Validity And Reliability of The Timed 360° Turn Test in Children With Cerebral Palsy

Year 2024, Volume: 14 Issue: 5, 228 - 234, 25.09.2024

Hatice Adıgüzel , Zekiye İpek Katırcı Kırmacı , Cengiz Dilber , Suat Erel

Abstract

Aim: The purpose of this study was to evaluate the timed 360° turn test (360DTT) in children with cerebral palsy (CP) for validity and reliability.
Material and Method: Children with spastic CP (n=91) with lower extremity spasticity ≤ 3 according to the Modified Ashworth Scale (MAS) and Expanded and Revised Gross Motor Functional Classification System (GMFCS-E&R) Level ≤ 2 were included. 360DTT, Pediatric Berg Balance Scale (PBBS), Timed Up and Go Test (TUG), Pediatric Functional Reaching Test (PFRT) and Four Square Stepping Test (FSST) were performed. 360DTT was repeated by two different physiotherapists on consecutive days.
Results: The test-retest reliability of 360DTT was assessed using intraclass correlation coefficients (ICC). The correlation between PBBS, TUG, PFRT and FSST tests were used for validity. Inter-rater reliability of 360DTT (right) and 360DTT (left) (Inter-rater ICC=0.849-0.918, ICC=0.859-0.924) was found to be excellent. Significant correlation was found between 360DTT (right) (1st measurement) and PBBS (r=-0.520 p≤0.001), TUG (r=0.304 p=0.003), PFRT front (r=-0.283 p=0.007) PFRT right (r=-0.295, p=0.005), PFRT left (r=-0.228 p=0.03) and FSST (r=0.381 p≤0.001). Also there was correlation between 360DTT (left) (1st measurement) and PBBS (r=-0.517 p≤0.001), PFRT front (r=-0.213 p=0.042), PFRT right (r=-0.253 p=0.016) and FSST (r=0.280, p=0.007). Significiant correlation was found between the360DTT (right) (2nd measurement) and PBBS (r=-0.542 p≤0.001), TUG (r=0.217 p=0.039), PFRT front (r=-0.272 p=0.009) PFRT right (r=-0.304 p=0.003) and FSST (r=0.312 p=0.003) tests. Significant correlation was discovered between 360DTT (left) (2nd measurement), PBBS (r=-0.479 p≤0.001), and FSST (r=0.232 p=0.027).
Conclusion: 360DTT was found to be valid and reliable in children with CP.

Keywords

Validity, Reliability, Timed 360° Turn Test, Cerebral Palsy

Ethical Statement

The study was approved by the XXXXX University Medical Research Ethics Committee (Decision No: 2022/07). And the study performed according to the principles of the Declaration of Helsinki.

Supporting Institution

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Project Number

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Thanks

We acknowledge the children who participated the study.

Serebral Palsili Çocuklarda Süreli 360° Dönme Testinin Geçerliliği ve Güvenirliği

