Test-Retest Reliability and Minimal Detectable Change on Balance and Ambulation Tests, the 36-Item Short-Form Health Survey, and the Unified Parkinson Disease Rating Scale in People With Parkinsonism

Steffen, Teresa M; Seney, Megan

doi:10.2522/ptj.20070214

Cited by 691 publications

(587 citation statements)

References 86 publications

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“…14 The primary outcomes of interest were balance function measured on the Berg Balance Scale, 15,16 motor impairment measured using the Unified Parkinson's Disease Rating Scale-Subsection 3 (UPDRS-3), 16,17 and functional mobility measured using the Timed Up and Go Test. 16 Secondary outcomes of interest were endurance assessed using the 6-minute walk test, 18,19 quality of life assessed on the Parkinson's Disease Questionnaire-39, 20,21 and activity and participation as measured on the Physical Activity Scale for the Elderly. 14,22 If studies used more than 1 measurement tool to assess the same outcome (primary or secondary), information regarding only the measurement tool listed was reviewed.…”

Section: Outcomes Of Interestmentioning

confidence: 99%

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Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Shanahan

Morris

Bhriain

et al. 2015

Archives of Physical Medicine and Rehabilitation

149

118

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Objectives: (1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population. Data Extraction: Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed. DataData Synthesis: Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.Conclusions: Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.

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Section: Outcomes Of Interestmentioning

confidence: 99%

“…[14][15][16][17][18][19][20][21][22][42][43][44][45] The only exceptions were the Semi-tandem Test, the MDS-UPDRS-3, the Activity Card Sort, and the modified version of the Quality of Life Scale. To our knowledge, the Semi-tandem Test is usually performed as part of a battery of tests rather than as a single balance test.…”

Section: Selectionmentioning

confidence: 99%

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Shanahan

Morris

Bhriain

et al. 2015

Archives of Physical Medicine and Rehabilitation

149

118

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“…To minimize the potential for introducing a training effect, each testing session was separated by a minimum of seven days. 19 During the first testing session, a familiarization trial was administered, per SWAY recommendations. The familiarization trial was then followed by two experimental SWAY trials.…”

Section: Methodsmentioning

confidence: 99%

Test-Retest Reliability of the sway Balance Mobile Application

Amick

Chaparro²,

Patterson³

et al. 2015

JournalMTM

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Background: The SWAY Balance Mobile Application is an FDA-cleared balance testing system which uses the built-in tri-axial accelerometers of a mobile electronic device to objectively assess postural movement. The system was designed to provide a means of quantitative balance assessment in clinical and on-field environments. The purpose of this study was to determine the intrasession and intersession reliability, as well as the minimum difference to be considered real, of the SWAY Balance Mobile Application.Methods: 24 individuals (15 male, 9 female; aged 25.96 (95.78 years)) performed the SWAY Balance protocol twice per testing session over a period of three testing sessions. Each testing session was separated by a minimum of seven days. Interclass Correlation Coefficients were calculated as an indication of the test-retest reliability. The minimum difference to be considered real was calculated to determine the minimum score change necessary to indicate an actual change in balance performance.Results: Mean SWAY Balance scores ranged from 86.90 (914.37) to 89.90 (911.19). Repeated measures ANOVA revealed no significant mean differences between SWAY balance scores of the experimental trials (F (5,115) 0 0.673; p 0 0.65). Excellent reliability was found (ICC(3,1) 0 0.76; SEM 0 5.39) with a minimum difference to be considered real of approximately 15. Conclusions:Results indicate that SWAY provides excellent overall reliability. However, it may be appropriate to have subjects perform a familiarization trial at the beginning of each testing session. Additionally, SWAY may demonstrate a ceiling effect when assessing balance improvements in those who already demonstrate good balance.

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“…While the MDC for manual assessment of the 30-Second Chair Stand [8][9][10], 8-Foot Up-and-Go [8][9][10] (or various versions of the Timed Up-andGo [11][12][13]), and the 6-Minute Walk Test [10][11][12][13] have been established, to our knowledge the MDC for instrumented (APDM) and manual versions of these tests have not been directly compared. Furthermore, the MDC for cadence, gait speed, and turn duration during the 6-Minute Walk Test have yet to be established.…”

Section: Introductionmentioning

confidence: 99%

Concurrent validity and minimum detectable change of Senior Fitness Test components: instrumented vs. manual assessment

Salvatore¹,

Colacino²,

Hess³

et al. 2017

Phys Ther Rehabil

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Background: The Senior Fitness Test is a reliable and valid battery of individual tests which collectively measure the strength, balance, and endurance necessary to perform activities of daily living. These tests require little equipment or cost to administer, and are commonly administered in both clinical and community settings. However, with recent and rapid advancements in technology, there is now frequent use of wearable sensors to assess and quantify mobility tasks. It was the primary aim of the present study to compare the relative and absolute test-retest reliability of body-worn sensors vs. manual assessment of Senior Fitness Test components. Methods: Participants (65 years and older) attended a single 2-hour test session at a university academic building, where they performed two blocks of 3 tests (30-Second Chair Stand, 8-Foot Up-and-Go, and 6-Minute Walk Test) with a 45 minute to one hour rest in between blocks. Ambulatory Parkinson's Disease Monitoring (APDM) Opal sensors and stopwatch methods simultaneously measured the intended outcomes for each test. Test-retest relative reliability for the fitness tests was assessed with intra-class correlation coefficients (ICC (2,1) ). The agreement between test and retest was assessed by calculating minimum detectable change, which reflects the smallest amount of absolute change from test to retest that can be considered real. Results: Participants included 17 females and 11 males (Age=70.6±5.4 years; Body Mass=70.6±15.3 kg; Height=1.66±0.08m). All manual 6-Minute Walk Test outcomes exhibited excellent test-retest reliability (ICC≥0.96). The same was true of APDM, except for turn duration (ICC>0.74) and the number of steps in turn (ICC>0.61). Test-retest reliability for the 30-Second Chair Stand and 8-Foot Up-and-Go were excellent for the manual method (ICC>0.83 and >0.88, respectively), but were poor for APDM (ICC>0.41 and >0.28, respectively). Minimum detectable change was similar between the APDM and manual methods for 6-Minute Walk Test cadence (6.8 vs. 6.6 steps/min, respectively) and gait speed (0.11 vs. 0.13 m/s, respectively). There were substantial differences between manual and APDM minimum detectable change for the 30-Second Chair Stand and 8-Foot Up-and-Go, with APDM requiring approximately twice as much change, compared with manual. Conclusions: Both the APDM system and manual methods reliably and validly assessed gait speed and cadence during the 6-Minute Walk Test, though it should be noted that APDM only successfully recorded and reported data for 2 out of every 3 participants. The manual method of assessing the 8-Foot Up-and-Go and 30-Second Chair Stand was more valid and reliable than the APDM method.

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Test-Retest Reliability and Minimal Detectable Change on Balance and Ambulation Tests, the 36-Item Short-Form Health Survey, and the Unified Parkinson Disease Rating Scale in People With Parkinsonism

Cited by 691 publications

References 86 publications

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Test-Retest Reliability of the sway Balance Mobile Application

Concurrent validity and minimum detectable change of Senior Fitness Test components: instrumented vs. manual assessment

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