Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Reliability of the 3-Meter Backward Walk Test and Association with Functional Gait Assess-ment in Individuals with Stroke

Version 1 : Received: 31 October 2023 / Approved: 31 October 2023 / Online: 1 November 2023 (03:40:57 CET)

A peer-reviewed article of this Preprint also exists.

Kapan, A.; Ristic, M.; Yang, L.; Kranz, G.; Waldhör, T. Concurrent Validity and Test–Retest Reliability of the 3-Meter Backward Walk Test in Stroke Survivors. Healthcare 2023, 11, 3020. Kapan, A.; Ristic, M.; Yang, L.; Kranz, G.; Waldhör, T. Concurrent Validity and Test–Retest Reliability of the 3-Meter Backward Walk Test in Stroke Survivors. Healthcare 2023, 11, 3020.

Abstract

In the context of evaluating physical function in individuals with stroke, the 3-meter backward walk test (3MBWT) emerges as a potential tool of interest. The purpose of this study was to assess the test-retest reliability and construct validity of the 3MBWT and its correlation with falling incidents. Conducted in a neurological rehabilitation center, 35 ambulatory individuals with stroke were enrolled within a month post-stroke onset. These participants, with a Functional Ambulation Category score of ≥4, underwent the 3MBWT, Functional Gait Assessment (FGA), 10-Meter Walk Test (10MWT), and 6-Minute Walk Test (6MWT) three times by different physiotherapists. Results indicated the 3MBWT displayed high reliability (r=0.97-0.98) and showed significant construct validity with other established walking tests like the 6MWT (r=-0.78) and 10MWT (r=0.71), with a moderate correlation to the FGA (r=-0.54). No marked differences in test outcomes were observed between participants based on their fall history. Conclusively, the 3MBWT proves to be highly reliable and validates well with existing walking function assessments for stroke patients, suggesting its potential as a time-efficient alternative.

Keywords

3-Meter Backward Walk Test, stroke, psychometric properties, construct validity, reliability

Subject

Public Health and Healthcare, Public Health and Health Services

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