Oblique direction reach test: a pilot test to measure limits of stability in oblique direction and its psychometric properties

Authors

  • Jaya Shanker Tedla College of Applied Medical Science, King Khalid University, Abha - Kingdom of Saudi Arabia
  • Devika Rani Sangadala College of Applied Medical Science, King Khalid University, Abha - Kingdom of Saudi Arabia
  • Kumar Gular College of Applied Medical Science, King Khalid University, Abha - Kingdom of Saudi Arabia
  • Debjani Mukherjee College of Applied Medical Science, King Khalid University, Abha - Kingdom of Saudi Arabia
  • Giles Gyer Institute of Osteopathic Medicine. London. NW 1 6 QH. United Kingdom.

Keywords:

Balance, oblique reach, normative data, reliability, validity

Abstract

Background: Activities of daily living require balance in the oblique direction and persons with neurological disorders have balance issues in the oblique direction for performing functional tasks. There is a dearth of literature for assessing dynamic balance in the oblique direction.

Objectives: To establish and report reference values for oblique direction reach tests and to assess the validity and reliability of the oblique direction reach test in Saudi young adults.

Methods: Two hundred and six medical students (120 males, 86 females) were recruited by random sampling for this study. Subjects were measured for distance reached in the oblique, forward, and lateral directions on graph paper, which was mounted on a white board.

Results: The mean and standard deviation for the oblique direction reach was 22.06 gif.latex?\pm 7.17 cm. A positive correlation was observed between oblique reach and height with and r - value of 0.56 (P < 0.01). The intra and inter-rater reliability was shown with intraclass correlation coefficiency values of 0.97 and 0.86, respectively (P < 0.001). Concurrent validity with the forward reach test and lateral reach test were shown with r - values of 0.78 and 0.73, respectively (P < 0.01).

Conclusion: We established the normal values for oblique direction reach tests in Saudi young adults. This test is valid and reliable for measuring the limits of stability in the oblique direction.

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References

Shumway-Cook A, Woollacott MH. Motor control: Translating research into clinical practice. 4th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2007.

Muir SW, Berg K, Chesworth B, Klar N, Speechley M. Balance impairment as a risk factor for falls in community-dwelling older adults who are high functioning: a prospective study. Phys Ther 2010;90:338-47. https://doi.org/10.2522/ptj.20090163

Lin MR, Hwang HF, Hu MH, Wu HD, Wang YW, Huang FC. Psychometric comparisons of the timedup and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc 2004;52:1343-8. https://doi.org/10.1111/j.1532-5415.2004.52366.x

Desai A, Goodman V, Kapadia N, Shay BL, Szturm T. Relationship between dynamic balance measures and functional performance in community-dwelling elderly people. Phys Ther 2010;90:748-60.

https://doi.org/10.2522/ptj.20090100

Harel NY, Asselin PK, Fineberg DB, Pisano TJ, Bauman WA, Spungen AM. Adaptation of computerized posturography to assess seated balance in persons with spinal cord injury. J Spinal Cord Med 2013;36:127-33. https://doi.org/10.1179/2045772312Y.0000000053

Kamath T, Sandesh TS. The test retest reliability and concurrent validity of functional reach test in 5 to 15 years old children with down' s syndrome - a cross sectional study. Int J Phys Educ Sports Health 2017;4:523-9.

Tedla JS, Asiri F, Alshahhrani MS, Sangadala DR, Gular K, Rengaramanuam K, Mukherjee D. Reference values of functional and lateral reach test among the young Saudi population: their psychometric properties and correlation with anthropometric parameters. Med Sci Monit 2019;25:5683-9.

https://doi.org/10.12659/MSM.916443

Newton RA. Validity of the multi-directional reach test: a practical measure for limits of stability in older adults. J Gerontol A Biol Sci Med Sci 2001;56:M248-52. https://doi.org/10.1093/gerona/56.4.M248

Deshmukh AA, Ganesan S, Tedla JS. Normal values of functional reach and lateral reach tests in Indian school children. Pediatr Phys Ther 2011;23:23-30. https://doi.org/10.1097/PEP.0b013e3182099192

Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. 3rd ed. Heidelberg: Springer Medizin Verlag; 2008.

Park SH. Assessment of weight shift direction in chronic stroke patients. Osong Public Health Res Perspect 2018;9:118-21. https://doi.org/10.24171/j.phrp.2018.9.3.06

Shah FY, Kotwal HA, Shahid-ul-islam M. Psychogenic limb length discrepancy of upper limbs. Int J Contemp Med Res 2017;4:962-4.

Magee DJ. Orthopedic physical assessment. 4th ed. St Louis, MO: Elsevier Saunders; 2006.

Egwu MO, Mbada CE, Olowosejeje D. Normative values of spinal flexibility for Nigerians using the inclinometric technique. J Exerc Sci Physiother 2008;8:32-104.

Lord SR, Sherrington C, Menz HB. Falls in older people risk factors and strategies for prevention. Cambridge: Cambridge University Press; 2001.

Sprigle S, Maurer C, Holowka M. Development of valid and reliable measures of postural stability. J Spinal Cord Med 2007;30:40-9. https://doi.org/10.1080/10790268.2007.11753913

Li F. The effects of Tai Ji Quan training on limits of stability in older adults. Clin Interv Aging 2014;9:1261-8. https://doi.org/10.2147/CIA.S65823

Ganesan M, Kanekar N, Aruin AS. Direction-specific impairments of limits of stability in individuals with multiple sclerosis. Ann Phys Rehabil Med 2015;58:145-50.

https://doi.org/10.1016/j.rehab.2015.04.002

Liaw MY, Chen CL, Pei YC, Leong CP, Lau YC. Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. Chang Gung Med J 2009;32:297-304.

Tantisuwat A, Chamonchant D, Boonyong S. Multidirectional reach test: an investigation of the limits of stability of people aged between 20 - 79 years. J Phys Ther Sci 2014; 26:877-80.

https://doi.org/10.1589/jpts.26.877

Silveria KRM, Matash SLA, Perracinin MR. assessment of performance in the functional reach and lateral reach tests in a brazilian population sample. Braz J Phys Ther 2006;10: 381-6.

Rockwood K, Awalt E, Carver D, MacKnight C. Feasibility and measurement properties of the functional reach and the timed up and go tests in the Canadian study of health and aging. J Gerontol A Biol Sci Med Sci 2000;55:M70-3. https://doi.org/10.1093/gerona/55.2.M70

Brauer S, Burns Y, Galley P. Lateral reach: a clinical measure of medio-lateral postural stability. Physiother Res Int 1999;4:81-8. https://doi.org/10.1002/pri.155

Martins EF, de Menezes LT, de Sousa PH, Araujo Barbosa PH, Costa AS. Reliability of the Functional Reach Test and the influence of anthropometric characteristics on test results in subjects with hemiparesis. NeuroRehabilitation 2012;31:161-9. https://doi.org/10.3233/NRE-2012-0786

Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol 1990;45:M192-7. https://doi.org/10.1093/geronj/45.6.M192

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Published

2023-07-20

How to Cite

1.
Shanker Tedla J, Rani Sangadala D, Gular K, Mukherjee D, Gyer G. Oblique direction reach test: a pilot test to measure limits of stability in oblique direction and its psychometric properties. Chula Med J [Internet]. 2023 Jul. 20 [cited 2024 Dec. 26];64(1). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/181

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Vol. 64 No. 1 (2020): Chulalongkorn Medical Journal

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Original Articles

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