RT Journal Article
SR Electronic
T1 Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease
JF Physical Therapy
JO Phys Ther
FD American Physical Therapy Association
SP 1276
OP 1286
DO 10.2522/ptj.20150244
VO 96
IS 8
A1 Strouwen, Carolien
A1 Molenaar, Esther A.L.M.
A1 Keus, Samyra H.J.
A1 Münks, Liesbeth
A1 Bloem, Bastiaan R.
A1 Nieuwboer, Alice
YR 2016
UL http://jcore-reference.highwire.org/content/96/8/1276.abstract
AB Background Dual-task (DT) training is gaining ground as a physical therapy intervention in people with Parkinson disease (PD). Future studies evaluating the effect of such interventions need reliable outcome measures. To date, the test-retest reliability of DT measures in patients with PD remains largely unknown.Objective The purpose of this study was to assess the reliability of DT outcome measures in patients with PD.Design A repeated-measures design was used.Methods Patients with PD (“on” medication, Mini-Mental State Examination score ≥24) performed 2 cognitive tasks (ie, backward digit span task and auditory Stroop task) and 1 functional task (ie, mobile phone task) in combination with walking. Tasks were assessed at 2 time points (same hour) with an interval of 6 weeks. Test-retest reliability was assessed for gait while performing each secondary task (DT gait) for both cognitive tasks while walking (DT cognitive) and for the functional task while walking (DT functional).Results Sixty-two patients with PD (age=39–89 years, Hoehn and Yahr stages II–III) were included in the study. Intraclass correlation coefficients (ICCs) showed excellent reliability for DT gait measures, ranging between .86 and .95 when combined with the digit span task, between .86 and .95 when combined with the auditory Stroop task, and between .72 and .90 when combined with the mobile phone task. The standard error of measurements for DT gait speed varied between 0.06 and 0.08 m/s, leading to minimal detectable changes between 0.16 and 0.22 m/s. With regard to DT cognitive measures, reaction times showed good-to-excellent reliability (digit span task: ICC=.75; auditory Stroop task: ICC=.82).Limitations The results cannot be generalized to patients with advanced disease or to other DT measures.Conclusions In people with PD, DT measures proved to be reliable for use in clinical studies and look promising for use in clinical practice to assess improvements after DT training. Large effects, however, are needed to obtain meaningful effect sizes.