The Psychometric Properties of the Cone Evasion Walk Test in Patients With Knee Osteoarthritis.
Background: Knee osteoarthritis can impair mobility, gait, and balance and increase the risk of falls. The Cone Evasion Walk Test (CEW) is a comprehensive test that evaluates mobility, dynamic balance, and fall risk by assessing the ability to walk and turn in all directions while evading obstacles....
| Published in: | Occupational Therapy International Vol. 2026; pp. 1 - 8 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
7/13/2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195314167&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195314167 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09667903 GPF jtl: Occupational Therapy International issn: 09667903 maglogo: Y pubinfo: dt: 7/13/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 195314167 195314167 195314167 10.1155/oti/3339937 195314167 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The Psychometric Properties of the Cone Evasion Walk Test in Patients With Knee Osteoarthritis. aug: au: Sevik Kacmaz, Kevser Unver, Bayram Karatosun, Vasfi Hilton, Claudia affil: Department of Physiotherapy,, Kayseri University,, Incesu, Kayseri,, Türkiye sug: subj: Instrument Validation Psychometrics Reliability and Validity Balance, Postural Evaluation Functional Status Physical Mobility Evaluation Accidental Falls Risk Assessment Clinical Assessment Tools Osteoarthritis, Knee Human Turkiye Male Female Middle Age Aged Cross Sectional Studies Descriptive Statistics Nonparametric Statistics Paired T-Tests Intraclass Correlation Coefficient Spearman's Rank Correlation Coefficient Concurrent Validity Data Analysis Software Scales Confidence Intervals Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Knee osteoarthritis can impair mobility, gait, and balance and increase the risk of falls. The Cone Evasion Walk Test (CEW) is a comprehensive test that evaluates mobility, dynamic balance, and fall risk by assessing the ability to walk and turn in all directions while evading obstacles. It incorporates cognitive, sensory, visual, and various neuromusculoskeletal functions. This study was aimed at estimating the validity, reliability, and feasibility of the CEW in patients with knee osteoarthritis. Methods: Thirty‐six patients with knee osteoarthritis underwent two CEW trials on the same day. The Timed Up and Go Test and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) were used. The intraclass correlation coefficient (ICC 2,1), standard error of measurement (SEM95), and smallest detectable change (SDC95) were calculated to assess reliability and measurement precision. Spearman′s correlations determined concurrent validity. The feasibility of the CEW was assessed based on completion rate, adherence, acceptability, practicality, and adverse effects. Results: The CEW demonstrated almost perfect within‐day (intrasession) reliability and moderate concurrent validity (r = 0.58 [95% CI: 0.317, 0.766], p < 0.001). The ICC (2,1), SEM95, and SDC95 for the CEW were 0.97 (0.87–0.99), 0.73 (0.59–0.95), and 2.02 (1.63–2.63), respectively, with 95% CI. The CEW was also found to be highly feasible. Conclusion and Implications of Key Findings: The findings support the use of the CEW to assess patients with knee OA. Our analysis revealed within‐day (intrasession) reliability, moderate concurrent validity, and high feasibility of the CEW. Given its convenience, short administration time, and minimal space and equipment requirements, the CEW may be used by occupational therapists as a complementary performance‐based measure within a broader occupation‐centered assessment to identify mobility‐related safety barriers and monitor interventions aimed at supporting participation in daily activities and community mobility. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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