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Reliability and Validity of Modified Four Square Step Test

Evaluation of Test-retest Reliability, Concurrent Validity and Minimal Detectable Change of the Modified Four Square Step Test in Individuals With Primary Total Hip Arthroplasty.

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05054192
Enrollment
28
Registered
2021-09-23
Start date
2021-09-01
Completion date
2023-09-01
Last updated
2021-09-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Total Hip Arthroplasty

Keywords

Postural Balance, Total Hip Arthroplasty, Falling

Brief summary

Functional improvements are reached in patients with primary total hip arthroplasty compared to the pre-operative term however some problems as continued range of motion limitations, loss of joint proprioception sensation, and resulting balance and gait disorders may result in failure of the Four Square Step Test. Therefore, the need for the apply of the Modified Four Square Step Test in individuals with primary THA is necessary. The aim of this study is to evaluate the test-retest reliability, concurrent validity and minimal detectable change of the Modified Four Square Step Test in individuals with primary total hip arthroplasty.

Detailed description

Roos et al. improved the Modified Four-Square Step Test to complete the test by stroke patients and not to fall due to practices of the test while performing the test. The Modified Four Square Step Test variates from the The Four Square Step Test is that the person is not asked to look ahead during the test, and instead of using a cane, tapes are used to prevent people from losing their balance by tripping over the obstacle. Thus, although the height of the obstacle is reduced, the boundaries of the obstacle are preserved. Functional improvements are reached in patients with primary total hip arthroplasty compared to the pre-operative term however some problems as continued range of motion limitations, loss of joint proprioception sensation, and resulting balance and gait disorders may result in failure of the Four Square Step Test. Therefore, the need for the apply of the Modified Four Square Step Test in individuals with primary THA is necessary. The aim of this study is to evaluate the test-retest reliability, concurrent validity and minimal detectable change of the Modified Four Square Step Test in individuals with primary total hip arthroplasty.

Interventions

None listed

Sponsors

Afyonkarahisar Health Sciences University
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

* Being between the ages of 18-85. * Having undergone primary total hip arthroplasty at least ≥6 months ago.

Exclusion criteria

* Having severe cardiovascular or lung disease * Having severe dementia or communication difficulties * Having a musculoskeletal or neurological problem that may affect participation in balance tests * Having an uncorrectable visual impairment * Having a body mass index of more than 40 kg/m2

Design outcomes

Primary

MeasureTime frameDescription
Dynamic Balance6 minutesDynamic balance is the ability of an object to balance while in motion or switching between positions. Dynamic balance will be evaluated with the modified four square step test. The duration as second will be recorded.

Secondary

MeasureTime frameDescription
Dynamic Balance4 minutesDynamic balance will be evaluated with the timed and go test and the test completion time will be recorded in seconds.

Countries

Turkey (Türkiye)

Contacts

Primary ContactEMEL TAŞVURAN HORATA, PhD
ethorata@gmail.com+905547759663

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026