Are Four Square Step Test and L-Test an alternative to the 6-Minute Walk Test in lower limb amputees?

Authors

  • Ana C. Perpétua Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Ana L. Valente Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Bruno M. Mourinha Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Catarina R. Pereira Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Flávia A. Castanho Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Mário T. Briôa Unidade de Ensino e Investigação em Fisioterapia e Reabilitação, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • Elisabete Carolino Unidade de Ensino e Investigação em Matemática e Física, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal. H&TRC - Health & Technology Research Center, ESTeSL – Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.
  • José Pedro Matos Unidade de Ensino e Investigação em Fisioterapia e Reabilitação, Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.

DOI:

https://doi.org/10.25758/set.2244

Keywords:

Lower limb amputation, 6MWT, FSST, L-Test

Abstract

Objectives – Find out if the Four Square Step Test (FSST) and L-Test are an alternative to the 6-Minute Walk Test (6MWT) for the performance evaluation of lower limb amputees Methodology – Cross-sectional and analytical study with 19 lower limb amputees assessed by FSST, L-Test, and 6MWT. Results – There was a moderate negative correlation between FSST and 6MWT (r=-0.611; p=0.005) and a strong negative correlation between L-Test and 6MWT (r=-0.798; p=0.000). Of the 6MWT predictors, only the L-Test was identified as such, an adjusted R2=0.616 (R2 Change=0.637, F Change (1. 17)=29.827; p=0.00001) was obtained for this model. Conclusions – The participants who obtained the best results in the L-Test, were the ones who obtained the best results in the distance covered, being that 1 second more in the L-Test corresponds to an average decrease of 9.537 meters in the 6MWT. It was then possible to verify that the L-Test constitutes an alternative to 6MWT, which in itself constitutes an enormous advantage, as it needs a much smaller space and time for its realization, which in Prosthetics & Orthotics fields is an asset because in most cases the existing spaces are small.

Downloads

Download data is not yet available.

References

Deathe AB, Miller WC. The L Test of Functional Mobility: measurement properties of a modified version of the Timed 'Up & Go' Test designed for people with lower-limb amputations. Phys Ther. 2005;85(7):626-35.

Ephraim PL, Dillingham TR, Sector M, Pezzin LE, MacKenzie EJ. Epidemiology of limb loss and congenital limb deficiency: a review of the literature. Arch Phys Med Rehabil. 2003;84(5):747-61.

Zidarov D, Swaine B, Gauthier-Gagnon C. Life habits and prosthetic profile of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Arch Phys Med Rehabil. 2009;90(11):1953-9.

Reis G, Casa Jr AJ, Campos RS. Perfil epidemiológico de amputados de membros superiores e inferiores atendidos em um centro de referência [Epidemiological profile of upper and lower limb amputees assisted in a reference center]. Rev Eletrôn Saúde Ciênc. 2012;2(2):52-62. Portuguese

Gaspar AP, Ingham SJ, Chamlian TR. Gasto energético em paciente amputado transtibial com prótese e muletas [Metabolic output in a transtibial amputee using crutches and prosthesis]. Acta Fisiátr. 2003;10(1):32-4. Portuguese

Hebert JS, Wolfe DL, Miller WC, Deathe AB, Devlin M, Pallaveshi L. Outcome measures in amputation rehabilitation: ICF body functions. Disabil Rehabil. 2009;31(19):1541-54.

Heinemann AW, Connely L, Ehrlich-Jones L, Fatone S. Outcome instruments for prosthetics: clinical applications. In: Meier III RH, Carter GT, editors. Amputee rehabilitation. Philadelphia: Elsevier; 2014. p. 179-98. ISBN 9780323266789

Travensolo CF, Goessler KF, Polito MD. Correlação entre o teste de caminhada de seis minutos e o teste do degrau em idosos [Correlation between the six-minute walk test and the step test in elderly]. Rev Bras Geriatr Gerontol. 2013;16(2):375-83. Portuguese

Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002;83(11):1566-71.

Duncan RP, Earhart GM. Four Square Step Test performance in people with Parkinson disease. J Neurol Phys Ther. 2013;37(1):2-8.

Langford Z. The Four Square Step Test. J Physiother. 2015;61(3):162.

Deathe AB, Miller WC. The L Test of Functional Mobility: measurement properties of a modified version of the Timed 'Up & Go' Test designed for people with lower-limb amputations. J Am Phys Ther Assoc. 2005;85(7):626-35.

Coelho JA. Fiabilidade dos testes Six-Minute Walk e Timed Up & Go em amputados transfemorais [dissertation]. Lisboa: Faculdade de Motricidade Humana da Universidade de Lisboa; 2011.

Reid L, Thomson P, Besemann M, Dudek N. Going places: does the Two-Minute Walk Test predict the Six-Minute Walk Test in lower extremity amputees? J Rehabil Med. 2015;47(3):256-61.

Lin SJ, Bose NH. Six-Minute Walk Test in persons with transtibial amputation. Arch Phys Med Rehabil. 2008;89(12):2354-9.

Sangeeta L, Ghosh DP. Reliability of the Six-Minute Walk Test in individuals with transtibial amputation. Indian J Physiother Occup Ther. 2012;6(2):100-2.

Göktepe AS, Cakir B, Yilmaz B, Yazicioglu K. Energy expenditure of walking with prostheses: comparison of three amputation levels. Prosthet Orthot Int. 2010;34(1):31-6.

Pires SR, Oliveira AC, Parreira VF, Britto RR. Six-minute walk test at different ages and body mass index. Braz J Phys Ther. 2007;11(2):147-51.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS Statement: guidelines for the Six-Minute Walk Test. Am J Respir Crit Care Med. 2002;166(1):111-7.

Schoppen T, Boonstra A, Groothoff JW, de Vries J, Göeken LN, Eisma WH. Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees. Arch Phys Med Rehabil. 2003;84(6):803-11.

Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, et al. The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee's ability to ambulate. Arch Phys Med Rehabil. 2002;83(5):613-27.

Lythgo N, Marmaras B, Connor H. Physical function, gait, and dynamic balance of transfemoral amputees using two mechanical passive prosthetic knee devices. Arch Phys Med Rehabil. 2010;91(10):1565-70.

Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral sciences. 5th ed. Houghton Mifflin; 2002. ISBN 9780618124053

Matos JP. A ortoprotesia num país envelhecido: uma reflexão [Internet]. In: V Jornadas de Ortoprotesia da ESTeSL, 8 de junho de 2019. Available from: http://hdl.handle.net/10400.21/10236

Roberts M, Mongeon D, Prince F. Biomechanical parameters for gait analysis: a systematic review of healthy human gait. Phys Ther Rehabil. 2017;4:6.

Geertzen JH, Bosmans JC, van der Schans CP, Dijkstra PU. Claimed walking distance of lower limb amputees. Disabil Rehabil. 2005;27(3):101-4.

Waters RL, Perry J, Antonelli D, Hislop H. Energy cost of walking of amputees: the influence of level of amputation. J Bone Joint Surg Am. 1976;58(1):42-6.

Vllasolli TO, Zafirova B, Orovcanec N, Poposka A, Murtezani A, Krasniqi B. Energy expenditure and walking speed in lower limb amputees: a cross sectional study. Ortop Traumatol Rehabil. 2014;16(4):419-26.

Published

2022-07-27

Issue

Section

Artigos

How to Cite

Are Four Square Step Test and L-Test an alternative to the 6-Minute Walk Test in lower limb amputees?. (2022). Saúde & Tecnologia, 23, 32-37. https://doi.org/10.25758/set.2244