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对于转诊至心脏康复的患者,10米递增往返步行试验是一种高度可靠的现场运动试验:一项重测信度研究。

The 10m incremental shuttle walk test is a highly reliable field exercise test for patients referred to cardiac rehabilitation: a retest reliability study.

作者信息

Hanson Lisa C, Taylor Nicholas F, McBurney Helen

机构信息

La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.

School of Allied Health, La Trobe University, Bundoora, Victoria, Australia.

出版信息

Physiotherapy. 2016 Sep;102(3):243-8. doi: 10.1016/j.physio.2015.08.004. Epub 2015 Sep 7.

Abstract

OBJECTIVES

To determine the retest reliability of the 10m incremental shuttle walk test (ISWT) in a mixed cardiac rehabilitation population.

DESIGN

Participants completed two 10m ISWTs in a single session in a repeated measures study. Ten participants completed a third 10m ISWT as part of a pilot study.

SETTING

Hospital physiotherapy department.

PARTICIPANTS

62 adults aged a mean of 68 years (SD 10) referred to a cardiac rehabilitation program.

MAIN OUTCOME MEASURES

Retest reliability of the 10m ISWT expressed as relative reliability and measurement error. Relative reliability was expressed in a ratio in the form of an intraclass correlation coefficient (ICC) and measurement error in the form of the standard error of measurement (SEM) and 95% confidence intervals for the group and individual.

RESULTS

There was a high level of relative reliability over the two walks with an ICC of .99. The SEMagreement was 17m, and a change of at least 23m for the group and 54m for the individual would be required to be 95% confident of exceeding measurement error.

CONCLUSIONS

The 10m ISWT demonstrated good retest reliability and is sufficiently reliable to be applied in practice in this population without the use of a practice test.

摘要

目的

确定10米递增穿梭步行试验(ISWT)在混合心脏康复人群中的重测信度。

设计

在一项重复测量研究中,参与者在单次会话中完成两次10米ISWT。作为一项初步研究的一部分,10名参与者完成了第三次10米ISWT。

地点

医院理疗科。

参与者

62名平均年龄为68岁(标准差10)的成年人,他们被转介到心脏康复项目。

主要观察指标

10米ISWT的重测信度,以相对信度和测量误差表示。相对信度以组内相关系数(ICC)的形式表示为一个比率,测量误差以测量标准误(SEM)的形式表示,并给出组和个体的95%置信区间。

结果

两次步行的相对信度较高,ICC为0.99。组内测量标准误为17米,对于组而言,至少需要23米的变化,对于个体而言,至少需要54米的变化,才能有95%的把握超过测量误差。

结论

10米ISWT显示出良好的重测信度,在该人群中无需进行预测试即可在实践中充分可靠地应用。

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