The usability of six physical performance tasks in a rehabilitation population with chronic low back pain

Smeets, Rob; Hijdra, Helma J. M.; Kester, A.D.M.; Hitters, Minou W. G. C.; Knottnerus, F. J. Andre

doi:10.1177/0269215506070698

Cited by 87 publications

(83 citation statements)

References 27 publications

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“…Patients' walking ability and fitness have been measured with different methods. The most frequently used current tests are: the 5-min walking test, the 15-m walking test, the 6-min walking test (6MWT), the 1-min stair-climbing, and the Å strand Fitness test (AF-test) [12][13][14]. The 6MWT is often used in clinical settings as a single measure of physical functional status [13,15].…”

Section: Introductionmentioning

confidence: 99%

The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

et al. 2013

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Background The number of patients undergoing lumbar spinal fusion procedures (LSF) has risen in recent years, but only few studies have examined different rehabilitation strategies for this patient group. Purpose To evaluate the impact of initiating rehabilitation either 6 or 12 weeks after a LSF based on the patients' physical performance using the 6-min walking test (6MWT) and the Å strand Fitness test (AF-test) as measurement. Methods A multicentre RCT including 82 patients with degenerative disc diseases undergoing LSF randomly assigned to initiate rehabilitation either 6 or 12 weeks after surgery. Both groups received the same group-based rehabilitation. The main outcome measures were the 6MWT and the AF-test, secondarily questionnaire-based measures. Follow-up at baseline as well as at 3, 6 and 12 months after surgery.Results Comparing the two groups no statistically significant difference was found in walking distance or fitness over time. In both groups, the patients achieved an overall increase in walking distance (p \ 0.01), but no improvement in fitness. The 6MWT showed significant correlation (-0.37 to -0.59) with the questionnaire-based outcome measures (p \ 0.01). The AF-test did not correlate to either the 6MWT or any of the questionnaire-based outcome measures. Conclusion No difference was found in the effect of initiating rehabilitation either 6 or 12 weeks after LSF on the patients' physical performance in terms of fitness and walking distance. The 6MWT showed fair to moderate correlation to the questionnaire-based outcome measures. The AF-test showed no significant independent value, and we question its use in LSF patients.

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Section: Introductionmentioning

confidence: 99%

The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

et al. 2013

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“…For the distance walked in five minutes, the therapist measures the farthest distance the patient can walk within five minutes. They have been reported as valid and reliable measuring tools in LBP [13,14].…”

Section: Measurementsmentioning

confidence: 99%

“…Each section is scored on a 0-to-5 scale, with higher values representing greater disability. Three performance-based measures (fifty-foot preferred speed walk, fifty-foot fast speed walk, and distance walked in five minutes) were used to measure physical function in patients with LBP [13,14]. For the fifty-foot preferred speed walk, the patient walks forward at his/her preferred walking speed for 25 feet and turns around and returns to the starting position.For the fifty-foot fast speed walk, the patient walks as fast as possible forward for 25 feet and turns around and returns to the starting position.…”

Section: Measurementsmentioning

confidence: 99%

A randomized comparison of supervised clinical exercise versus a home exercise program in patients with chronic low back pain

Ammar¹

2017

Phys Ther Rehabil

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Objective: The purpose of this study was to compare between the effects of clinically supervised exercises and HEP on pain, disability and physical function in patients with chronic low back pain (LBP). Setting: A physical therapy outpatient clinic. Participants: Thirty-three participants with chronic LBP completed the program. Pain duration was more than 12 weeks. Interventions: The first group (n=17, mean age=41.5±13.5 years) received clinically supervised exercises and HEP. The second group (n=16, mean age=44.2±15.6 years) received HEP. Materials: Visual analogue scale, Oswestry disability questionnaire and performance based measures (the fifty-foot preferred speed walk, fifty-foot fast walk, and distance walked in five minutes) were used to measure pain, disability and physical function before and after 6 weeks of intervention.

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“…15,23,58,59 However, comparisons to normal individuals without LBP are lacking. Therefore, assessment of the most appropriate test(s) for the pre-and post-injury LBP patient, whether they are impairment, PPM's self-report measure, or some combination thereof, are overdue.…”

Section: Key Point #3: Limitations Of Fpt and Future Directions In Thmentioning

confidence: 99%

The assessment of function: How is it measured? A clinical perspective

Reiman

Manske

2011

Journal of Manual & Manipulative Therapy

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Testing for outcome or performance can take many forms; including multiple iterations of self-reported measures of function (an assessment of the individual's perceived dysfunction) and/or clinical special tests (which are primarily assessments of impairments). Typically absent within these testing mechanisms is whether or not one can perform a specific task associated with function. The paper will operationally define function, discuss the construct of function within the disablement model, will overview the multi-dimensional nature of 'function' as a concept, will examine the current evidence for functional testing methods, and will propose a functional testing continuum. Limitations of functional performance testing will be discussed including recommendations for future research.

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The usability of six physical performance tasks in a rehabilitation population with chronic low back pain

Cited by 87 publications

References 27 publications

The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

The effect of timing of rehabilitation on physical performance after lumbar spinal fusion: a randomized clinical study

A randomized comparison of supervised clinical exercise versus a home exercise program in patients with chronic low back pain

The assessment of function: How is it measured? A clinical perspective

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