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全膝关节置换术后患者两分钟踏步测试的信度和效度。

Reliability and validity of the two-minute step test in patients with total knee arthroplasty.

机构信息

Department of Therapy and Rehabilitation, Tavsanli Vocational School of Health Services, Kutahya Health Sciences University, Tavsanli, Turkey.

Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandirma Onyedi Eylul University, Bandirma, Turkey.

出版信息

Disabil Rehabil. 2024 Jul;46(14):3128-3132. doi: 10.1080/09638288.2023.2239141. Epub 2023 Jul 24.

DOI:10.1080/09638288.2023.2239141
PMID:37486184
Abstract

PURPOSE

To investigate the test-retest reliability and concurrent validity of 2MST for assessing the physical performance of patients with total knee arthroplasty (TKA).

MATERIALS AND METHODS

Fifty-one patients with TKA, aged more than 18 years, of both sexes, and underwent a primary TKA at least six months ago, were included in this study. The intraclass correlation coefficient (ICC) and 95% confidence interval (CI), standard error of measurement (SEM), and minimum detectable change at the 95% confidence level (MDC) were used to determine the reliability of 2MST. In the validity, the correlations of the 2MST between the six-minute walk test (6MWT) and the two-minute walk test (2MWT) were assessed.

RESULTS

The reliability of 2MST was excellent (ICC = 0.97, SEM = 2.76, MDC = 7.6). There was a moderate correlation between 2MST and 6MWT ( = 0.586;  = 0.000), as well as between 2MST and 2MWT ( = 0.633;  = 0.000).

CONCLUSIONS

2MST proved to be a reliable and valid physical performance test in patients with TKA. 2MST can be used to evaluate the physical performance of TKA patients.ClinicalTrials.gov Identifier: NCT05064943.

摘要

目的

研究 2MST 评估全膝关节置换术(TKA)患者身体表现的重测信度和同时效度。

材料和方法

本研究纳入了 51 名年龄在 18 岁以上、性别不限、至少 6 个月前接受初次 TKA 的 TKA 患者。采用组内相关系数(ICC)和 95%置信区间(CI)、测量标准误差(SEM)和 95%置信水平下的最小可检测变化(MDC)来确定 2MST 的可靠性。在有效性方面,评估了 2MST 与 6 分钟步行测试(6MWT)和 2 分钟步行测试(2MWT)之间的相关性。

结果

2MST 的可靠性非常好(ICC = 0.97,SEM = 2.76,MDC = 7.6)。2MST 与 6MWT 之间存在中度相关性( = 0.586;  = 0.000),与 2MWT 之间也存在中度相关性( = 0.633;  = 0.000)。

结论

2MST 被证明是一种可靠且有效的 TKA 患者身体表现测试。2MST 可用于评估 TKA 患者的身体表现。

临床试验注册号

NCT05064943。

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