Sevik Kacmaz Kevser, Unver Bayram, Karatosun Vasfi
Department of Physical Therapy and Rehabilitation, Izmir Katip Celebi University, Cigli, Izmir, Turkey.
School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Balçova, Izmir, Turkey.
Br J Occup Ther. 2023 Dec;86(12):805-809. doi: 10.1177/03080226231192368. Epub 2023 Sep 15.
Hip osteoarthritis (OA) can result in joint pain, stiffness, compromised balance, hindered mobility, and decreased functional independence. The Cone Evasion Walk Test (CEW) was designed for evaluating balance by evaluating the capacity to evade obstacles. Consequently, the study's objective was to assess the validity and reliability of the CEW in hip OA patients.
A total of 24 patients with hip OA were enrolled. Patients performed trials for the CEW and the timed up and go test (TUG). Between the trials, patients rested for an hour. The falls within the previous 12-month period were reported.
The analysis showed that the CEW has excellent reliability and high validity in hip OA. ( < 0.001). The relative (intraclass correlation [ICC] coefficient) and absolute (SEM and SRD95) reliability of the CEW were 0.96 (0.88-0.98 95% CI), 0.56, and 1.54, respectively. The Spearman correlation coefficient between the CEW and the TUG was 0.74 ( < 0.001) and between the CEW and the falls in the last 12 months was 0.51 ( > 0.05).
The CEW is effective for evaluating the function, dynamic balance, and mobility in patients with hip OA and could be a more accurate measure of the dynamic balance activities in the community.
髋骨关节炎（OA）可导致关节疼痛、僵硬、平衡受损、行动不便以及功能独立性下降。圆锥回避步行试验（CEW）旨在通过评估躲避障碍物的能力来评估平衡能力。因此，本研究的目的是评估CEW在髋OA患者中的有效性和可靠性。
共纳入24例髋OA患者。患者进行了CEW试验和定时起立行走试验（TUG）。两次试验之间，患者休息1小时。报告了过去12个月内的跌倒情况。
分析表明，CEW在髋OA中具有出色的可靠性和高有效性（<0.001）。CEW的相对（组内相关[ICC]系数）和绝对（SEM和SRD95）可靠性分别为0.96（0.88 - 0.98，95%CI）、0.56和1.54。CEW与TUG之间的Spearman相关系数为0.74（<0.001），CEW与过去12个月内跌倒之间的相关系数为0.51（>0.05）。
CEW对评估髋OA患者的功能、动态平衡和行动能力有效，并且可能是社区中动态平衡活动更准确的测量方法。
