Reliability and Responsiveness of the Timed Up and Go Test in Children With Cerebral Palsy
Reliability and Responsiveness of the Timed Up and Go Test in Children With Cerebral Palsy
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DOI：
10.1097/pep.0000000000000301
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发表时间：
2016-12-01
影响因子：
1.6
通讯作者：
Heathcock, Jill C.
中科院分区：
文献类型：
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作者：
Carey, Helen;Martin, Kathy;Heathcock, Jill C.
目的：本研究的目的是确定 Timed Up and Go (TUG) 测试的绝对可靠性和响应性，使用最小可检测变化 (MDC) 和最小临床重要差异 (MCID) 值进行测量。方法：对完成 TUG 测试的粗大运动功能分类系统 I-III 级的 3 至 10 岁脑瘫 (CP) 儿童进行前瞻性观察研究。使用基线数据计算最小可检测变化估计值。使用基于分布和锚定的方法计算每个粗大运动功能分类系统 (GMFCS) 水平的 MCID 估计值。结果：最小可检测变化值范围为 1.40 至 8.74 秒，MCID 估计值范围为 0.22 至 5.31 秒。结论：TUG 测试是衡量 3 至 10 岁 CP 儿童 GMFCS 水平的平衡和活动能力的可靠且灵敏的测量方法一-三。研究结果通过提供可靠性值和有意义变化的估计，支持在临床和研究环境中改进 TUG 测试的使用。视频摘要：有关作者的更多见解，请参阅补充数字内容 1，网址为 http://links.lww.com/PPT/A117。
Purpose: The purpose of this study was to determine the absolute reliability and responsiveness of the Timed Up and Go (TUG) test, as measured using minimal detectable change (MDC) and minimal clinical important difference (MCID) values.Methods: Prospective observational study of children aged 3 to 10 years with cerebral palsy (CP) in Gross Motor Function Classification System levels I-III who completed the TUG test. Minimal detectable change estimates were calculated using baseline data. MCID estimates for each Gross Motor Function Classification System (GMFCS) level were calculated using distribution- and anchor-based methods.Results: Minimal detectable change values ranged from 1.40 to 8.74 seconds and MCID estimates ranged from 0.22 to 5.31 seconds.Conclusions: The TUG test is a reliable and responsive measure of balance and mobility for children with CP between 3 and 10 years of age in GMFCS levels I-III. Study results support improved use of the TUG test in clinical and research settings by providing reliability values and estimates of meaningful change.Video Abstract: For more insights from the authors, see Supplemental Digital Content 1, available at http://links.lww.com/PPT/A117.