + .404 x X10-meter walk The
MANOVA was significant (Lambda=.163, F=14.732, P<.001, eta(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.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS