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Timed 360° Turn Test for Assessing People With Chronic Stroke

Published:December 13, 2015DOI:https://doi.org/10.1016/j.apmr.2015.11.010

      Abstract

      Objectives

      To investigate (1) the intrarater, interrater, and test-retest reliability of the timed 360° turn test in subjects with stroke; (2) the concurrent validity of the timed 360° turn test by exploring its correlation with other measures of stroke-specific impairments; and (3) the cutoff times that best discriminate individuals with stroke from healthy older adults.

      Design

      Cross-sectional study.

      Setting

      University-based rehabilitation center.

      Participants

      Individuals with chronic stroke (n=72) and healthy individuals (n=35) of similar age (N=107).

      Interventions

      Not applicable.

      Main Outcome Measures

      The timed 360° turn test was administered along with the Fugl-Meyer assessment of the lower extremity, measurement of muscle strength of ankle dorsiflexors and plantarflexors using a handheld dynamometer, Berg Balance Scale, limit of stability test, five times sit-to-stand (FTSTS) test, 10-m walk test, and timed Up and Go (TUG) test.

      Results

      The 360° turn times showed excellent intrarater, interrater, and test-retest reliability in individuals with stroke. A minimal detectable change of .76 seconds was found for subjects turning toward the affected side and 1.22 seconds for subjects turning toward the unaffected side. The 360° turn times were found to correlate significantly with Fugl-Meyer assessment of the lower extremity scores, dosiflexor strength of the affected ankle, plantarflexor strength of both ankles, FTSTS test times, balance performance, gait speed, and TUG test times. The 360° turn times of 3.43 to 3.49 seconds were shown to discriminate reliably between individuals with stroke and healthy older adults.

      Conclusions

      The timed 360° turn test is a reliable and an easily administered clinical tool to assess the turning ability of subjects with chronic stroke.

      Keywords

      List of abbreviations:

      AUC (area under the curve), BBS (Berg Balance Scale), FMA-LE (Fugl-Meyer assessment of the lower extremity), FTSTS (five times sit-to-stand), ICC (intraclass correlation coefficient), LOS (limit of stability), MDC (minimal detectable change), TUG (timed Up and Go)
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      • Correction
        Archives of Physical Medicine and RehabilitationVol. 97Issue 6
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          In the article “Timed 360° Turn Test for Assessing People With Chronic Stroke” (Shiu et al, Arch Phys Med Rehabil 2016;97:536-44), the sentence in the abstract that reads Participants: Individuals with chronic stroke (n=72) and healthy individuals (n=35) of similar age (N=107).
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