Validity and Reliability Study of Glittre Activities Of Daily Living Test in Amputees

Validity and Reliability Study of Glittre Activities Of Daily Living Test in Amputees Using Lower Extremity Prosthesis

Glittre activities of daily living test is used in different populations. The test, which is valid and reliable in different populations, has not been validated in amputees. In our study, we wanted to investigate the validity and reliability of the Glittre activities of daily living test (Glittre ADL) test in amputees using a lower extremity prosthesis.

Study Overview

• Status: Completed
• Conditions: Amputation; Traumatic, Limb, Lower

Detailed Description

In individuals with lower extremity amputation, functions such as standing up, sitting, walking, turning, going up and down stairs, going up and down hills, jumping over steps, getting in and out of a car are required. There is no physical function test that simultaneously evaluates both the upper and lower extremities of individuals who have had lower extremity amputations. Therefore, we planned to perform the validity and reliability of the Glittre activities of daily living (ADL) test, which is used in COPD patients, for individuals who have had lower extremity amputation. The Glittre ADL test is the most widely used test to evaluate the performance of COPD patients in activities of daily living. The test is a simple test that can be easily applied and includes functional activities for the lower extremity and upper extremity.

RESEARCH QUESTIONS / HYPOTHESES:

1. Is the Glittre ADL Test reliable in amputees using a lower extremity prosthesis?
2. Is the Glittre ADL Test valid for evaluating amputees using a lower extremity prosthesis?

METHOD OF THE RESEARCH:

Glittre ADL Test:

It is a test that takes place within a distance of 10 m in total. This distance of 10 m will be divided into 2 in the middle by the ladder. Each rung of the ladder will be adjusted 17 cm high and 27 cm deep. Individuals will be asked to climb a 2-step ladder and then walk towards the shelf. The height of the shelves will be adjusted according to the shoulders and waist levels of the participants. It will place 3 pieces of 1 kg objects on the top shelf, one by one, first from the top shelf to the middle shelf, then from the middle shelf to the bottom shelf, from the bottom shelf to the middle shelf, and finally from the middle shelf to the top shelf. It is a test that takes place within a distance of 10 m in total. This distance of 10 m will be divided into 2 in the middle by the ladder. Each rung of the ladder will be adjusted 17 cm high and 27 cm deep. Individuals will be asked to climb a 2-step ladder and then walk towards the shelf. The height of the shelves will be adjusted according to the shoulders and waist levels of the participants. It will place 3 pieces of 1 kg objects on the top shelf, one by one, first from the top shelf to the middle shelf, then from the middle shelf to the bottom shelf, from the bottom shelf to the middle shelf, and finally from the middle shelf to the top shelf.

For the validity test; 2 minute walk test, functional reach test, timed get up and go test will be done and these tests will be examined in terms of Construct validity, Convergent validity and Discriminant validity.

For reliability test; Day 1 and Day 2 will be evaluated by the same physiotherapist. Day 3 will be evaluated by a different physiotherapist.

There will be 3 evaluations in 1 week and it will be planned to be 1 day between evaluations. Two assessments will be done by the same physiotherapist, while the third will be done by another physiotherapist.

• Study Type: Observational
• Enrollment (Actual): 66

Contacts and Locations

• Study Contact: Name: Özge Çiftçi, Bachelor; Phone Number: 0392 630 3067; Email: ozgeeciiftcii@outlook.com
• Study Contact Backup: Name: Yasin Yurt, PhD; Phone Number: 0392 630 2448; Email: fzt.yasinyurt@gmail.com

Study Locations

• Turkey
  • Mersin, Turkey
    • Eastern Mediterranean University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A

• Sampling Method: Probability Sample

Study Population

Those over the age of 18 who have been using a lower extremity prosthesis for at least 6 months will be included in the study.

Description

Inclusion Criteria:

• People over the age of 18 who have had lower extremity amputation
• Unilateral amputees using a lower extremity prosthesis for at least 6 months
• Those who can walk at least 30 m independently

Exclusion Criteria:

• Presence of ulcer on the stump
• Lack of stump socket compatibility
• Having a different orthopedic or neurological problem other than amputation
• Having a cardiopulmonary problem that will prevent the test from being completed.
• I ndividuals who cannot understand and follow commands

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Glittre Activities Of Daily Living Test	How long individuals take the Glittre Daily Living Activities Test will be recorded in minutes.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
2-Minute Walking Test	The test to be carried out in the 30 meter long area will be marked at 3 meter intervals and the turning points will be determined by an object such as a traffic cone. We will ask the individual to walk the maximum distance in 2 minutes, and we will tell him that he can slow down and stop when he gets tired. When 2 minutes are completed with the stopwatch, we will ask the individual to stop and record the walking distance.	3 months
Functional reach test:	The patient will be asked to stand sideways next to the wall and wait with the shoulder flexed at 90 degrees, the elbow extended and the fist closed, without touching the arm close to the wall. The 3rd metacarpal head will be marked and the patient will be asked to lie down as far as he can without stepping, then the new location of the 3rd metacarpal head will be marked. Scoring will be determined by measuring the difference between the start and end position. 3 attempts will be made and the average of the last two trials will be taken.	3 months
Timed get up and walk test	The distance of 3 meters in front of the chair will be determined and the individual will be asked to get up from the chair and walk the determined distance.	3 months
Trinity Amputation and Prosthetic Experience Scale (TAPES):	TAPES consists of 2 parts. In the first part, psychosocial adaptation, activity limitation and prosthesis satisfaction are questioned, while in the second part, the average number of hours he wears the prosthesis, his physical capacity, general health, stump and phantom pain are questioned. A high score indicates high compliance. A high score in assessing activity limitation indicates activity limitation. Finally, the highest score that can be obtained in the prosthesis satisfaction subscale is 50, the lowest score is 10. A high score indicates that the individual is satisfied with the prosthesis.	3 months

Collaborators and Investigators

• Sponsor: Eastern Mediterranean University
• Investigators: Principal Investigator: Özge Çiftçi, Bachelor, Eastern Mediterranean University; Principal Investigator: Cansu KOLTAK, MSc, Eastern Mediterranean University; Principal Investigator: Yasin Yurt, PhD, Eastern Mediterranean University

Publications and helpful links

General Publications

• Hatfield AG. Beyond the 10-m time: a pilot study of timed walks in lower limb amputees. Clin Rehabil. 2002 Mar;16(2):210-4. doi: 10.1191/0269215502cr484oa.
• Mason K, Chockalingam A, Prudhomme S, Stachenko S, Pearson T. Policy depot: a tool to build global capacity in cardiovascular health policy. Glob Heart. 2012 Mar;7(1):47-51. doi: 10.1016/j.gheart.2012.01.005. Epub 2012 Apr 13. No abstract available.

Helpful Links

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Study record dates

Study Major Dates

• Study Start (Actual): July 15, 2022
• Primary Completion (Actual): December 30, 2022
• Study Completion (Actual): January 10, 2023

Study Registration Dates

• First Submitted: June 22, 2022
• First Submitted That Met QC Criteria: July 1, 2022
• First Posted (Actual): July 6, 2022

Study Record Updates

• Last Update Posted (Estimated): December 27, 2023
• Last Update Submitted That Met QC Criteria: December 26, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Keywords: prosthesis; functional capacity; Amputees; Glittre ADL
• Additional Relevant MeSH Terms: Wounds and Injuries; Amputation, Traumatic
• Other Study ID Numbers: ETK00-2021-0085

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No