Reliability and validity of the functional reach test in ambulatory multiple sclerosis patients

Year 2020, Volume: 7 Issue: 1, 56 - 63, 31.03.2020

Ayla Fil Balkan , Yeliz Salcı , Hilal Keklicek

Abstract

Purpose: The aim of this study was to investigate the reliability and the validity of the Functional Reach Test in multiple sclerosis
(MS) patients.
Methods: Forty-six individuals with MS between the ages of 18-50 years, who were able to walk, between 1.5 and 5 according
to the Extended Disability Status Scale (EDSS) were included in the study. Functional Reach Test (FRT), Berg Balance Scale
(BBS) and computerized dynamic posturography (Limits of Stability Test (LOS): EndPoint Excursion, Maximum Excursion,
Directional Control, Movement Velocity, Reaction Time) were utilized. FRT was repeated after 3-7 days. To evaluate the
differentiation of FRT in MS patients between falling and non-falling patients, ROC (Receiver Operating Characteristic) analysis
was performed and the area under the curve (AUC) was calculated.
Results: Reliability was very good (ICC: 0.988) between initial and repeat measurement of FRT. ROC analysis showed that FRT
have excellent discriminative power to differentiate falling (AUC: 0.946). FRT were not correlated with Reaction Time
(rho=0.161) and Direction Control (rho=0.249) while it was moderately related with Movement Velocity (rho=0.376), EndPoint
Excursion (rho=0.350) and Maximum Excursion (rho=0.349). In addition, FRT was moderately correlated with BBS and EDSS
(rho=0.453, rho=0.370respectively).
Conclusion: Functional reach test is reliable in individuals with MS. It has moderate criterion and construct validity and provides
information about the fall risk. However, it is recommended to use LOS for more detailed results. 

Keywords

Multiple sclerosis, Postural balance, , Reliability, Validity

Ambulatuvar Multipl Skleroz Hastalarında Fonksiyonel Uzanma Testinin Güvenilirlik ve Geçerliliği

Abstract

Amaç: Çalışmanın amacı, multiple skleroz (MS) hastalarının değerlendirilmesinde Fonksiyonel Uzanma Testi’nin güvenirliğinin
ve geçerliğinin incelenmesiydi.
Yöntem: Çalışmaya 18-50 yaş arası, yürüyebilen, Genişletilmiş Özür Durum Ölçeği’ne (Expanded Disability Status Scale-GÖDÖ)
göre skoru 1,5-5 arasında olan, 46 MS’li birey dahil edildi. Katılımcılara sırasıyla Fonksiyonel Uzanma Testi (FUT), Berg Denge
Ölçeği (BDÖ) ve bilgisayarlı dinamik postürografi (Stabilite Limitleri Testi (SLT): son noktadan sapma, ulaşılabilen maksimum
nokta, yön kontrolü, reaksiyon zamanı, hareket hızı) uygulandı. FUT 3-7 gün sonra tekrar edildi. FUT’nin MS hastalarında düşen
ve düşmeyen hastaları ayırt ediciliğini değerlendirmek amacıyla ROC (alıcı işletim karakteristiği eğrisi) analizi yapıldı ve eğri
altında kalan alan hesaplandı (AUC).
Bulgular: FUT’nin ilk ölçümü ile tekrar ölçümü arasında güvenilirlik çok iyi (ICC:0,988) bulundu. ROC analizine göre FUT’nin
düşme ile ilgili ayırt ediciliği yüksek bulundu (AUC: 0,946). FUT ile SLT’nin alt parametreleri arasında ilişki incelendiğinde
reaksiyon zamanı (rho=0,161) ve yön kontrolü (rho=0,249) ile ilişkisinin olmadığı, hareket hızı (rho=0,376), subjektif son nokta
(rho=0,350) ve ulaşabilen son nokta (rho=0,349) arasında orta derecede ilişki olduğu bulundu. FUT’nin, BDÖ ve GÖDÖ
arasındaki korelasyonları orta düzeyde bulundu (rho=0,453, rho=0,370, sırasıyla).
Sonuç: Fonksiyonel uzanma testi, MS’si olan bireylerde güvenilir ve geçerlidir. Orta seviyede kriter ve içerik geçerliliğine sahip
olup düşme riski hakkında bilgi verir. Ancak daha detaylı sonuçlar için SLT kullanılmalıdır.

Keywords

Multipl skleroz, postüral denge, güvenirlik, geçerlilik

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