title: The Figure-of-Eight Walk test: reliability and associations with stroke-specific impairments.
abstract: OBJECTIVE
  To investigate (1) the intra-rater, inter-rater and test-retest reliabilities of the Figure-of-Eight Walk (F8W) test times; (2) its correlation with other stroke-specific impairments; and (3) the cut-off scores best discriminating patients with stroke from the healthy elderly.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  University-based rehabilitation centre.
  
  
  METHODS
  A convenience sample of 64 subjects: 35 subjects with chronic stroke and 29 healthy elderly.
  
  
  METHODS
  F8W test times, Fugl-Meyer Motor Assessment for the lower extremities (FMA-LE), hand-held dynamometer measurements of bilateral hip abductor and knee extensor isometric muscle strength, Five times Sit to Stand Test (FTSTST) times, 10-Meter Walk Test (10MWT), Timed Up and Go Test (TUGT) times, Berg Balance Scale (BBS) and Activities-specific Balance Confidence Scale (ABC) scores.
  
  
  RESULTS
  Excellent intra-rater, inter-rater and test-retest reliabilities (intra-class correlation coefficient (ICC) range 0.944-0.999) of F8W test times were found. The F8W test times were also found to be significantly associated with FMA-LE, BBS, FTSTST, TUG scores and 10MWT. No significant correlation was found between F8W test times and either leg strength or ABC results. A F8W test time of 8.2 s was found to be the most representative for discriminating between healthy elderly and stroke subjects, with a sensitivity of 100% and a specificity of 89.7%.
  
  
  CONCLUSIONS
  The F8W test time is a reliable measurement tool, which is able to differentiate the patients with stroke and healthy elderly subjects and correlated well with stroke-specific impairments and walking tests. The F8W is a reliable measurement tool for assessing the advanced walking performance of subjects with chronic stroke. Implication for Rehabilitation The F8W test times have excellent intra-rater, inter-rater and test-retest reliabilities in patients with chronic stroke. The F8W test times were also found to be significantly associated with FMA-LE, BBS, FTSTST, TUG scores and 10MWT. A F8W test time of 8.2 s was found to be the most representative for discriminating between healthy elderly and stroke subjects, with a sensitivity of 100% and a specificity of 89.7%. The F8W test time is a reliable and valid measure in assessing the advanced walking skill in patients with stroke.
authors.affiliation: Department of Physiotherapy, Haven of Hope Hospital, Hong Kong (SAR) , China .
authors.forename: Sue S T
authors.initials: SS
authors.lastname: Wong
authors.forename: Man-Sze
authors.initials: MS
authors.lastname: Yam
authors.forename: Shamay S M
authors.initials: SS
authors.lastname: Ng
mesh_terms: D000368:Aged; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology*; D015588:Observer Variation; D004856:Postural Balance / Q000502:physiology*; D012372:ROC Curve; D012047:Rehabilitation Centers; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D020521:Stroke / Q000150:complications / Q000503:physiopathology*; D000071939:Stroke Rehabilitation; D016138:Walking / Q000502:physiology*