Validity and reliability of performance tests as balance measures in patients with total knee arthroplasty

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Sarac D. C., ÜNVER B., Karatosun V. A.

KNEE SURGERY & RELATED RESEARCH, vol.34, no.1, 2022 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 1
  • Publication Date: 2022
  • Doi Number: 10.1186/s43019-022-00136-4
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Keywords: Knee arthroplasty, Balance, Performance test, Validity, Reliability, WALK TESTS, STAND, OSTEOARTHRITIS, RECOVERY, FALLS, SCALE, GO
  • Dokuz Eylül University Affiliated: Yes


Purpose This study aimed to investigate validity and reliability of the Timed Up and Go Test (TUG), 10 Meter Walk Test (10MWT), Single Leg Stance Test (SLST), 2 Minute Walk Test (2MWT), and Five Times Sit-to-Stand Test (5xSST) for evaluating balance in patients with total knee arthroplasty (TKA). Materials and Methods This cross-sectional study included 41 participants who had undergone TKA 6 months before the study due to osteoarthritis. Participants performed the TUG, 10MWT, SLST, 5xSST, and 2MWT. Each of the tests was performed twice, with a 1-day interval between tests. Intraclass correlation coefficient (ICC) models were used to determine the test-retest reliability. The level of correlations between performance tests and Berg Balance Scale and Fall Efficacy Scale-International were used to establish concurrent and convergent validity of the performance tests, respectively. Results The mean age of the subjects was 64.07 +/- 10.57 years. All tests showed excellent reliability (ICC > 0.94), excluding SLST that demonstrated good test-retest reliability (ICC = 0.72). All of the tests (SLST, 10MWT, 5xSST, 2MWT, TUG) were found to have good validity (rho > 0.704). Conclusions According to these results, TUG, 10MWT, SLST, 5xSST, and 2MWT are reliable and valid outcome measures in patients with TKA, and could be used to assess balance after TKA surgery.