Table 1.
System | Test | Consign | Evaluation |
---|---|---|---|
A Anticipations |
Rise to toes | “Give me your hands, rise on your toes and come back down, 3 times” | 1: optimal postural preparation (anterior pelvic shift) |
Alternated foot reaching on a step | “Put your foot on the stair and go back on the floor, and with the other foot, repeat 2 times” | 1: optimal postural preparation (lateral pelvic shift) | |
Half-Turn preparation | “Please go straight on and turn around in front of this wall” | 1: optimal postural preparation (the last foot support is oriented on the turn direction) | |
Sit-to-stand | “Please Stand-up” | 1: optimal trunk tilt (around 45–60° with vertical line) | |
Back-to-sit | “Please sit-down” | 1: optimal trunk tilt (around 45–60° with vertical line) | |
B Reactions |
Postural adaptation | “I look for your reaction” | 1: Optimal muscular contraction with the anterior muscular plan to counteract the anteroposterior light push |
Fall avoidance reaction | “I look for your reaction” | 1: Optimal back step to counteract the anteroposterior heavy push | |
C Locomotion |
Gait speed in dual task | “Please walk on this corridor, I am just behind you” | 1: No notable gait-speed decrease, or instability |
Gait speed modulation | “Please try to walk faster, and now slower” | 1: Ability to walk faster and slower | |
Half-turn quality | This test can be assessed during the part A | 1: No more than 4 steps are necessary to finish the half-turn | |
Cervical rotation when walking | “Please walk on this corridor, I am on your side … ok now please turn the head to watch me, and now turn on the other side” | 1: The patient turn the head with 45° of cervical rotation without slowdown or instability | |
Go down to the floor | “Please sit down on the floor, you can use this chair to help yourself” | 1: The patient sit down without human help (physical or verbal), securely | |
Rise from the floor | “Please standup from the floor, you can use this chair to help yourself” | 1: The patient stand up without human help (physical or verbal), securely | |
D Sensory orientation |
Feet together/eyes open | “Please stay in this stand up position for a few seconds” | 1: The patient is able to stay during 15 seconds in the position without important instability |
Feet shoulder width apart/eyes closed | Please stay in this stand up position for a few seconds” | 1: The patient is able to stay during 15 seconds in the position without important instability | |
Feet shoulder width apart on a foam surface/eyes open | Please stay in this stand up position for a few seconds” | 1: The patient is able to stay during 15 seconds in the position without important instability | |
E Biomechanical constraints |
Effort adaptation | No specific consign | 1: The patient is not short of breath when he sit down after the gait speed test |
Lower limbs muscle power | Consign of the chair test: “please stand up and sit down successively, I will say when you will stop, you can use the armchairs if you need” | 1: The patient is able to stand up and sit down three times in 15 seconds | |
Ankle range of motion | No specific consign, patient is sit down, with 90° hip and knee flexion | 1: passive and active range of motion of more than 10° in dorsal ankle flexion | |
Foot quality state | No specific consign, no shoes | 1: no problem on the feet, neither cutaneous nor osteoarticular deformities | |
Directional instability | No specific consign, the patient is observed during the others tests | 1: no preferential instability in one direction, for example backward, or laterally. | |
Anterior stability limit (Functional Reach Test) | Consigns of the FRT (Duncan at al 1990): “Please reach forward as far as you can with your index finger without moving on your feet” | 1: The patient is able to reach minimum 26 cm | |
F Gait Symmetry |
Gait symmetry | No specific consigns, gait analysis during the gait speed test | 1: Equal longer of each step |
Weight bearing pain | “Do you have pain when you charge one foot?” | 1: No pain neither for the right nor for the left foot charge | |
Strength deficit | No specific consign | 1: The therapist evaluation find no strength deficit linked with the gait asymmetry | |
Range of motion deficit | No specific consign | 1: The therapist evaluation find no range of motion deficit linked with the gait asymmetry |