Serebral Palsili Çocuklarda Süreli 360° Dönme Testinin Geçerliliği ve Güvenirliği

Öz

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.

Anahtar Kelimeler

• Geçerlilik
• Güvenirlik
• 360 Derece Dönme Testi
• Serebral Palsi

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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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