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BioMed Research International
Volume 2018, Article ID 9629230, 8 pages
https://doi.org/10.1155/2018/9629230
Research Article

The Timed 180° Turn Test for Assessing People with Hemiplegia from Chronic Stroke

Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong

Correspondence should be addressed to Shamay S. M. Ng; kh.ude.uylop@gn.yamahs

Received 21 July 2017; Revised 24 November 2017; Accepted 12 December 2017; Published 15 January 2018

Academic Editor: Alberto Raggi

Copyright © 2018 Regan L. Robinson and Shamay S. M. Ng. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Turning is ubiquitous in activities of daily living. For people with hemiplegia, persistent impairments in strength, balance, and coordination will affect their ability to turn safely. Consequently, turning retraining should be addressed in rehabilitation programs. To measure turning for these individuals, a reliable clinical tool is required. Objective. To investigate (i) the intrarater, interrater, and test-retest reliability of the timed 180° turn test; (ii) the correlation of the timed 180° turn test with other measures of stroke-specific impairments; and (iii) the cut-off time that best discriminates individuals with hemiplegia from chronic stroke and healthy older adults. Methods. 33 individuals with hemiplegia due to chronic stroke and 32 healthy elderly individuals participated in this cross-sectional study. The timed 180° turn test was administered along with other measures of stroke-specific impairment. Results. The timed 180° turn test demonstrated excellent intrarater, interrater, and test-retest reliability in individuals with hemiplegia from chronic stroke. The timed 180° turn test (times) significantly correlated with the Fugl-Meyer Assessment of the Lower Extremities (FMA-LE), affected ankle plantar flexion strength, the 5-Times-Sit-To-Stand test, the Berg Balance Scale (BBS), and the Timed Up and Go (TUG) test. Conclusion. The timed 180° turn test is a reliable clinical tool to assess the turning ability of subjects with hemiplegia from chronic stroke.