PMID: 11932858Apr 5, 2002Paper

Is the functional reach test useful for identifying falls risk among individuals with Parkinson's disease?

Archives of Physical Medicine and Rehabilitation
Andrea L BehrmanMary T Thigpen

Abstract

To evaluate the effectiveness and validity of the Functional Reach Test (FRT) as a screening tool to identify fallers (persons at risk for falls) among subjects with Parkinson's disease (PD) and control subjects. A case-comparison design with a consecutive sample. Subjects performed 3 consecutive functional reach trials. Motor behavior laboratory in a university setting. Fifty-eight adults (43 subjects with PD, 15 control subjects). Controls were recruited from a Florida hospital and the local community. Not applicable. A falls history was recorded, a mean FRT score attained, and FRT scores were categorized as less than 25.4 cm, the criterion for falls risk, or > or =25.4 cm. Mean FRT scores differentiated subjects with PD and a known history of falls from subjects with PD and no history of falls and from control subjects (P <.001). Tests of validity for the FRT as a screening tool indicated sensitivity as 30%, specificity as 92%, positive predictive value as 90%, and negative predictive value as 36%. The FRT, using a reach less than 25.4 cm as a criterion for falls risk, is not a sensitive instrument for identifying individuals with PD at risk. However, the percentage of those persons identified as at risk by the FRT are highl...Continue Reading

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