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Early development of the standing-start 180° turn test

Early development of the standing-start 180° turn test
Early development of the standing-start 180° turn test
Objectives: To design and validate a new video-based tool for quantifying turning during gait in people with Parkinson's Disease. Dysfunctional turning is common in Parkinson's Disease but most existing measurement tools are inadequate for this group, lack validity and are laboratory-based.
Design: Descriptors of turning were identified and the new tool, the Standing-start 180° Turn Test (SS-180), was derived from a short-list. Criterion validity was tested using Cartesian Optoelectronic Dynamic Anthropometry (CODA) as the criterion measure, and intra-rater and inter-rater reliability were tested.
Participants: Thirty-two healthy adults (aged 21–83 years) and eight people with Parkinson's Disease (aged 69–85 years).
Results: Seventy descriptors were identified and 20 were short-listed and combined to form four items: Turning Steps, Turn Time, Turn Type and Turn Quality. Time measurements from video and CODA agreed within 0.5 s on 95% of occasions in healthy adults and within 20% of each other in people with Parkinson's Disease; there was 92% agreement on Turning Steps and 84% agreement on Turn Type. Intra-rater reliability was 100% for Turning Steps, Turn Type and Turn Quality; mean Turn Time difference 0.1 s (95% limits of agreement ?0.3 to 0.1 s). Inter-rater reliability was 80% for Turning Steps, 100% for Turn Type and 90% for Turn Quality; mean Turn Time difference 0.0 s (95% limits of agreement ?0.4 to 0.5 s).
Conclusions: The video-based SS -180 was developed for measurement in Parkinson's Disease. Preliminary studies suggest that the simple turn test compares well with a laboratory-based criterion measure, and that reliability exceeds similar existing observational analysis tools
turning, parkinson's disease, ss-180, validity, reliability
0031-9406
6 - 13
Stack, Emma
0e1f47cc-4530-4ebe-aa72-21cffd207108
Ashburn, Ann
36f78aaf-fbbc-4ac5-bd56-de22a4b7e84c
Stack, Emma
0e1f47cc-4530-4ebe-aa72-21cffd207108
Ashburn, Ann
36f78aaf-fbbc-4ac5-bd56-de22a4b7e84c

Stack, Emma and Ashburn, Ann (2005) Early development of the standing-start 180° turn test. Physiotherapy, 91 (1), 6 - 13. (doi:10.1016/j.physio.2004.07.003).

Record type: Article

Abstract

Objectives: To design and validate a new video-based tool for quantifying turning during gait in people with Parkinson's Disease. Dysfunctional turning is common in Parkinson's Disease but most existing measurement tools are inadequate for this group, lack validity and are laboratory-based.
Design: Descriptors of turning were identified and the new tool, the Standing-start 180° Turn Test (SS-180), was derived from a short-list. Criterion validity was tested using Cartesian Optoelectronic Dynamic Anthropometry (CODA) as the criterion measure, and intra-rater and inter-rater reliability were tested.
Participants: Thirty-two healthy adults (aged 21–83 years) and eight people with Parkinson's Disease (aged 69–85 years).
Results: Seventy descriptors were identified and 20 were short-listed and combined to form four items: Turning Steps, Turn Time, Turn Type and Turn Quality. Time measurements from video and CODA agreed within 0.5 s on 95% of occasions in healthy adults and within 20% of each other in people with Parkinson's Disease; there was 92% agreement on Turning Steps and 84% agreement on Turn Type. Intra-rater reliability was 100% for Turning Steps, Turn Type and Turn Quality; mean Turn Time difference 0.1 s (95% limits of agreement ?0.3 to 0.1 s). Inter-rater reliability was 80% for Turning Steps, 100% for Turn Type and 90% for Turn Quality; mean Turn Time difference 0.0 s (95% limits of agreement ?0.4 to 0.5 s).
Conclusions: The video-based SS -180 was developed for measurement in Parkinson's Disease. Preliminary studies suggest that the simple turn test compares well with a laboratory-based criterion measure, and that reliability exceeds similar existing observational analysis tools

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More information

Published date: 2005
Keywords: turning, parkinson's disease, ss-180, validity, reliability

Identifiers

Local EPrints ID: 18053
URI: http://eprints.soton.ac.uk/id/eprint/18053
ISSN: 0031-9406
PURE UUID: c688602f-2ed3-4869-ab36-e7b77671e0c7

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Date deposited: 31 Jan 2006
Last modified: 15 Mar 2024 06:02

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Contributors

Author: Emma Stack
Author: Ann Ashburn

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