Step Test: Difference between revisions
No edit summary |
No edit summary |
||
| Line 16: | Line 16: | ||
==Method of Use== | ==Method of Use== | ||
Equipment: | '''Equipment:''' | ||
*Stopwatch. | *Stopwatch. | ||
| Line 22: | Line 22: | ||
*A step (7.5cm in height). | *A step (7.5cm in height). | ||
Instructions: | '''Instructions:''' | ||
*Instruct your patient to stand with both feet facing the step at an appropriate distance | *Instruct your patient to stand with both feet facing the step at an appropriate distance | ||
| Line 32: | Line 32: | ||
==Evidence== | ==Evidence== | ||
Total Knee Arthroplasty: | '''Total Knee Arthroplasty:''' | ||
* Excellent Test-retest reliability. <ref name=":1">Eymir M, Yuksel E, Unver B, Karatosun V. Reliability, validity, and minimal detectable change of the Step Test in patients with total knee arthroplasty. Irish Journal of Medical Science [Internet]. 2022 Jan 13;191(6):2651–6.</ref> | * Excellent Test-retest reliability. <ref name=":1">Eymir M, Yuksel E, Unver B, Karatosun V. Reliability, validity, and minimal detectable change of the Step Test in patients with total knee arthroplasty. Irish Journal of Medical Science [Internet]. 2022 Jan 13;191(6):2651–6.</ref> | ||
* Significantly moderate correlation between ST and Timed Up and Go and 10 meter walk test. <ref name=":1" /> | * Significantly moderate correlation between ST and Timed Up and Go and 10 meter walk test. <ref name=":1" /> | ||
Hip Osteoarthritis: | '''Hip Osteoarthritis:''' | ||
* Highly reliable test with acceptable measurement error for assessing standing balance in patients with Hip Osteoarthritis. <ref>Choi YM, Dobson F, Martin J, Bennell KL, Hinman RS. [https://academic.oup.com/ptj/article/94/5/696/2735618?login=false Interrater and intrarater reliability of common clinical standing balance tests for people with hip osteoarthritis]. Physical Therapy [Internet]. 2014 May 1;94(5):696–704.</ref> | * Highly reliable test with acceptable measurement error for assessing standing balance in patients with Hip Osteoarthritis. <ref>Choi YM, Dobson F, Martin J, Bennell KL, Hinman RS. [https://academic.oup.com/ptj/article/94/5/696/2735618?login=false Interrater and intrarater reliability of common clinical standing balance tests for people with hip osteoarthritis]. Physical Therapy [Internet]. 2014 May 1;94(5):696–704.</ref> | ||
Stroke: | '''Stroke:''' | ||
* Strong correlation between ST outcomes and physical function and disability during the first 6 months following stroke. | * Strong correlation between ST outcomes and physical function and disability during the first 6 months following stroke. | ||
Latest revision as of 12:28, 12 June 2024
Original Editor - Saud Alghamdi Top Contributors - Saud Alghamdi
This article is currently under review and may not be up to date. Please come back soon to see the finished work! (12/06/2024)
Objective[edit | edit source]
The Step Test (ST) is an outcome measure tool that measures lower extremity function, dynamic balance and stability. [1]Originally, the ST was developed in the late 90s as an outcome measure of dynamic standing balance for stroke patients. [2]
Intended Population[edit | edit source]
Method of Use[edit | edit source]
Equipment:
- Stopwatch.
- A step (7.5cm in height).
Instructions:
- Instruct your patient to stand with both feet facing the step at an appropriate distance
- Begin your timing through your stopwatch and count the total number of times your patient can place their flat foot on the step and back down on the floor in 15 seconds
Evidence[edit | edit source]
Total Knee Arthroplasty:
- Excellent Test-retest reliability. [3]
- Significantly moderate correlation between ST and Timed Up and Go and 10 meter walk test. [3]
Hip Osteoarthritis:
- Highly reliable test with acceptable measurement error for assessing standing balance in patients with Hip Osteoarthritis. [4]
Stroke:
- Strong correlation between ST outcomes and physical function and disability during the first 6 months following stroke.
- Each additional step with the affected lower extremity on the ST corresponded to a 0.07-m/s to 0.09-m/s increase in gait speed. Meanwhile each additional step with the non-affected lower extremity was associated with a 0.07-m/s to 0.08-m/s gait speed increase.[1]
References[edit | edit source]
- ↑ 1.0 1.1 Mercer VS, Freburger JK, Chang SH, Purser JL. Step test scores are related to measures of activity and participation in the first 6 months after stroke. Physical Therapy [Internet]. 2009 Oct 1;89(10):1061–71.
- ↑ Hill KD. A New Test of Dynamic Standing Balance for Stroke Patients: Reliability, Validity and Comparison with Healthy Elderly. Physiotherapy Canada [Internet]. 1996 Oct 1;48(4):257–62.
- ↑ 3.0 3.1 Eymir M, Yuksel E, Unver B, Karatosun V. Reliability, validity, and minimal detectable change of the Step Test in patients with total knee arthroplasty. Irish Journal of Medical Science [Internet]. 2022 Jan 13;191(6):2651–6.
- ↑ Choi YM, Dobson F, Martin J, Bennell KL, Hinman RS. Interrater and intrarater reliability of common clinical standing balance tests for people with hip osteoarthritis. Physical Therapy [Internet]. 2014 May 1;94(5):696–704.
