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纤维肌痛女性双任务条件下的活动能力评估:测试-重测信度研究。

Mobility Assessment under Dual Task Conditions in Women With Fibromyalgia: A Test-Retest Reliability Study.

机构信息

Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Science, University of Extremadura, Cáceres, Spain.

Centre for Sport Studies, Rey Juan Carlos University, Fuenlabrada, Spain.

出版信息

PM R. 2021 Jan;13(1):66-72. doi: 10.1002/pmrj.12375. Epub 2020 May 8.

Abstract

OBJECTIVE

To assess the test-retest reliability of the 10-step stair ascent test, Timed Up and Go (TUG) test, and 10-meter walking test under dual-task conditions in patients with fibromyalgia.

DESIGN

Test-retest reliability.

SETTINGS

Local fibromyalgia association and university facilities.

PARTICIPANTS

Thirty-eight women with fibromyalgia.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Fear of falling and the number of falls in the last year were measured using a visual analogue scale. The 10-step stair ascent test, TUG test, and 10-meter walking test were conducted under single- and dual-task conditions. The order between single- and dual-task condition was randomized in both test and retest. Retest measurement was assessed the week following the test.

RESULTS

The reliability of the performance on the 10-step stair ascent test under dual and single conditions ranged between good (>0.75 to < 0.9) and excellent (≥0.9), but there were significant differences between test and retest. The reliability of the TUG is between good (≥0.75 to < 0.9) and excellent (≥0.9) under the dual-task condition as well as moderate (≥0.5 to <0.75) and excellent (≥0.9) under the single-task condition. The reliability of the 10-meter walking dual-task test is between moderate (≥0.5 to <0.75) and good (≥0.75 to < 0.9) under dual- and single-task condition, respectively.

CONCLUSIONS

The TUG and 10-meter walking tests are reliable for assessing mobility under the dual-task condition in women with fibromyalgia. The performance on the TUG, 10-step stair ascent, and 10-meter walking test under single- and dual-task conditions was significantly related to fear of falling. These results may help healthcare professionals and researchers to interpret the effect of interventions in women with fibromyalgia.

摘要

目的

评估纤维肌痛患者在双重任务条件下的 10 步楼梯攀登测试、计时起立行走测试和 10 米步行测试的重测信度。

设计

重测信度。

设置

当地纤维肌痛协会和大学设施。

参与者

38 名纤维肌痛女性患者。

干预措施

无。

主要观察指标

使用视觉模拟量表测量跌倒恐惧和过去一年的跌倒次数。在单任务和双重任务条件下进行 10 步楼梯攀登测试、计时起立行走测试和 10 米步行测试。两种测试条件的顺序在测试和复测中均随机。复测测量在测试后的一周进行。

结果

在双重和单一条件下,10 步楼梯攀登测试的表现可靠性在良好(>0.75 至<0.9)和优秀(≥0.9)之间,但测试和复测之间存在显著差异。TUG 在双重任务条件下的可靠性为良好(≥0.75 至<0.9)和优秀(≥0.9),在单一任务条件下的可靠性为中度(≥0.5 至<0.75)和优秀(≥0.9)。10 米步行双重任务测试在双重和单一任务条件下的可靠性分别为中度(≥0.5 至<0.75)和良好(≥0.75 至<0.9)。

结论

TUG 和 10 米步行测试在纤维肌痛女性患者的双重任务条件下评估移动能力是可靠的。TUG、10 步楼梯攀登和 10 米步行测试在单任务和双重任务条件下的表现与跌倒恐惧显著相关。这些结果可能有助于医疗保健专业人员和研究人员解释纤维肌痛女性患者干预措施的效果。

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