帕金森病患者的2分钟步骤测试的测试-重复测试和测试者之间的可靠性和构造有效性
Marina Genari Murad Carolino Dos Santos1, Fabiana Acorse Francischetti Benazzi2, André Luis Uhdre2
1Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, Brazil; Sarah Network of Rehabilitation Hospitals, São Luís, Brazil.
Journal of bodywork and movement therapies
|November 27, 2024
概括
2分钟步骤测试 (2MST) 证明了可靠和有效的结果,用于评估帕金森病 (PD) 患者的有氧耐力. 这使得它成为跟踪疾病进展和治疗有效性的有用工具.
科学领域:
- 神经学 神经学
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 帕金森病 (PD) 是一种神经退行性疾病,影响运动控制和功能能力.
- 空气性耐力是PD患者身体功能的关键组成部分.
- 需要可靠和有效的评估工具来监测PD患者的有氧能力.
研究的目的:
- 为了确定2分钟步骤测试 (2MST) 的测试-重复测试和间评分器可靠性.
- 评估2MST在患有帕金森病的人群中的构造有效性.
- 评估2MST评估的亲自和视频录制之间的一致性.
主要方法:
- 两名训练有素的检查员对患有PD的个体进行了两次2MST的治疗.
- 同时测量包括伯格平衡量级 (BBS),统一帕金森病评分量级 (UPDRS),霍恩和雅尔量级 (H&Y),步行速度和节奏,5次坐立测试 (5TSST) 和定时上升和移动 (TUG).
- 使用类内相关系数 (ICC),标准测量误差 (SEM) 和最小可检测变化 (MDC) 来评估可靠性. 使用Pearson和Spearman的相关系数来评估构造有效性. 布兰德-阿尔特曼地图评估了面对面和视频评估之间的一致性.
主要成果:
- 2MST表现出足够的测试重复测试可靠性 (ICC = 0.80) 和出色的评审者间可靠性 (ICC = 0.93).
- 在面对面和视频录制的评估之间观察到可接受的一致性.
- 在2MST和步行速度 (>0.50) 之间发现了显著的相关性,以及与BBS,步行节奏,UPDRS和TUG (0.30-0.50) 的中度相关性.
结论:
- 2MST是一种可靠的工具,用于评估帕金森病患者的有氧耐力.
- 该测试证明了足够的测试-重复测试和评估者之间的可靠性.
- 2MST具有有效的构造来评估PD人群中的有氧能力.
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