ArticleJournal of rehabilitation medicine2026
Psychometric properties of the timed backward walk test in people with stroke.
Article in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveTo examine the psychometric properties of the Timed Backward Walk test in people with stroke.
designCross-sectional study. SUBJECTS: 60 people with stroke and 30 healthy adults aged 55 years and older.
methodsParticipants performed the Timed Backward Walk test and standard clinical assessments. Discriminative validity was evaluated using receiver operating characteristic curve. Reliability (one-week test-retest, inter-rater, intra-rater) was assessed using intraclass correlation coefficients. Construct validity was examined through correlations with motor function, strength, balance, and gait measures.
resultsPeople with chronic stroke took significantly longer to complete the test than healthy adults (p < 0.001), with an area under the curve of 0.968 and an optimal cut-off of 7.22 s. Test-retest, inter-rater, and intra-rater reliability were all excellent. The standard error of measurement was 1.62 s and the minimal detectable change was 4.49 s. The complete time showed strong positive correlations with functional mobility and gait speed measures (ρ = 0.840-0.897) and moderate negative correlations with balance, lower-limb motor function, and ankle dorsiflexor strength (ρ = -0.408 to -0.647). The Timed Backward Walk test demonstrated excellent reliability, discriminative validity, and construct validity in people with chronic stroke. It is a feasible and sensitive complement to forward gait assessments.
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