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全膝关节置换术中50英尺步行测试和30秒坐立试验的可靠性

Reliability of the 50-foot walk test and 30-sec chair stand test in total knee arthroplasty.

作者信息

Unver Bayram, Kalkan Serpil, Yuksel Ertugrul, Kahraman Turhan, Karatosun Vasfi

机构信息

Dokuz Eylul University, Balçova-Izmir, Turkey.

出版信息

Acta Ortop Bras. 2015 Jul-Aug;23(4):184-7. doi: 10.1590/1413-78522015230401018.

Abstract

OBJECTIVE

To investigate the reliability of the 50-Foot Walk Test (50 FWT) and 30-second Chair Stand Test (30 CST) in patients who have undergone total knee arthroplasty (TKA).

METHODS

The study was designed as a test-retest research. Thirty-three patients who would undergo bilateral TKA were recruited. The tests 30 CST and 50 FWT were performed twice on the same day with 5-minute intervals, respectively. Between the first and second tests, patients waited for an hour on sitting position in order to prevent fatigue. In addition to these tests, we registered the knee pain experienced by the patients using a 100 mm VAS scale.

RESULTS

The 50 FWT and 30 CST showed excellent reliability. ICC for 50 FWT and 30 CST were 0.97 and 0.92, respectively. SRD95 was 1.07 for 50 FWT and 0.96 for 30 CST.

CONCLUSIONS

According to results of this study, both 50 FWT and 30 CST have excellent reliability in patients with TKA. These tests are simple, no time consuming and constitute sensitive methods to measure the functional performance in patients with TKA in the clinical settings. Clinicians and researchers may use these tests to quantify even small changes in functional performance for patients with TKA. Level of Evidence III, Diagnostic Study.

摘要

目的

探讨50英尺步行试验(50 FWT)和30秒坐立试验(30 CST)在全膝关节置换术(TKA)患者中的可靠性。

方法

本研究设计为重复测量研究。招募了33例即将接受双侧全膝关节置换术的患者。分别在同一天对30 CST和50 FWT进行两次测试,间隔5分钟。在第一次和第二次测试之间,患者坐着等待一小时以防止疲劳。除了这些测试,我们使用100毫米视觉模拟评分量表记录患者经历的膝关节疼痛。

结果

50 FWT和30 CST显示出极好的可靠性。50 FWT和30 CST的组内相关系数(ICC)分别为0.97和0.92。50 FWT的标准误差异(SRD95)为1.07,30 CST为0.96。

结论

根据本研究结果,50 FWT和30 CST在全膝关节置换术患者中均具有极好的可靠性。这些测试简单、不耗时,是临床环境中测量全膝关节置换术患者功能表现的敏感方法。临床医生和研究人员可以使用这些测试来量化全膝关节置换术患者功能表现的微小变化。证据等级III,诊断性研究。

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