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Timed 360° Turn Test for Assessing People With Chronic Stroke
Clara H Shiu1, Shamay S Ng2, Patrick W Kwong2
1Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong (SAR); Physiotherapy Department, Kowloon Hospital, Kowloon City, Hong Kong (SAR).
Archives of Physical Medicine and Rehabilitation
|December 24, 2015
Summary
The timed 360° turn test demonstrates excellent reliability and validity for assessing turning ability in individuals with stroke. This simple clinical tool effectively differentiates stroke survivors from healthy older adults.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Movement Science
Background:
- Turning is a critical component of mobility and balance in individuals post-stroke.
- Assessing turning ability accurately is essential for effective rehabilitation and fall prevention strategies.
- Existing measures may not fully capture the nuances of turning deficits in stroke survivors.
Purpose of the Study:
- To evaluate the intrarater, interrater, and test-retest reliability of the timed 360° turn test in stroke patients.
- To determine the concurrent validity of the timed 360° turn test against established stroke-specific impairment measures.
- To identify optimal cutoff times for discriminating individuals with stroke from healthy older adults.
Main Methods:
- A cross-sectional study was conducted with 72 individuals with chronic stroke and 35 healthy controls.
- Participants underwent the timed 360° turn test alongside various functional and strength assessments.
- Measures included the Fugl-Meyer assessment, ankle strength, Berg Balance Scale, and Timed Up and Go (TUG) test.
Main Results:
- The timed 360° turn test exhibited excellent intrarater, interrater, and test-retest reliability in the stroke group.
- Significant correlations were found between turn times and measures of lower extremity function, strength, balance, and gait speed.
- Cutoff times between 3.43 and 3.49 seconds effectively discriminated individuals with stroke from healthy older adults.
Conclusions:
- The timed 360° turn test is a reliable and easily administered clinical tool for assessing turning ability in chronic stroke.
- This test provides valuable insights into functional mobility deficits following stroke.
- Its ability to discriminate between stroke survivors and healthy individuals supports its clinical utility.
