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2型糖尿病老年患者体能评估的重测信度及最小可检测变化值

Test-retest reliability and minimal detectable change scores for fitness assessment in older adults with type 2 diabetes.

作者信息

Alfonso-Rosa Rosa M, Del Pozo-Cruz Borja, Del Pozo-Cruz Jesus, Sañudo Borja, Rogers Michael E

机构信息

Department of Physical Education and Sports, University of Seville, Seville, Spain.

出版信息

Rehabil Nurs. 2014 Sep-Oct;39(5):260-8. doi: 10.1002/rnj.111. Epub 2013 Jun 18.

DOI:10.1002/rnj.111
PMID:23780835
Abstract

PURPOSE

To assess the intraclass correlation coefficients (ICCs) and to determine the minimal detectable change (MDC95 ) scores of the data for the Hand Grip Strength Test, the Chair Sit and Reach Test (CSRT), the Timed "Up and Go" (TUG) test, the 6-Minute Walk Test (6MWT) and 30 seconds Sit to Stand Test (30s-STS) test in older adults with type 2 NIDDM.

DESIGN

Test-retest reliability.

METHODS

Eighteen subject participated in two sessions (1 week apart), which included the different tests.

FINDINGS

High ICCs (≥ 0.92) were found for all tests. The MDC₉₅ scores were as follows: 4.0 kg for Hand Grip Strength Tests, 7.5 cm for the right leg-CSRT, 9.0 cm for the left leg-CSRT, 1.0 second for the TUG test, 27 m for the 6MWT, and 3.3 repetitions for the 30s-STS test.

CONCLUSIONS

All tests evaluated are reliable outcome measures for type 2 NIDDM patients.

CLINICAL RELEVANCE

This study has generated novel MCD₉₅ data, which will assist nursing practitioners in both prescribing the most beneficial exercise and interpreting posttreatment changes after rehabilitation in patients with T2DM.

摘要

目的

评估2型非胰岛素依赖型糖尿病(NIDDM)老年患者握力测试、椅子坐立前屈测试(CSRT)、定时起立行走测试(TUG)、6分钟步行测试(6MWT)和30秒坐立测试(30s - STS)数据的组内相关系数(ICC),并确定最小可检测变化(MDC95)得分。

设计

重测信度。

方法

18名受试者参加了两期测试(间隔1周),测试包括上述不同测试项目。

结果

所有测试的ICC均较高(≥0.92)。MDC₉₅得分如下:握力测试为4.0千克;右腿CSRT为7.5厘米;左腿CSRT为9.0厘米;TUG测试为1.0秒;6MWT为27米;30s - STS测试为3.3次重复。

结论

所有评估的测试项目对于2型NIDDM患者都是可靠的结果测量指标。

临床意义

本研究生成了新的MCD₉₅数据,这将有助于护理从业者为2型糖尿病患者制定最有益的运动方案,并解读康复治疗后的变化。

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