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Motor Assessment Timed Test (MATT): A New Timed Test to Assess Functional Mobility in Parkinson's Disease Patients
Sergio Sebastia-Amat1, Juan Tortosa-Martínez1, Basilio Pueo1
1Health, Physical Activity and Sports Technology (HEALTH-TECH), Department of General and Specific Didactics, Faculty of Education, University of Alicante, 03690 Alicante, Spain.
Journal of Clinical Medicine
|January 25, 2025
Summary
The new Motor Assessment Timed Test (MATT) reliably measures functional mobility in Parkinson's disease (PD) patients. This tool offers a comprehensive assessment to improve PD management and patient outcomes.
Area of Science:
- Neurology
- Movement Disorders
- Rehabilitation Science
Background:
- Parkinson's disease (PD) significantly impairs motor function, increasing fall risk.
- Existing assessment tools inadequately capture PD-related motor complexities.
- There is a need for reliable tools to assess functional mobility in PD.
Purpose of the Study:
- Introduce and evaluate the Motor Assessment Timed Test (MATT) for assessing functional mobility in PD.
- Determine the reliability and validity of the MATT.
- Assess the feasibility of MATT in PD patients.
Main Methods:
- A cross-sectional study involving 57 idiopathic PD participants (aged 44-84).
- Participants underwent assessments including MATT, Timed Up and Go (TUG), and Berg Balance Scale (BBS).
- MATT evaluated gait, balance, and dual-task performance under challenging conditions.
Main Results:
- MATT demonstrated excellent reliability: intra-rater (ICC=0.99), inter-rater (ICC=0.96-0.99), and test-retest (ICC=0.93-0.99).
- High concurrent validity was found with TUG (ρ=0.86) and BBS (ρ=-0.83).
- Few participants reported understanding difficulties (7.3%), but 23.6% faced performance challenges, particularly those with advanced PD or lower MMSE scores.
Conclusions:
- MATT is a reliable and valid tool for assessing motor complications in PD.
- It offers a comprehensive evaluation of functional mobility.
- MATT has the potential to enhance PD management and patient outcomes through tailored interventions.
