Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis

Lucía Ortega-Pérez de Villar, Francisco José Martínez-Olmos, Anna Junqué-Jiménez, Juan José Amer-Cuenca, Javier Martínez-Gramage, Tom Mercer, Eva Segura-Ortí, Lucía Ortega-Pérez de Villar, Francisco José Martínez-Olmos, Anna Junqué-Jiménez, Juan José Amer-Cuenca, Javier Martínez-Gramage, Tom Mercer, Eva Segura-Ortí

Abstract

Functional tests are commonly used for chronic kidney disease (CKD) patients undergoing hemodialysis (HD). However, the relative and absolute reliability of such physical performance-outcome assessments must first be determined in specific patient cohorts. The aims of this study were to assess the relative and the absolute reliability of the Short Physical Performance Battery (SPPB), One-Legged Stance Test (OLST), and Timed Up and Go (TUG) test, as well as the minimal detectable change (MDC) scores for these tests in CKD patients receiving HD. Seventy-one end-stage CKD patients receiving HD therapy, aged between 21 and 90 years, participated in the study. The patients completed two testing sessions one to two weeks apart and performed by the same examiner, comprising the following tests: the SPPB (n = 65), OLST (n = 62), and TUG test (n = 66). High intraclass correlation coefficients (≥0.90) were found for all the tests, suggesting that their relative reliability is excellent. The MDC scores for the 90% confidence intervals were as follows: 1.7 points for the SPPB, 11.3 seconds for the OLST, and 2.9 seconds for the TUG test. The reliability of the SPPB, OLST, and TUG test for this sample were all considered to be acceptable. The MDC data generated by these tests can be used to monitor meaningful changes in the functional capacity of the daily living-related activity of CKD patients on HD.

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1. Flow chart for study participants…
Fig 1. Flow chart for study participants in the test—retest reliability and minimal detectable change for the SPPB, the OLST and TUG HD: Hemodialysis; OLST: One-Legged Standing Test; SPPB: Short Physical Performance Battery; TUG: Timed Up and Go test.
Fig 2. Bland-Altman plot showing levels of…
Fig 2. Bland-Altman plot showing levels of agreement for the test-retest data for the SPPB.
SPPB: Short Physical Performance Battery.
Fig 3. Bland-Altman plot showing levels of…
Fig 3. Bland-Altman plot showing levels of agreement for the test-retest data for the OLST.
OLST: One-Legged Standing Test.
Fig 4. Bland-Altman plot showing levels of…
Fig 4. Bland-Altman plot showing levels of agreement for the test-retest data for the TUG.
TUG: Timed Up and Go test.

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