Abstract

ÖZ
Amaç: Bu çalışmada, Serebral Palsi 'li (SP) bireylerde Zamanlı 360° Dönme Testi'nin (360DTT) geçerlilik ve güvenilirliğinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Modifiye Ashworth Skalası'na (MAS) göre alt ekstremite spastisitesi ≤ 3 düzeyindeki Genişletilmiş ve Revize Edilmiş Kaba Motor Fonksiyon Sınıflandırma Sistemi (GMFCS-E&R) ≤ 2 olan spastik SP'li (n=91) çocuklar dahil edildi. 360DTT, Pediatrik Berg Denge Skalası (PBBS), Zamanlı Kalk ve Yürü Testi (TUG), Pediatrik Fonksiyonel Uzanma Testi (PFRT) ve Dört Kare Adımlama Testi (FSST) yapıldı. 360DTT farklı günlerde iki ayrı fizyoterapist tarafından tekrarlandı.
Bulgular: 360DTT’nin test-tekrar test güvenirliği sınıf içi korelasyon katsayıları (ICC) kullanıldı. Geçerlilik için PBBS, TUG, PFRT ve FSST testleri arasındaki korelasyon kullanıldı. 360DTT (sağ) ve 360DTT (sol)’in derecelendiriciler arası güvenilirliği (interrater ICC=0.849-0.918, ICC=0.859-0.924) mükemmel bulundu. 360DTT (sağ) (1. ölçüm) ile PBBS (r=-0.520 p≤0.001), TUG (r=0.304 p=0.003), ön PFRT (r=-0.283 p=0.007) sağ PFRT (r=-0.295) (p=0.005) testleriyle, sol PFRT (r=-0.228 p=0.03) ve FSST (r=0.381 p≤0.001) arasında anlamlı korelasyon bulundu. 360DTT (sol) (1. ölçüm) ile PBBS (r=-0.517 p≤0.001), ön PFRT (r=-0.213 p=0.042), sağ PFRT (r=-0.253 p=0.016) ve FSST (r=0.280 p=0,007) arasında anlamlı korelasyon bulundu. 360DTT (sağ) (2. ölçüm) ile PBBS (r=-0,542 p≤0,001), TUG (r=0,217 p=0,039), PFRT ön (r=-0,272 p=0,009) PFRT sağ (r=-0,304 p=0,003) ve FSST (r=0,312 p=0,003) testleri arasında anlamlı korelasyon bulunurken, 360DTT (sol) (2. ölçüm) ile PBBS (r=-0,479 p≤0,001) ve FSST (r=0,232 p=0,027) testleri arasında anlamlı korelasyon bulundu.
Sonuç: 360DTT'nin SP'li çocuklarda geçerli ve güvenilir olduğu bulundu.

