MULTIDIRECTIONAL REACH TEST. ⢠MRT is newly developed tool used to measure limit of stability in various age groups. ⢠Conventional method used to find ...
VALIDITY OF MULTIDIRECTIONAL REACH TEST USING MULTIDIRECTIONAL REACH ESTIMATOR
NEED OF BALANCE • Balance is essential when individual change its
position in relation to environment while feet are stationary in activities like forward, backward, side
bending and reaching • The lack of balance limits the children ability to participate in activities and make them susceptible for falls 1. Emery CA, Cassidy JD, Klassen TP, Rosychuk RJ, Rowe BB. Development of a clinical static and dynamic standing balance measurement tool appropriate for use in adolescents. Phys Ther. 2005 Jun;85(6):502-14 2.Field D, Livingstone R. Clinical tools that measure sitting posture, seated postural control of functional abilities in children with motor impairments: a systematic review. Clin Rehabil. 2013 Nov;27(11):994-1004. 3.
ASSESSMENT OF BALANCE • Many assessment scales are available in clinical setting to measure balance • One among them is Multi-directional reach test (MRT) • MRT is the extended form of functional reach test 1. Tantisuwat A, Chamonchant D, Boonyong S. Multi-directional Reach Test: An Investigation of the Limits of Stability of People Aged between 20-79 Years. J Phys Ther Sci. 2014 Jun;26(6):877-80. 2. Newton RA.Validity of multi-directional reach test:practical measure for limit of stability in older adults J Gerontol A Biol Sci 2001 April;56(4):M248-52
MULTIDIRECTIONAL REACH TEST • MRT is newly developed tool used to measure limit of stability in various age groups. • Conventional method used to find the reach of person in different directions (forward, backward, left and right lateral) with stable and normal base of
support. 1.Sharma K, Samuel AJ, Midha A. Minimal detectable change of multi-directional reach test in children and adolescent-a pilot study. Paper presented at: Physiocon2014:2nd All India Physiotherapy Conference;2014 Oct31 Nov 1;Ghaziabaad,India
CNTD….. • MRT validity and reliability is established by Newton in elders, but its validity and reliability is yet not established in children and adolescent. • In our last study we established the reliability values in children and adolescent
• Here we intend to estimate validity of the tool 1.Sharma K, Samuel AJ, Midha A. Minimal detectable change of multi-directional reach test in children and adolescent-a pilot study. Paper presented at: Physiocon2014:2nd All India Physiotherapy Conference;2014 Oct31 Nov 1;Ghaziabaad,India
METHODOLOGY • Sample population : children and adolescent aged between 5 and 15 years • Study setting : Recognized school of mullana • Study design : cross sectional study • Sampling technique : convenient sampling • Sample size : 22
INCLUSION CRITERIA • Children and adolescent
EXCLUSION CRITERIA • Children with
with typical
musculoskeletal
development
disorders.
• Co-operative children • aged between 5 and 15
years
• Children having visual, vestibular or neurological disorder • Other medical condition
MATERIAL USED • 2 Rulers (with 60 cm length) • Three adjustable wooden stand • Inch tape ( Coman®) • Weighing Machine (WC 150) • Other necessary stationary
ETHICAL CONCERN • Research protocol approval by institution research and ethics committee • Participating schools’ PTA approval • Study protocol was registered in CTRI • Study was done by the guidelines laid by ICMR • A prior informed consent was obtained from all the participants’ parents/legal guardians
PARTICIPANTS RECRUITMENT • 22 children aged between 5 and 15 years were recruited by convenient sampling • Among them 11 were boys and 11 were girls • Anthropometric measurements (Height, weight, arm
length) were taken prior to study as per convenience of children
PROCEDURE • MRT was performed by the apparatus which consists 3 adjustable wooden frames and 2 metal rulers • Subject were made to stand in front of apparatus with shoe off and minimal clothing • Scale is kept at the level of acromian process
CNTD….. • Subjects was asked to perform MRT by maximal
outstretching of arm to reach in four directions (i.e. forward, backward, leftward and rightward) with
their feet flat on the floor with normal base of support
• Three trials were taken for each direction and mean is analysed
• Functional reach test is used to validate MRT
MULTI-DIRECTIONAL REACH forward
backward
Left lateral
Right lateral
RESULTS
DEMOGRAPHIC CHARACTERISTIC Parameter Participants
Male (n=11)
Female (n=11)
p-value
Age (Yrs)
10 ± 3.2
10 ± 2.9
10 ± 3.6
0.98
Height (cm) Weight (Kg)
132.2 ± 16.9 130.6 ± 16.4
133.8 ± 18.1
0.67
27.8 ± 8.2
27.3 ± 7.9
28.4 ± 8.7
0.76
BMI (Kg/m2)
15.7 ± 2.2
15.8 ± 2.8
15.5 ± 1.5
0.73
RESULTS Direction reached
Spearman ‘s rho (ρ)
Forward
1.00**
Backward
0.79**
Left lateral
0.76**
Right lateral
0.74**
** - Significance at p
