The Sideways walk Test is an essential functional movement in daily activities and balance control, yet its assessment has been relatively underexplored in individuals with subacute stroke. The purpose of this study is to analyze the relative reliability (test-retest agreement) of the sideways walk test (SWT), investigate its absolute reliability (SEM, MDC, MDC%), and validate its concurrent validity to determine whether SWT is an appropriate assessment tool for individuals with subacute stroke. This study was designed as a cross-sectional analysis involving 28 stroke patients. The test-retest reliability of the SWT was assessed using the intraclass correlation coefficient (ICC 3,1) based on a fixed two-way mixed-effects model for agreement between two raters. Absolute reliability was evaluated by calculating the standard error of measurement (SEM), minimal detectable change (MDC), and MDC percentage (MDC%). concurrent validity of SWT was determined through its correlation with fugl-meyer assessment- lower extremity (FMA-LE), 10-meter walk test (10MWT), berg balance scale (BBS), and timed up and go (TUG) using spearman's coefficient. The ICC for SWT time was 0.916 (95% CI: .819∼.961) for the paretic side and 0.958 (95% CI: .910∼.981) for the non-paretic side, while the ICC for SWT step count was 0.878 (95% CI: .736∼.943) for the paretic side and 0.915 (95% CI: .816∼.961) for the non-pareric side, indicating high agreement. The MDC values were 4.18 seconds for paretic-side time, 2.3 seconds for non-paretic side time, 2.18 steps for paretic side step count, and 1.38 steps for non-paretic side step count, all within 20%, demonstrating acceptable reliability. The completion time and step count of the SWT were significantly correlated with the following measures: FMA-L/E (r=-0.596∼.750, p<.001), 10mWT (r=-0.503∼-0.717, p<.006∼.001), BBS (r=-0.489∼-0.549, p<.002∼.008), TUG (r=.621∼.681, p<.001). The SWT can be utilized as a simple yet reliable and valid clinical tool for assessing sideways walking ability in individuals with subacute stroke.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상 2. 연구 절차 3. 측정 방법 4. 자료 분석 Ⅲ. 결과 1. 연구대상자의 일반적인 특성과 평가 지표 2. Sideways walk test 마비측과 비마비측소요 시간과 걸음 수의 절대적·상대적신뢰도 3. Sideways walk test의 마비측과 비마비측소요시간, Sideways walk test의 마비측과비마비측의 걸음 수, Fugl Meyer assessment lower extremity, 10-meter walk test, Bergbalance scale, Timed up & go test와의상관관계 Ⅳ. 논의 Ⅴ. 결론 인용문헌
키워드
BalanceRehabilitationSideways walk testStrokeWalking