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Floor transfer test for assessing people with chronic stroke.
Shamay S M Ng1, Shirley S M Fong, Carrie W L Chan
1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong (SAR), China. Shamay.Ng@inet.polyu.edu.hk, rssng@inet.polyu.edu.hk, Shamay.Ng@polyu.edu.hk.
Journal of Rehabilitation Medicine
|April 18, 2015
Summary
The Timed Floor Transfer Test (FTT) reliably measures floor transfer ability in stroke survivors. An 8.8-second cut-off effectively distinguishes individuals with stroke from healthy older adults.
Area of Science:
- Rehabilitation Science
- Clinical Biomechanics
- Neurology
Background:
- Assessing functional mobility after stroke is crucial for rehabilitation.
- The Timed Floor Transfer Test (FTT) is a potential tool for evaluating the ability to move from the floor to a standing position.
- Reliability and validity data are needed to support its clinical use.
Purpose of the Study:
- To determine the reliability (intra-rater, inter-rater, test-retest) of the FTT.
- To assess the validity of FTT times against stroke-specific impairments and functional mobility measures.
- To identify a cut-off time for discriminating between individuals with stroke and healthy older adults.
Main Methods:
- A cross-sectional study was conducted in a university-based rehabilitation laboratory.
- Forty-seven individuals with stroke and 35 healthy older adults participated.
- Measurements included FTT completion times, Fugl-Meyer assessment of lower extremities (FMA-LE), Five Times Sit-To-Stand Test (FTSTST), Berg Balance Scale (BBS), Timed Up & Go (TUG) test, and Activities-specific Balance Confidence Scale (ABC).
Main Results:
- The FTT demonstrated good to excellent intra-rater, inter-rater, and test-retest reliability.
- The minimal detectable change for FTT was 7.7 seconds.
- An FTT cut-off time of 8.8 seconds effectively discriminated between people with stroke and healthy older adults.
- FTT times correlated significantly with FMA-LE, BBS, FTSTST, and TUG scores.
Conclusions:
- The Timed Floor Transfer Test (FTT) is a reliable clinical measure for assessing floor-transfer ability in individuals with chronic stroke.
- The FTT shows good validity when correlated with established measures of motor impairment and functional mobility.
- The identified cut-off time aids in differentiating stroke survivors from healthy older adults, supporting its clinical utility.
