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Clinimetrics of the Upright Motor Control Test in chronic stroke

机译:慢性卒中直立运动控制测试的斜度

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Abstract Introduction Insufficient literature exists regarding the clinimetric properties of the Upright Motor Control Test Knee Extension and Flexion subtests (UMCT-KE and UMCT-KF, respectively). This study examined the interrater and test-retest reliability of these subtests, and determined the relationship between the UMCT-KE and a clinical measure of muscle function in a sample of adults with chronic stroke. Methods Three raters independently administered the UMCT-KE and UMCT-KF on adults with chronic stroke with spasticity/abnormal movement patterns. Testing of each participant occurred on two occasions (T1 and T2) separated by a two-week interval. A fourth rater independently administered the Five Times Sit to Stand Test (FTSST), a measure of lower extremity muscle function (power), on T2. Results Twenty-nine adults aged 55 ???± 8 years, comprising 21 men (72%), and who were 9 ???± 5 years poststroke, completed the study. Most of the participants (66%, 19/29) did not require an assistive device during walking. The UMCT-KE and UMCT-KF demonstrated substantial interrater reliability ( W = 0.63?¢????0.67 and 0.72?¢????0.75, respectively) and substantial to almost perfect test-retest reliability across the raters ( W = 0.75?¢????0.82 and 0.85?¢????0.87, respectively). The UMCT-KE showed positive inverse correlation with the FTSST (???? = ?¢????0.52, p = .003). Conclusions Scores on both subtests are reproducible within raters and across different raters. The relationship of UMCT-KE scores with FTSST scores implies that the UMCT-KE can provide information that relates with the construct of muscle function in a weight-bearing position.
机译:摘要简介有关立式运动控制膝关节伸直和屈伸子测验(分别为UMCT-KE和UMCT-KF)的斜度特性的文献不足。这项研究检查了这些子测验的间断性和重测信度,并确定了UMCT-KE与成人慢性卒中样本的肌肉功能临床指标之间的关系。方法3名评估者分别对患有中风/异常运动方式的慢性中风成年人单独服用UMCT-KE和UMCT-KF。每个参与者的测试在两次间隔两个星期的时间(T1和T2)中进行。第四位评估者在T2上独立进行了五次静坐测试(FTSST),这是一种测量下肢肌肉功能(力量)的方法。结果29名55岁±8岁的成年人,包括21名男性(72%),中风后9±5岁,完成了研究。大多数参与者(66%,19/29)在步行过程中不需要辅助装置。 UMCT-KE和UMCT-KF表现出了显着的区间可靠性(分别为W = 0.63×0.67和0.72××0.75),并且在整个评估者中具有基本至几乎完美的重测可靠性(W =分别为0.75(0.82)和0.85(0.87)。 UMCT-KE与FTSST显示出正的负相关(Δε=Δε= 0.52,p = 0.003)。结论两个子测验的分数在评估者内和不同评估者之间均具有可重现性。 UMCT-KE评分与FTSST评分之间的关​​系意味着UMCT-KE可以提供与负重位置的肌肉功能结构有关的信息。

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