Wrisley Diane M, Stephens Marilee J, Mosley Shaun, Wojnowski Adam, Duffy Jordan, Burkard Robert
Department of Rehabilitation Science, University at Buffalo, The State University of New York, Buffalo, NY 14214, USA.
Arch Phys Med Rehabil. 2007 Aug;88(8):1049-54. doi: 10.1016/j.apmr.2007.05.003.
To evaluate the learning effect of multiple administrations of the Sensory Organization Test (SOT) on performance and to begin to establish clinical meaningful change scores for the SOT.
Descriptive case series.
University-affiliated clinic.
Healthy young adults (6 men, 7 women; mean age, 24+/-4y).
All subjects performed the standardized SOT using the SMART EquiTest 5 times over a 2-week period, and 1 month later.
Composite and individual SOT test condition standardized equilibrium scores.
Test-retest reliability (intraclass correlation coefficient model 2,3) of the composite (.67) and equilibrium score (range, .35-.79) were fair to good. Repeated-measures analysis of variance revealed a significant (P<.05) increase in the composite and equilibrium scores for conditions 4, 5, and 6 over the 5 sessions that plateaued after the third session, and were retained at 1 month. The 95% confidence interval for the composite score change from session 1 to session 4, the plateau of the learning effect, was 3.9 to 8.1.
Although the findings of this study would indicate that multiple baseline measures are desirable for the more challenging conditions, a composite change of greater than 8 points would indicate change due to rehabilitation.
评估多次进行感觉统合测试(SOT)对表现的学习效果,并开始建立SOT的临床意义变化分数。
描述性病例系列。
大学附属医院诊所。
健康的年轻成年人(6名男性,7名女性;平均年龄,24±4岁)。
所有受试者在2周内使用SMART EquiTest进行5次标准化SOT测试,并在1个月后再次测试。
综合及个体SOT测试条件下的标准化平衡分数。
综合分数(.67)和平衡分数(范围,.35-.79)的重测信度(组内相关系数模型2,3)为中等至良好。重复测量方差分析显示,在第4、5和6种条件下,综合分数和平衡分数在5次测试中显著增加(P<.05),在第三次测试后趋于平稳,并在1个月时保持稳定。从第1次测试到第4次测试(学习效果的平稳期)综合分数变化的95%置信区间为3.9至8.1。
尽管本研究结果表明,对于更具挑战性的条件,多次基线测量是可取的,但综合变化大于8分表明是康复导致的变化。