Reliability and discriminative validity of single- and dual-task 10-meter walk test for assessing cognitive-motor interference in children with Duchenne muscular dystrophy.
BackgroundPurposeMethodsResultsConclusionAlthough cognitive involvement is well documented in Duchenne Muscular Dystrophy (DMD), it is rarely integrated into routine physiotherapy assessments.Therefore, this study aimed to examine the test – retest reliability and discriminative validity of the 10-M...
| Publicado en: | Physiotherapy Theory & Practice pp. 1 - 11 |
|---|---|
| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193305486&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193305486 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Apr2026 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 193305486 10.1080/09593985.2026.2664644 193305486 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Reliability and discriminative validity of single- and dual-task 10-meter walk test for assessing cognitive-motor interference in children with Duchenne muscular dystrophy. aug: au: Kurt-Aydin, Merve Savas-Kalender, Dilan Acarol, Fatma Ozden Tarsuslu, Tulay Yis, Uluc affil: Izmir Katip Celebi University sug: ab: BackgroundPurposeMethodsResultsConclusionAlthough cognitive involvement is well documented in Duchenne Muscular Dystrophy (DMD), it is rarely integrated into routine physiotherapy assessments.Therefore, this study aimed to examine the test – retest reliability and discriminative validity of the 10-Meter Walk Test (10MWT) under single-task, motor – motor dual-task, and cognitive – motor dual-task conditions in children with DMD.Twenty-three boys with DMD and 12 typically developing (TD) children completed the 10MWT under single-task, motor – motor dual-task, and cognitive – motor dual-task conditions. Walking time under each condition, dual-task costs (DTC), and test-retest reliability were evaluated. Reliability was quantified using intraclass correlation coefficients (ICC(3,1)) based on a two-way mixed-effects model with absolute agreement for single measurements, and discriminative ability was examined using Receiver Operating Characteristic (ROC) curve analysis.Test-retest reliability ranged from moderate to high across conditions (ICC = 0.583–0.820). All test conditions showed excellent discriminative ability between DMD and TD children (AUC = 1.00 for single-task and motor dual-task; 0.993 for cognitive dual-task; <italic>p</italic> < 0.001). Children with DMD walked significantly slower than TD children in all conditions (<italic>p</italic> < 0.001) and exhibited significantly higher DTCs in motor-motor (<italic>p</italic> = 0.005) and cognitive-motor (<italic>p</italic> = 0.001) conditions. Within-group analyses demonstrated a significant stepwise deterioration from single-task to dual-task walking in both groups (<italic>p</italic> < 0.001).The 10MWT under single- and dual-task conditions is a reliable and highly discriminative tool for children with DMD. Beyond measuring motor performance, its dual-task versions allow physiotherapists to indirectly capture cognitive-motor interference, providing clinically meaningful information for more comprehensive functional monitoring and individualized rehabilitation planning in this cognitively affected population. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|