Evidence map›Paper›PMID 30897107›Full record

Trial reportPloS one2019

The Step Test Evaluation of Performance on Stairs (STEPS): Validation and reliability in a neurological disorder.

Anne D Kloos, Deb A Kegelmeyer, Katherine Ambrogi, David Kline, Meredith McCormack-Mager, Brittany Schroeder, Sandra K Kostyk

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.3field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Reliability and validity of six-minute step test in patients with heart failure.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Anne D KloosCollege of Medicine, Division of Physical Therapy, The Ohio State University, Columbus, Ohio, United States of America.ORCID 0000-0002-9169-6589
Deb A KegelmeyerCollege of Medicine, Division of Physical Therapy, The Ohio State University, Columbus, Ohio, United States of America.
Katherine AmbrogiCollege of Medicine, Department of Neurology, The Ohio State University, Columbus, Ohio, United States of America.
David KlineCenter for Biostatistics, The Ohio State University, Columbus, Ohio, United States of America.
Meredith McCormack-MagerCenter for Biostatistics, The Ohio State University, Columbus, Ohio, United States of America.
Brittany SchroederCollege of Medicine, Division of Physical Therapy, The Ohio State University, Columbus, Ohio, United States of America.
Sandra K KostykCollege of Medicine, Department of Neurology, The Ohio State University, Columbus, Ohio, United States of America.
The Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with neurological disorders often have difficulty negotiating stairs that can lead to injurious falls. Clinicians lack a clinical tool to identify impairments in stair negotiation and to assist their decision making regarding treatment plans to improve stair performance and safety. We developed a new tool called the Step Test Evaluation of Performance on Stairs (STEPS) that is designed to assess stair performance and safety in neurological populations.

objectivesThis study aimed to determine interrater and intrarater reliability of STEPS and its concurrent content validity to various clinical balance and mobility measures using individuals with Huntington's disease (HD) as the first test population.

methodsForty individuals with HD (mean age 50.35) participated. Three observers rated live performances of the STEPS (interrater reliability) and seven observers rated videotaped performances twice (intrarater reliability). STEPS scores correlated with clinical mobility and balance test scores.

resultsExcellent inter- and intrarater reliability (ICCs = 0.91 and 0.89 respectively) and good internal consistency (α = 0.83) were found. Better STEPS performance correlated with better performance on co-administered motor and mobility measures and Stair Self-Efficacy scores. Per multivariable regression analysis, the Unified Huntington's Disease Rating Scale modified motor score and descent time were significant predictors of STEPS performance.

conclusionsThe STEPS tool is easy to administer, requires no special devices and can be completed in less than five minutes. In the HD test population, it shows high reliability and validity making it a potentially useful tool for assessing maneuverability and safety on stairs in HD. The results suggest that the STEPS tool warrants further study to determine STEPS cut-off values for fall prediction in HD and may prove useful as an assessment tool for other neurological disorders.

Indexed as

Accidental FallsAdultAgedExercise TestFemaleHumansMaleMiddle AgedMultivariate AnalysisNervous System DiseasesRegression AnalysisYoung Adult

Identifiers

PMID30897107
PMCPMC6428278
OpenAlexW2924767881

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.