Keywords

Geçerlilik, Güvenirlik, 360 Derece Dönme Testi, Serebral Palsi

Project Number

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References

• 1. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007;109(suppl 109):8-14.
• 2. Cans C, Dolk H, Platt MJ, Colver A. Recommendations from the SCPE collaborative group for defining and classifying cerebral palsy. Dev Med Child Neurol 2007;49:35.
• 3. Franjoine MR, Darr N, Young B, McCoy SW, LaForme Fiss A. Examination of the effects of age, sex, and motor ability level on balance capabilities in children with cerebral palsy GMFCS levels I, II, III and typical development using the Pediatric Balance Scale. Dev Neurorehabil 2022;25(2):115-24.
• 4. Franjoine MR, Darr N, Held SL, Kott K, Young BL. The performance of children developing typically on the pediatric balance scale. Pediatr Phys Ther 2010;22(4):350-9.
• 5. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and ageing 2006;35(suppl_2):ii7-ii11.
• 6. Pierret J, Caudron S, Paysant J, Beyaert C. Impaired postural control of axial segments in children with cerebral palsy. Gait Posture 2021;86:266-72.
• 7. Woollacott MH, Burtner P, Jensen J, Jasiewicz J, Roncesvalles N, Sveistrup H. Development of postural responses during standing in healthy children and children with spastic diplegia. Neurosci Biobehav Rev 1998;22(4):583-9.
• 8. Franjoine MR, Gunther JS, Taylor MJ. Pediatric balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Ther 2003;15(2):114-28.
• 9. Prosser LA, Lee SC, VanSant AF, Barbe MF, Lauer RT. Trunk and hip muscle activation patterns are different during walking in young children with and without cerebral palsy. Phys Ther 2010;90(7):986-97.
• 10. Woollacott MH, Shumway-Cook A. Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance? Neural plasticity. 2005;12(2-3):211-9.
• 11. Saether R, Helbostad JL, Riphagen II, Vik T. Clinical tools to assess balance in children and adults with cerebral palsy: a systematic review. Dev Med Child Neurol 2013;55(11):988-99.
• 12. Kembhavi G, Darrah J, Magill-Evans J, Loomis J. Using the berg balance scale to distinguish balance abilities in children with cerebral palsy. Pediatr Phys Ther 2002;14(2):92-9.
• 13. Norris RA, Wilder E, Norton J. The functional reach test in 3-to 5-year-old children without disabilities. Pediatr Phys Ther 2008;20(1):47-52.
• 14. Williams EN, Carroll SG, Reddihough DS, Phillips BA, Galea MP. Investigation of the timed ‘up & go’test in children. Dev Med Child Neurol 2005;47(8):518-24.
• 15. Zaino CA, Marchese VG, Westcott SL. Timed up and down stairs test: preliminary reliability and validity of a new measure of functional mobility. Pediatr Phys Ther 2004;16(2):90-8.
• 16. Dewar R, Claus AP, Tucker K, Ware RS, Johnston LM. Reproducibility of the Kids-BESTest and the Kids-Mini-BESTest for children with cerebral palsy. Arch Phys Med Rehabil 2019;100(4):695-702.
• 17. Klein PJ, Fiedler RC, Rose DJ. Rasch analysis of the Fullerton Advanced Balance (FAB) scale. Physiother Can 2011;63(1):115-25.
• 18. Erturan S, Atalan P, Çimen YA, Gökmen D, Sert ÖA, Yılmaz K, et al. Reliability and validity of the Turkish version of Fullerton Advanced Balance Scale in cerebral palsy. Gait Posture 2022;96:295-300.
• 19. Shiu CH, Ng SS, Kwong PW, Liu T-W, Tam EW, Fong SS. Timed 360 turn test for assessing people with chronic stroke. Arch Phys Med Rehabil 2016;97(4):536-44.
• 20. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39(2):142-8.
• 21. Gill TM, Williams CS, Tinetti ME. Assessing risk for the onset of functional dependence among older adults: the role of physical performance. J Am Geriatr Soc. 1995;43(6):603-9.
• 22. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987;67(2):206-7.
• 23. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997;39(4):214-23.
• 24. Bartlett D, Birmingham T. Validity and reliability of a pediatric reach test. Pediatr Phys Ther 2003;15(2):84-92.
• 25. Bandong ANJ, Madriaga GO, Gorgon EJR. Reliability and validity of the Four Square Step Test in children with cerebral palsy and Down syndrome. Res Dev Disabil 2015;47:39-47.
• 26. Altman DG, Bland JM. Standard deviations and standard errors. Bmj 2005;331(7521):903.
• 27. Haley SM, Fragala-Pinkham MA. Interpreting change scores of tests and measures used in physical therapy. Phys Ther 2006;86(5):735-43.
• 28. Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res 2005;19(1):231-40.
• 29. Soke F, Guclu-Gunduz A, Ozkan T, Ozkul C, Gulsen C, Kocer B. Reliability and validity of the timed 360 turn test in people with Parkinson’s disease. Eur Geriatr Med 2020;11:417-26.
• 30. Soke F, Guclu-Gunduz A, Ozkul C, Cekim K, Irkec C, Gonenli Kocer B. Reliability and validity of the timed 360 turn test in people with multiple sclerosis. Physiother Theory Pract 2021;37(6):736-47.
• 31. McGough EL, Gries M, Teri L, Kelly VE. Validity of instrumented 360 turn test in older adults with cognitive impairment. Phys Occup Ther Geriatr 2020;38(2):170-84.
• 32. Yarar HA, Narin S, Erduran M, Gurbanov I. The test-retest reliability and concurrent validity of 360 turn test in patients with knee osteoarthritis. Somatosens Mot Res 2024;41(2):90-6.
• 33. Yıldız NT, Canlı M, Kocaman H, et al. Validity and Reliability of the Timed 360° Turn Test in Individuals with Ankle Sprain. Indian J Orthop 2024:1-8.
• 34. Verbecque E, Lobo Da Costa PH, Vereeck L, Hallemans A. Psychometric properties of functional balance tests in children: a literature review. Dev Med Child Neurol 2015;57(6):521-9.
• 35. Carey H, Martin K, Combs-Miller S, Heathcock JC. Reliability and responsiveness of the timed up and go test in children with cerebral palsy. Pediatr Phys Ther 2016;28(4):401-8.
• 36. Ko J-Y, Kim G-W. Test-retest, inter-rater, and intra-rater reliability of a pediatric balance scale in children with cerebral palsy. J. Korean phys. ther. sci 2010;22(4):43-8.
• 37. Celik OF, Adiguzel H, Kirmaci ZIK, Erel S, Demirguc A. Validity and reliability of the 3-meter backward walk test in children with cerebral palsy. Acta Neurol Belg 2023;123(4):1439-46.
• 38. Dhote SN, Khatri PA, Ganvir SS. Reliability of" Modified timed up and go" test in children with cerebral palsy. Journal of pediatric neurosciences. 2012;7(2):96-100.