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Reliability of the non-instrumented walk test in persons with Parkinson's
disease

BRYANT MS; RINTALA DH; HOU JG; PROTAS EJ
DISABIL REHABIL , 2013, vol. 35, n° 7-8, p. 538-542
Doc n°: 163595
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2012.709910
Descripteurs : DF22 - EXPLORATION EXAMENS BILANS - MARCHE, AF5 - PARKINSON

PURPOSE: To study the reliability of a Non-Instrumented Walk Test in individuals
with Parkinson's disease (PD). METHOD: Thirty individuals (21 Males) with PD were
studied. Their mean age was 68.90 +/- 9.28 years. The average time since
diagnosis was 8.75 +/- 5.68 years. The reliability of the manual Non-Instrumented
Walk Test was studied while "OFF" and "ON" dopaminergic medication. Subjects
walked at their self-selected, usual speed during a Non-Instrumented Walk Test
and while walking on a computerized instrumented walkway. Intraclass correlation
coefficients (ICCs) were calculated and means were compared for three gait
parameters as measured by the two methods. RESULTS: During "OFF" medication
testing, ICCs between the Non-Instrumented Walk Test and the instrumented
measures for gait speed, cadence and stride length were 0.96 (p < 0.0005), 0.72
(p = 0.001) and 0.97 (p < 0.0005), respectively. During "ON" medication testing,
the ICCs were 0.96 (p < 0.0005), 0.86 (p < 0.0005) and 0.96 (p < 0.0005),
respectively. The means of the non-instrumented measures tended to be lower than
those obtained on the instrumented walkway. CONCLUSIONS: The Non-Instrumented
Walk Test is a quick, simple and inexpensive gait evaluation for individuals with
PD. The method is sufficiently reliable to be used clinically in this population
during different medication cycles. IMPLICATIONS FOR REHABILITATION: * The
Non-Instrumented Walk Test in individuals with PD is reliable. * Results
supported the use of the measure. This simple walk test is quick and easy to
administer in both clinical and community settings.

Langue : ANGLAIS

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