The Four Square Step Test is a feasible and valid clinical test of dynamic standing balance for use in ambulant people poststroke.
Arch Phys Med Rehabil
; 89(11): 2156-61, 2008 Nov.
Article
en En
| MEDLINE
| ID: mdl-18996245
ABSTRACT
OBJECTIVE:
To examine if the Four Square Step Test (FSST), a previously reported clinical test of dynamic standing balance, which involves stepping over obstacles and turning, was a feasible and valid test, and sensitive to change during stroke rehabilitation.DESIGN:
Prospective observational cohort study over a 4-week duration.SETTING:
Rehabilitation hospital.PARTICIPANTS:
People with stroke (N=37) who could walk at least 50m with minimal assistance were recruited consecutively when attending physical therapy during rehabilitation.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Dynamic standing balance was examined at 2 weekly intervals using 2 clinical tests the FSST and the Step Test. Falls events were monitored using a falls diary and by an audit of medical histories.RESULTS:
Strong agreement was observed between performance scores for the FSST and Step Test obtained within the same testing session (intraclass correlation coefficient(3,k), .94-.99). A moderate to strong inverse relationship (Spearman rho=-.73 to -.86) was observed between the FSST and Step Test scores at each assessment. Scores from both tests revealed significant improvements in dynamic balance across the 4-week period (P<.001-.010). Five of the participants reported falls during the study. These 5 people had low scores for both clinical tests and difficulty clearing their foot when stepping over objects in the FSST.CONCLUSIONS:
The FSST is a feasible and valid test of dynamic standing balance that is sensitive to change during stroke rehabilitation.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Accidentes por Caídas
/
Evaluación de la Discapacidad
/
Equilibrio Postural
/
Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2008
Tipo del documento:
Article
País de afiliación:
Australia