PMID- 35190309
OWN - NLM
STAT- MEDLINE
DCOM- 20220530
LR  - 20220606
IS  - 1873-1465 (Electronic)
IS  - 0031-9406 (Linking)
VI  - 115
DP  - 2022 Jun
TI  - Minimal clinically important difference of the Four Square Step Test in people 
      with degenerative spinal conditions.
PG  - 58-60
LID - S0031-9406(21)00037-7 [pii]
LID - 10.1016/j.physio.2021.04.001 [doi]
AB  - OBJECTIVE: To identify the minimal clinically important difference (MCID) in the 
      Four Square Step Test (FSST) for patients with degenerative spinal conditions 
      before and after a six-week group-based physiotherapy programme. DESIGN: 
      Secondary analysis of a longitudinal cohort study. SETTING: Physiotherapy 
      department within a specialised orthopaedic hospital in the UK. PARTICIPANTS: Men 
      and women with degenerative spinal conditions. INTERVENTIONS: All participants 
      had a routine care package of up to six group-based physiotherapy led exercise 
      and education sessions. MAIN OUTCOME MEASURES: An anchor-based approach using a 
      self-report outcome measure (Activities-specific Balance Confidence [ABC] Scale) 
      was utilised as a comparator to determine the MCID of the FSST. The MCID for the 
      FSST was calculated as the difference in mean change scores from those who 
      improved on the ABC Scale against those who did not improve (based on the 
      standard error of measurement of the ABC Scale). RESULTS: Twenty-eight 
      participants with degenerative spinal conditions (19 female) had a mean age of 73 
      years (SD 7.7). The mean ABC Scale scores for the whole sample were 61% (SD 19.1) 
      at baseline and 66% (SD 18.3) post-physiotherapy. The mean FSST scores for the 
      whole sample were 19.1seconds (SD 9.8) at baseline and 13.9seconds (SD 6.3) 
      post-physiotherapy. The MCID for the FSST was 3.6seconds. CONCLUSIONS: The MCID 
      for improvement in balance was 3.6seconds, indicating people with degenerative 
      spinal conditions are likely to perceive an improvement of >/=3.6seconds in their 
      FSST score as an important change in their balance performance and confidence.
CI  - Crown Copyright (c) 2021. Published by Elsevier Ltd. All rights reserved.
FAU - Batting, Martha
AU  - Batting M
AD  - Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University 
      Hospitals Foundation Trust, Oxford, UK. Electronic address: 
      Martha.batting@ouh.nhs.uk.
FAU - Hannink, Erin
AU  - Hannink E
AD  - Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University 
      Hospitals Foundation Trust, Oxford, UK.
FAU - Barker, Karen
AU  - Barker K
AD  - Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University 
      Hospitals Foundation Trust, Oxford, UK.
LA  - eng
PT  - Journal Article
DEP - 20210418
PL  - England
TA  - Physiotherapy
JT  - Physiotherapy
JID - 0401223
SB  - IM
MH  - Aged
MH  - *Exercise Test
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - *Minimal Clinically Important Difference
MH  - Physical Therapy Modalities
MH  - Postural Balance
OTO - NOTNLM
OT  - Degenerative spinal conditions
OT  - Minimal clinically important difference
OT  - Outcome assessment
EDAT- 2022/02/23 06:00
MHDA- 2022/05/31 06:00
CRDT- 2022/02/22 05:56
PHST- 2020/07/09 00:00 [received]
PHST- 2022/02/23 06:00 [pubmed]
PHST- 2022/05/31 06:00 [medline]
PHST- 2022/02/22 05:56 [entrez]
AID - S0031-9406(21)00037-7 [pii]
AID - 10.1016/j.physio.2021.04.001 [doi]
PST - ppublish
SO  - Physiotherapy. 2022 Jun;115:58-60. doi: 10.1016/j.physio.2021.04.001. Epub 2021 
      Apr 18.