The test-retest reliability of four functional mobility tests in apparently healthy adults

Abstract

BACKGROUND:

Simple field tests are often used to assess functional mobility in clinical settings. Despite having many benefits, these tests are susceptible to measurement error and individual variation.

OBJECTIVES:

To examine the test-retest and absolute reliability of timed up and go test (TUG), five times sit-to-stand (FTSTS), stair climb test (SCT) and 6 minute walk (6MWT).

METHODS:

Over two sessions, thirty-five subjects (30-74 years), repeated the five tests approximately four weeks apart. Test-retest reliability (intraclass correlations [ICC]) and absolute reliability (95% limit of agreements [95% LOA]; standard error of measurement [SEM] and minimum detectable change [MDC]) were calculated.

RESULTS:

All five tests had high test-retest reliability (ICC > 0.95) although significant between session changes were present for the TUG and FTSTS (p < 0.05). FTSTS displayed the greatest measurement error whilst 95% LOA was the most conservative measure of absolute reliability.

CONCLUSIONS:

The results of this study indicate that the TUG, FTSTS, SCT and 6MWT are reliable when performed four weeks apart. Furthermore, the inclusion of SEM, MDC and 95% LOA provides reference values to aid in identifying changes over time above those of measurement error and individual variation.

Keywords

TUG FTSTS stair climb 6MWT

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