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3 米后退行走测试在脑卒中患者中的有效性和可靠性。

Validity and Reliability of The 3-Meter Backward Walk Test in Individuals with Stroke.

机构信息

Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kırıkkale University, Kırıkkale, Turkey.

Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sanko University, Gaziantep, Turkey.

出版信息

J Stroke Cerebrovasc Dis. 2021 Jan;30(1):105462. doi: 10.1016/j.jstrokecerebrovasdis.2020.105462. Epub 2020 Nov 13.

Abstract

OBJECTIVES

The 3-m backward walk test (3MBWT) is used to evaluate neuromuscular control, proprioception, protective reflexes, fall risk and balance. The aim of our study was to reveal the test-retest reliability and validity of the 3MBWT in stroke patients.

MATERIALS AND METHODS

This study included a total of 41 stroke patients [age 59 (35-78) years]. 3MBWT, Berg Balance Scale (BBS), Timed Up and Go test (TUG) were applied to the patients. The second evaluation (retest) was carried out by the same physiotherapist two days following the first evaluation (test) in order to measure test-retest reliability.

RESULTS

Cronbach's alpha coefficient was found to be 0.974 (excellent). For intra-rater agreement, the ICC values in the individual test were 0.985. The SEM value was 1.11 sec, the MDC value was found to be 1.57 sec. A moderate correlation was revealed between the 3 m-backward walking speed and BBS (r: -0.691, p: 0.001) and TUG (r: 0.849, p: 0.001).

CONCLUSIONS

The 3MBWT was observed to be valid and reliable in stroke individuals. It is an effecive and reliable tool for measuring dynamic balance and falls in stroke.

摘要

目的

3 米后退行走测试(3MBWT)用于评估神经肌肉控制、本体感觉、保护反射、跌倒风险和平衡。本研究的目的是揭示 3MBWT 在脑卒中患者中的测试-重测信度和效度。

材料和方法

本研究共纳入 41 名脑卒中患者[年龄 59(35-78)岁]。对患者进行 3MBWT、Berg 平衡量表(BBS)、计时起立行走测试(TUG)。第二次评估(重测)由同一位物理治疗师在第一次评估(测试)后两天进行,以测量测试-重测信度。

结果

Cronbach's alpha 系数为 0.974(优秀)。对于内部一致性,个体测试的 ICC 值为 0.985。SEM 值为 1.11 秒,MDC 值为 1.57 秒。3 米后退行走速度与 BBS(r:-0.691,p:0.001)和 TUG(r:0.849,p:0.001)之间存在中度相关性。

结论

3MBWT 在脑卒中个体中具有有效性和可靠性。它是一种测量脑卒中患者动态平衡和跌倒的有效可靠工具。

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