Résumé

Abstract: The psychometric qualities of the proprioception and dynamic trunk control tests have rarely been studied in individuals after stroke. Objective: To investigate the reliability and validity of the Trunk Position Sense Test (TPS) and Modified Functional Reach Test (MFRT) in persons after stroke. Methods: Thirty-two participants were included. The TPS and MFRT were assessed by two physiotherapists during a first session. After resting, a second session was conducted. The intraclass correlation coefficient (ICC) was calculated to assess the test–retest (ICC3,k) and inter-rater reliability (ICC2,k). Pearson correlations coefficients were calculated between TPS/MFRT performances and clinical tests (trunk strength, Timed Up and Go and Balance Assessment in Sitting and Standing Positions – BASSP). Results: The TPS inter-rater reliability was good for vertical error (ICC = 0.75 [0.50–0.88]) while it was moderate for horizontal error (ICC = 0.48 [0.10–0.75]) as well as for test–retest reliability (0.39 ≤ ICC ≤ 0.59). As for the MFRT, inter-rater (0.76 ≤ ICC ≤ 0.90) and test–retest reliability (0.71 ≤ ICC ≤ 0.91) were good to excellent for anterior, paretic et non-paretic displacements. Horizontal errors for the TPS (−0.26 ≤ r ≤ −0.36) and anterior MFRT (0.38 ≤ r ≤ 0.64) values correlated moderately with trunk strength. Conclusion : The MFRT is a reliable test for persons after stroke with trunk control impairments. The TPS does not appear to be relevant for post-stroke individuals. This can be explained by the fact that its procedure is not easily applied for individuals after stroke – who may have significant motor and cognitive impairments.

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