The Reliability, Validity, and Responsiveness of the Timed 360° Turn Test in Patients With Parkinson's Disease

Parkinson Disease Clinical Trial

Official title:

The Reliability, Validity, and Responsiveness of the Timed 360° Turn Test in Patients With Parkinson's Disease

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03587168
• Other study ID #: 441
• Status: Completed
• Start date: July 20, 2018
• Est. completion date: August 20, 2018

Study information

• Verified date: October 2018
• Source: Gazi University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Difficulty in turning is common after Parkinson's Disease. Patients with Parkinson's Disease take a greater number of steps, longer duration, narrower base of support in turning. Thus, turning ability is systematically investigated in Parkinson's Disease. The aim of this study to invastigate reliability, validity, and responsiveness of the timed 360° turn test in Patients with Parkinson's Disease.

Description:

At baseline, the timed 360° turn test, Unified Parkinson's Disease Rating Scale, Hoehn and Yahr Scale, Berg Balance Scale, Functional Reach Test, Timed Up and Go Test, Four Square Step Test and Trunk Impairment Scale was applied to the patients with Parkinson's Disease when the patients were "on" period. The timed 360° turn test was repeated after seven days from the first application when patients with Parkinson's Disease were "on" period to evaluate its reliability.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 86
• Est. completion date: August 20, 2018
• Est. primary completion date: August 10, 2018
• Gender: All
• Age group: 40 Years and older

Eligibility

Inclusion Criteria:

• at least 40 years of age,

• neurologist-diagnosed Parkinson's Disease

• Hoehn & Yahr (H&Y) stages 1 to 4,

• were able to walk 10 m with or without aids

Exclusion Criteria:

• visual, auditory, and orientational problems affecting study results

• orthopedic problems affecting walking,

• other neurologic conditions, cardiovascular, musculuskeletal, and vestibular disease

Related Conditions & MeSH terms

• Parkinson Disease

Intervention

Other:
• the timed 360° turn test
Turning ability is assessed by using the timed 360° turn test.
• Berg Balance Scale
Functional balance is assessed by using the Berg Balance Scale.
• Four Square Step Test
The Four Square Step Test measures dynamic balance.
• Functional Reach Test
The Functional Reach Test assesses limits of stability.
• Trunk Impairment Scale
Trunk performance is assessed by using the trunk impairment scale.
• Timed Up and Go Test
Functional mobility is assessed by using the timed up and go test.
• Hoehn and Yahr Scale
Disease stage is assessed by the Hoehn and Yahr Scale.
• Unified Parkinson's Disease Rating Scale
The Unified Parkinson's Disease Rating Scale assesses disease severity.

Locations

Country	Name	City	State
Turkey	Fatih Söke	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Gazi University

Country where clinical trial is conducted

Turkey, 

References & Publications (6)

Giladi N, McMahon D, Przedborski S, Flaster E, Guillory S, Kostic V, Fahn S. Motor blocks in Parkinson's disease. Neurology. 1992 Feb;42(2):333-9. — View Citation

Kluger BM, Brown RP, Aerts S, Schenkman M. Determinants of objectively measured physical functional performance in early to mid-stage Parkinson disease. PM R. 2014 Nov;6(11):992-8. doi: 10.1016/j.pmrj.2014.05.013. Epub 2014 May 28. — View Citation

Schenkman M, Cutson TM, Kuchibhatla M, Chandler J, Pieper C. Reliability of impairment and physical performance measures for persons with Parkinson's disease. Phys Ther. 1997 Jan;77(1):19-27. — View Citation

Shiu CH, Ng SS, Kwong PW, Liu TW, Tam EW, Fong SS. Timed 360° Turn Test for Assessing People With Chronic Stroke. Arch Phys Med Rehabil. 2016 Apr;97(4):536-544. doi: 10.1016/j.apmr.2015.11.010. Epub 2015 Dec 13. — View Citation

Stack E, Ashburn A. Dysfunctional turning in Parkinson's disease. Disabil Rehabil. 2008;30(16):1222-9. doi: 10.1080/09638280701829938. — View Citation

Stack EL, Ashburn AM, Jupp KE. Strategies used by people with Parkinson's disease who report difficulty turning. Parkinsonism Relat Disord. 2006 Mar;12(2):87-92. Epub 2005 Dec 9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The timed 360° turn test	Turning ability is assessed by using the timed 360° turn test. In the timed 360° turn test, a piece of colored tape is placed on the floor to mark the starting position. Each subject was required to stand with arms by his/her side and feet comfortably apart and pointing to the tape. Timing was started from the word "go" and stopped when subject's shoulders were facing forward again. The time taken to complete the turn was recorded (in seconds) by a stopwatch.	10 seconds
Secondary	Berg Balance Scale	Functional balance is assessed by using the Berg Balance Scale. During the test, participants are asked to perform 14 tasks frequently used in daily life activities. Each item is scored between 0 (unable to perform the task) and 4 (task is performed independently) according to the ability of the person while performing the task. The highest possible score is 56 points. A higher score indicates better balance.	15 minutes
Secondary	Trunk Impairment Scale	Trunk performance is assessed by using the trunk impairment scale. The Trunk Impairment Scale consists of three subscales: static sitting balance, dynamic sitting balance and co-ordination. A higher score indicating a better performance.	20 minutes
Secondary	Functional Reach Test	The Functional Reach Test assesses balance by measuring the limits while the patient reaches forwards as far as possible, having the arms in 90° flexion and without lifting the heels off the floor.	15 seconds
Secondary	Four Square Step Test	The Four Square Step Test measures dynamic balance and clinically assesses the person's ability to step over objects forward, sideways, and backward. A square was formed by 4 canes resting flat on the floor. The participants were instructed to try and complete the sequence as fast as possible without touching the canes with both feet, making contact with the floor in each square.	15 seconds
Secondary	Timed Up and Go Test	Functional mobility is assessed by using the timed up and go test. The timed up and go test measures the time that a patient needs to stand up from a chair, walk a 3-m distance, come back and sit back on the chair.	10 seconds
Secondary	Hoehn and Yahr Scale	Disease stage is assessed by the Hoehn and Yahr Scale. The Hoehn and Yahr scale is a commonly used diagnostic tool for quantifying the progression of Parkinson's Disease symptoms. Stages range from 0 (no signs of disease) to 5 (requiring a wheelchair, or bedridden unless assisted).	1 minutes
Secondary	Unified Parkinson's Disease Rating Scale	The Unified Parkinson's Disease Rating Scale is increasingly used as a gold standard reference scale and includes four components (Part I, Mentation, Behavior and Mood; Part II, Activities of Daily Living; Part III, Motor;Part IV, Complications). A lower score indicates lower disease severity.	15 minutes