Reliability and Validity of Modified Four Square Step Test

Afyonkarahisar Health Sciences University

Status: Unknown

Conditions: Total Hip Arthroplasty

Study type: Observational

Funder types: Other

Identifiers

NCT05054192

2021/414

Details and patient eligibility

About

Functional improvements are reached in patients with primary total hip arthroplasty compared to the pre-operative term however some problems as continued range of motion limitations, loss of joint proprioception sensation, and resulting balance and gait disorders may result in failure of the Four Square Step Test. Therefore, the need for the apply of the Modified Four Square Step Test in individuals with primary THA is necessary. The aim of this study is to evaluate the test-retest reliability, concurrent validity and minimal detectable change of the Modified Four Square Step Test in individuals with primary total hip arthroplasty.

Full description

Roos et al. improved the Modified Four-Square Step Test to complete the test by stroke patients and not to fall due to practices of the test while performing the test. The Modified Four Square Step Test variates from the The Four Square Step Test is that the person is not asked to look ahead during the test, and instead of using a cane, tapes are used to prevent people from losing their balance by tripping over the obstacle. Thus, although the height of the obstacle is reduced, the boundaries of the obstacle are preserved.

Functional improvements are reached in patients with primary total hip arthroplasty compared to the pre-operative term however some problems as continued range of motion limitations, loss of joint proprioception sensation, and resulting balance and gait disorders may result in failure of the Four Square Step Test. Therefore, the need for the apply of the Modified Four Square Step Test in individuals with primary THA is necessary. The aim of this study is to evaluate the test-retest reliability, concurrent validity and minimal detectable change of the Modified Four Square Step Test in individuals with primary total hip arthroplasty.

Enrollment: 28 estimated patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being between the ages of 18-85.
• Having undergone primary total hip arthroplasty at least ≥6 months ago.

Exclusion criteria

• Having severe cardiovascular or lung disease
• Having severe dementia or communication difficulties
• Having a musculoskeletal or neurological problem that may affect participation in balance tests
• Having an uncorrectable visual impairment
• Having a body mass index of more than 40 kg/m2