修正された4正方形ステップテスト (mFSST) の有効性および信頼性について,性脊髄炎患者において
Serbay Sekeroz1, Meryem Buke2, Server Ilter3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Van Yuzuncu Yil University, Van, Turkey.
Clinical rheumatology
|February 12, 2026
まとめ
修正された4正方形ステップテスト (mFSST) は,アンキロージングスポンジライト (AS) 患者における動的バランスを確実に測定します. この簡潔で機器を必要としないテストは,臨床評価とモニタリングを支援する他の機能的対策と良好に相関しています.
科学分野:
- リハビリテーション医学 リハビリテーション医学
- 整形外科 整形外科 整形外科
- 理学療法による理学療法です.
背景:
- アンキロージング・スポンジライト (AS) は,患者のダイナミック・バランスと機能的モビリティに重大な影響を及ぼします.
- 客観的な評価ツールは,バランスの赤字を評価し,ASのリハビリテーションを導くために不可欠です.
- 修正された4正方形のステップテスト (mFSST) は,動的バランスを評価するための潜在的なツールです.
研究 の 目的:
- AS患者におけるmFSSTのテスト再テスト信頼性を評価する.
- mFSSTの同時有効性を,ASにおける確立された機能検査と疾患指標と比較して評価する.
主な方法:
- 48人のAS参加者は,1時間の休憩で同じ日に2回のmFSST投与を受けた.
- 同時有効性は,タイムアップ・アンド・ゴー (TUG),ファイヴ・タイムズ・シット・トゥ・スタンド (5xSTS),ファンクショナル・リーチ (FR),BASDAI,BASFIを用いて検証されました.
- 統計分析には,ICC,SEM,MDC95,Bland-Altmanプロット,Spearman相関が含まれていました.
主要な成果:
- mFSSTは,テスト再テストの優れた信頼性 (ICC = 0.952) を示し,最小検出可能な変化 (MDC95) が1.17秒であった.
- mFSSTとTUG (r=0.771),5xSTS (r=0.473),BASDAI/BASFI (r≈0.5-0.68) との間で強い相関が認められた.
- 機能的リーチテスト (p > 0.05) と有意な関連は観察されなかった.
結論:
- mFSSTは,AS患者のダイナミックバランスを評価するための信頼性と有効なツールです.
- その使いやすさ,最小限の装備要件,および解釈可能なメトリックは,臨床統合をサポートします.
- MDC95は,AS患者のリハビリテーションにおける有意義な改善を追跡するためのベンチマークを提供します.
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