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唐氏综合征青少年和青年10米步行试验(10MWT)的信度和效度

Reliability and Validity of the 10-Meter Walk Test (10MWT) in Adolescents and Young Adults with Down Syndrome.

作者信息

Sánchez-González Juan Luis, Llamas-Ramos Inés, Llamas-Ramos Rocío, Molina-Rueda Francisco, Carratalá-Tejada María, Cuesta-Gómez Alicia

机构信息

Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, Universidad de Salamanca, C/ Donantes de Sangre s/n, 37007 Salamanca, Spain.

University Hospital of Salamanca, Paseo de San Vicente, 182, 37007 Salamanca, Spain.

出版信息

Children (Basel). 2023 Mar 30;10(4):655. doi: 10.3390/children10040655.

Abstract

People with Down syndrome (DS) have gait deficits because motor milestones are usually reached later. Decreased gait speed or reduced stride length are some of the main deficits. The main objective of the present work was to assess the reliability of the 10-Meter Walk Test (10MWT) in adolescents and young adults with DS. The objective has been to analyze the construct validity of the 10MWT with the Timed up and go (TUG) test. A total of 33 participants with DS were included. Reliability was verified by intraclass correlation coefficient (ICC). The agreement was analyzed by the Bland-Altman method. Finally, construct validity was evaluated through Pearson correlation coefficient. The 10MWT intra-rater and inter-rater reliability were good (ICC between 0.76 until 0.9) and excellent (ICC > 0.9), respectively. The minimal detectable change for intra-rater reliability was 0.188 m/s. Also, it has demonstrated moderate construct validity (r > 0.5) considering the TUG test. The 10MWT has shown high intra- and inter-rater reliability and validity in adolescent and adults with SD and a moderate construct validity between TUG test and 10MWT.

摘要

唐氏综合征(DS)患者存在步态缺陷,因为运动发育里程碑通常达成较晚。步态速度降低或步幅缩短是一些主要缺陷。本研究的主要目的是评估10米步行测试(10MWT)在青少年和年轻成人唐氏综合征患者中的可靠性。目的是通过计时起立行走测试(TUG)分析10MWT的结构效度。共纳入33名唐氏综合征患者。通过组内相关系数(ICC)验证可靠性。采用Bland-Altman方法分析一致性。最后,通过Pearson相关系数评估结构效度。10MWT的评分者内和评分者间可靠性分别良好(ICC在0.76至0.9之间)和优秀(ICC>0.9)。评分者内可靠性的最小可检测变化为0.188米/秒。此外,考虑到TUG测试,其已证明具有中等结构效度(r>0.5)。10MWT在青少年和成人唐氏综合征患者中显示出较高的评分者内和评分者间可靠性及效度,且在TUG测试和10MWT之间具有中等结构效度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7a/10136842/bb76ceb96e85/children-10-00655-g001.jpg

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