Abstract
Objective
To examine the validity and clinical utility of functional assessments (1-minute walk
test, 10-meter walk test, Timed Up & Go [TUG] test, Timed Up and Down Stairs [TUDS]
test, sit-to-stand [STS] test, and lateral step-up [LSU] test).
Design
Cross-sectional study.
Setting
Four special schools for adolescents with physical disabilities.
Participants
Adolescents with spastic tetraplegia and diplegia (at levels I–III) were selected
through convenience sampling (N=35; mean age, 14.97±2.03y).
Interventions
Not applicable.
Main Outcome Measures
GMFM-88 (dimensions D and E), 1-minute walk, 10-meter walk, TUG, TUDS, STS, and LSU
tests. Data were analyzed using Pearson intercorrelations, multiple regression analysis,
and multivariate analysis of variance (MANOVA).
Results
Significant moderate to high intercorrelations were found. Three significant positive
predictors emerged (1-minute walk, 10-meter walk, and LSU) with the following regression
equation: YGMFM-88 (dimensions D and E) = 5.708 + .402 × X1-minute walk + .920 × XLSU + .404 × X10-meter walk The MANOVA was significant (Λ=.163, F=14.732, P<.001, η2=.596), and post hoc comparisons revealed significant differences across Gross Motor
Function Classification System Expanded and Revised levels in all paired comparisons
for the 1-minute walk and LSU tests. For the 10-meter walk test, significant differences
were evident in the level I versus level III and level II versus level III comparisons.
No significant differences were found in the 10-meter walk test between levels I and
II.
Conclusions
These functional assessments (1-minute walk, LSU, and 10-meter walk tests) are simple
to administer, quick, low cost, and user-friendly. Although these assessments are
not a substitute for the criterion standard (GMFM-88), they may be used for a quick
assessment in adolescents with cerebral palsy (levels I–III) either at school or during
rehabilitation, especially when time is limited.
Keywords
List of abbreviations:
CP (cerebral palsy), GMFCS E&R (Gross Motor Function Classification System Expanded and Revised), GMFM-66 (Gross Motor Function Measure-66), GMFM-88 (Gross Motor Function Measure-88), LSU (lateral step-up), MANOVA (multivariate analysis of variance), STS (sit-to-stand), TUDS (Timed Up and Down Stairs), TUG (Timed Up & Go)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 14, 2013
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
