Pediatric Physical Therapy

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Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e3182351c3c
Research Articles

Predictors of Standardized Walking Obstacle Course Outcome Measures in Children With and Without Developmental Disabilities

Kott, Karen M. PT, PhD; Held, Sharon L. PT, DPT, MS, PCS; Giles, Elizabeth Francis PT, PhD; Franjoine, Mary Rose PT, DPT, MS, PCS

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Purpose: This study was designed to determine which characteristics of children predict measures on the Standardized Walking Obstacle Course (SWOC).

Methods: SWOC testing was performed under 3 conditions: (1) walk, (2) walk with a tray, and (3) walk wearing shaded glasses. Trials consisted of standing up, walking the course in 1 direction, and sitting down. Children (n = 440) completed 2 trials per condition. Trial measures included time, and numbers of steps, stumbles, and steps off the path. Relationships were evaluated using Chi-square analyses and significant predictors were determined by multiple logistic regression analyses. Sensitivity and specificity were calculated to determine the accuracy of disability as a predictor.

Results: Age, weight, and disability were the strongest predictors (P < .05). Increased age and weight predicted shorter time and fewest steps. Disability predicts longer time and most steps.

Conclusion: The SWOC is appropriate to screen children for disabilities in functional ambulation.

© 2011 Lippincott Williams & Wilkins, Inc.


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