Weitere Artikel dieser Ausgabe durch Wischen aufrufen
Early discharge from a rehabilitation center is only possible, if patients are able to do basic transfers independently (e.g., get up from bed and walk to the toilet). Against this background, the Lie-to-Sit-to-Stand-to-Walk Transfer (LSSWT) test was developed in order to quantify complex transfer abilities in older adults. This study was to evaluate the reliability and validity of this instrument.
A total of 24 older patients (80.25±8.10 years) of a geriatric rehabilitation unit performed the LSSWT test. Expert ratings were used to measure criterion validity. The Timed Up & Go test (TUG) was administered to assess construct validity. Furthermore, the time score of the LSSWT test was correlated with the Trunk Control Test (TCT), balance performance, the Chair Stand Test (CST) and gait speed. Intra- and interrater reliability were measured, conducting the LSSWT test on consecutive days.
The coefficients of correlation between the LSSWT test and the expert ratings as well as the TUG test were r=−0.82 and r=0.83, respectively. Furthermore, the association with the TCT, balance, CST, and gait speed were r=−0.51, r=−0.45, r=0.47, and r=−0.72, respectively. The results of intrarater reliability and interrater reliability were ICC=0.96 and ICC=0.77, respectively.
The study shows that the LSSWT test is a valid measure for quantifying difficulties in transfer abilities of patients during geriatric rehabilitation. The good correlation between LSSWT test and TUG test indicates good construct validity, but also that the LSSWT test provides additional information. Interrater reliability was moderate; therefore, the training of the supervisors should be re-evaluated. Further research is needed to establish cut-off values for discharge decision and to analyze the use of the LSSWT test in different subgroups.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
Brach M (1997) MOTA – ein Mobilitätstest für alte Menschen. Ergotherap Rehabil 37:104–107
Brach M, Jekosch S, Dierbach O, Heck H (2000) Motor Milestones for Elderly People in Institutional Care: Adapting MOVE to a New Target Group. In Conference 2000 “Moving Towards Inclusion”. Chatsworth House, Derbyshire, 8 March 2000. Edited by The Disability Partnership, London: The Disability Partnership, pp 15–17
Cutler DM (2001) Declining disability among the elderly. Health Aff (Millwood) 20(6):11–27
Guralnik J, Simonsick E, Ferrucci L et al (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol Nurs 49(2):M85–M94
Haasenritter J, Eisenschink AM, Kirchner E et al (2009) Auswirkungen eines präoperativen Bewegungsschulungsprogramms nach dem für kinästhetische Mobilisation aufgebauten Viv-Arte Lernmodell auf Mobilität, Schmerzen und postoperative Verweildauer bei Patienten mit elektiver medianer Laparotomie – Eine prospektive, randomisierte und kontrollierte Pilotstudie. Pflege 22:19–28 PubMedCrossRef
Katzman R, Brown T, Fuld P et al (1983) Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. Am J Psychiatry 140:734–739 PubMed
Kraus L, Stoddard S, Gilmartin D (1996) Chartbook on disability in the United States 1996. An InfoUse Report. Washington, DC: U.S National Institute on Disability and Rehabilitation Research
Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. Md State Med J 14:61–65 PubMed
Podsiadlo D, Richardson S (1991) The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142–148 PubMed
Seeman TE, Charpentier PA, Berkman LF et al (1994) Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging. J Gerontol Nurs 49(3):M97–M108
Shields RK, Enloe LJ, Evans RE et al (1995) Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther 75(3):169–179 PubMed
- Development of the Lie-to-Sit-to-Stand-to-Walk Transfer (LSSWT) test for early mobilization in older patients in geriatric rehabilitation