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计时起立行走测试和十米计时步行测试在患有骨盆带疼痛的孕妇中的可靠性。

Reliability of the Timed Up and Go test and Ten-Metre Timed Walk Test in Pregnant Women with Pelvic Girdle Pain.

作者信息

Evensen Natalie M, Kvåle Alice, Braekken Ingeborg H

机构信息

Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.

出版信息

Physiother Res Int. 2015 Sep;20(3):158-65. doi: 10.1002/pri.1609. Epub 2014 Dec 10.

Abstract

BACKGROUND AND PURPOSE

There is a lack of functional objective tests available to measure functional status in women with pelvic girdle pain (PGP). The purpose of this study was to establish test-retest and intertester reliability of the Timed Up and Go (TUG) test and Ten-metre Timed Walk Test (10mTWT) in pregnant women with PGP.

METHODS

A convenience sample of women was recruited over a 4-month period and tested on two occasions, 1 week apart to determine test-retest reliability. Intertester reliability was established between two assessors at the first testing session. Subjects were instructed to undertake the TUG and 10mTWT at maximum speed. One practise trial and two timed trials for each walking test was undertaken on Day 1 and one practise trial and one timed trial on Day 2.

RESULTS

Seventeen women with PGP aged 31.1 years (SD [standard deviation] = 2.3) and 28.7 weeks pregnant (SD = 7.4) completed gait testing. Test-retest reliability using the intraclass correlation coefficient (ICC) was excellent for the TUG (0.88) and good for the 10mTWT (0.74). Intertester reliability was determined in the first 13 participants with excellent ICC values being found for both walking tests (TUG: 0.95; 10mTWT: 0.94).

CONCLUSION

This study demonstrated that the TUG and 10mTWT undertaken at fast pace are reliable, objective functional tests in pregnant women with PGP. While both tests are suitable for use in the clinical and research settings, we would recommend the TUG given the findings of higher test-retest reliability and as this test requires less space and time to set up and score. Future studies in a larger sample size are warranted to confirm the results of this study.

摘要

背景与目的

目前缺乏用于测量骨盆带疼痛(PGP)女性功能状态的功能性客观测试。本研究的目的是确定计时起立行走测试(TUG)和十米计时步行测试(10mTWT)在患有PGP的孕妇中的重测信度和测试者间信度。

方法

在4个月的时间里招募了一个便利样本的女性,并进行了两次测试,两次测试间隔1周,以确定重测信度。在第一次测试期间,由两名评估者确定测试者间信度。受试者被要求以最快速度进行TUG和10mTWT测试。在第1天,每个步行测试进行一次练习试验和两次计时试验,在第2天进行一次练习试验和一次计时试验。

结果

17名患有PGP的女性,年龄31.1岁(标准差[SD]=2.3),怀孕28.7周(SD=7.4),完成了步态测试。使用组内相关系数(ICC)的重测信度,TUG测试为优秀(0.88),10mTWT测试为良好(0.74)。在前13名参与者中确定了测试者间信度,两项步行测试的ICC值均为优秀(TUG:0.95;10mTWT:0.94)。

结论

本研究表明,快速进行的TUG和10mTWT测试是患有PGP的孕妇可靠的、客观的功能测试。虽然这两项测试都适用于临床和研究环境,但鉴于重测信度更高的结果,以及该测试设置和评分所需的空间和时间更少,我们推荐使用TUG测试。有必要进行更大样本量的未来研究以证实本研究结果。

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