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Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease

Carolien Strouwen, Esther A.L.M. Molenaar, Samyra H.J. Keus, Liesbeth Münks, Bastiaan R. Bloem, Alice Nieuwboer
DOI: 10.2522/ptj.20150244 Published 1 August 2016
Carolien Strouwen
C. Strouwen, PT, PhD, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation, KU Leuven, Leuven, Belgium.
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Esther A.L.M. Molenaar
E.A.L.M. Molenaar, PT, MSc, Department of Neurology, Nijmegen Centre for Evidence Based Practice, Radboud University Medical Center, Nijmegen, the Netherlands.
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Samyra H.J. Keus
S.H.J. Keus, PT, PhD, Department of Neurology, Nijmegen Centre for Evidence Based Practice, Radboud University Medical Center.
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Liesbeth Münks
L. Münks, PT, MSc, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation, KU Leuven.
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Bastiaan R. Bloem
B.R. Bloem, PhD, MD, Cognition and Behaviour, Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center.
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Alice Nieuwboer
A. Nieuwboer, PT, PhD, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation, KU Leuven, Tervuursevest 101 Bus 1501, 3001 Leuven, Belgium.
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Figures

Figure.
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Figure.

Bland and Altman plots for single-task (ST) and dual-task (DT) gait speed: (A) ST gait speed, (B) DT digit span task gait speed, (C) DT auditory Stroop task gait speed, and (D) DT mobile phone task gait speed. The plots represent the difference between test 1 and test 2 (y-axis) plotted against the average of test 1 and test 2 (x-axis). The average difference between test 1 and test 2 is presented as a horizontal line on the plot (middle line), and the upper and lower lines represent the 95% upper and lower limits of these differences between the 2 tests.

Tables

Table 1.
Table 1.

Participants' Descriptive Data (N=62)a

  • ↵a In the event of normally distributed data, the mean and standard deviation are given. In the event of abnormally distributed data, the median and the interquartile range [IQR] are provided. UPDRS=Unified Parkinson's Disease Rating Scale, MMSE=Mini-Mental State Examination, MoCA=Montreal Cognitive Assessment, FAB=Frontal Assessment Battery.

Table 2.
Table 2.

Test-Retest Scores for General Disease Characteristics During the Study Perioda

  • ↵a Mean and standard deviation are given for normally distributed data: UPDRS-III=Unified Parkinson's Disease Rating Scale–part III, LED=levodopa equivalent dose, ABC=Activities-specific Balance Confidence scale, SCOPA-Cog=Scales for Outcomes in Parkinson's Disease–Cognition, ANT=Alternating Names Test, AIT=Alternating Intakes Test. Median and interquartile range (IQR) are given for non-normally distributed data: H&Y=Hoehn and Yahr stage, FOGQ=Freezing of Gait Questionnaire. In case of non-normally distributed data, the Wilcoxon signed rank test is presented instead of the t-test value to indicate the difference between the tests. * Significant at α<.05. ** Significant at α<.01.

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Table 3.

Test-Retest Scores for Dual-Task Gait Parametersa

  • ↵a Mean and standard deviation are given for normally distributed data. ICC=intraclass correlation coefficient, CI=confidence interval, SEM=standard error of measurement, MDC=minimal detectable change. Median and interquartile range (IQR) are given for abnormally distributed data. In case of non-normally distributed data, the Wilcoxon signed rank test value is presented instead of the t-test value to indicate differences between both tests, and Spearman correlation coefficients are presented instead of ICC values. * Significant at α<.05. ** Significant at α<.01.

Table 4.
Table 4.

Test-Retest Scores for DT Cognitive Task Measuresa

  • ↵a Mean and standard deviation are given for normally distributed data. DT=dual task, ICC=intraclass correlation coefficient, CI=confidence interval, SEM=standard error of measurement, MDC=minimal detectable change. Median and interquartile range (IQR) are given for abnormally distributed data. In case of non-normally distributed data, the Wilcoxon signed rank test value is presented instead of the t-test value to indicate differences between both tests, and Spearman correlation coefficients are presented instead of ICC values. * Significant at α<.05. ** Significant at α<.01.

Supplementary Data

eTables

Files in this Data Supplement:

  • eTables (PDF) (33 KB) - This PDF contains the following supplements:
    • eTable 1. Test-Retest Scores for Single-Task Gait Parameters
    • eTable 2. Test-Retest Scores for Dual-Task Interference Gait Parameters
    • eTable 3. Test-Retest Scores for Dual-Task Interference Cognitive Task Measures
    • eTable 4. Test-Retest Scores for Single Task Cognitive Task Measures
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Vol 96 Issue 8 Table of Contents
Physical Therapy: 96 (8)

Issue highlights

  • Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community
  • Prevalence of Wheelchair and Scooter Use Among Community-Dwelling Canadians
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  • Medial Longitudinal Arch Development of Children Aged 7 to 9 Years: Longitudinal Investigation
  • Limitations in the Activity of Mobility at Age 6 Years After Difficult Birth at Term: Prospective Cohort Study
  • From Persuasion to Coercion: Responding to the Reluctant Patient in Rehabilitation
  • “Crawling Out of the Cocoon”: Patients' Experiences of a Physical Therapy Exercise Intervention in the Treatment of Major Depression
  • Preliminary Evaluation of a Modified STarT Back Screening Tool Across Different Musculoskeletal Pain Conditions
  • Validation of the Comprehensive ICF Core Set for Vocational Rehabilitation From the Perspective of Physical Therapists: International Delphi Survey
  • Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease
  • Development of a Feasible Implementation Fidelity Protocol Within a Complex Physical Therapy–Led Self-Management Intervention
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Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease
Carolien Strouwen, Esther A.L.M. Molenaar, Samyra H.J. Keus, Liesbeth Münks, Bastiaan R. Bloem, Alice Nieuwboer
Physical Therapy Aug 2016, 96 (8) 1276-1286; DOI: 10.2522/ptj.20150244

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Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease
Carolien Strouwen, Esther A.L.M. Molenaar, Samyra H.J. Keus, Liesbeth Münks, Bastiaan R. Bloem, Alice Nieuwboer
Physical Therapy Aug 2016, 96 (8) 1276-1286; DOI: 10.2522/ptj.20150244
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More in this TOC Section

  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
  • Predictors of Reduced Frequency of Physical Activity 3 Months After Injury: Findings From the Prospective Outcomes of Injury Study
  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
Show more Measurement

Subjects

  • Examination/Evaluation
    • Tests and Measurements
  • Neurology/Neuromuscular System
    • Parkinson Disease and Parkinsonian Disorders
  • Outcomes Measurement

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