Validity and Reliability Study of Glittre Activities Of Daily Living Test in Amputees

Glittre activities of daily living test is used in different populations. The test, which is valid and reliable in different populations, has not been validated in amputees. In our study, we wanted to investigate the validity and reliability of the Glittre activities of daily living test (Glittre ADL) test in amputees using a lower extremity prosthesis.

In individuals with lower extremity amputation, functions such as standing up, sitting, walking, turning, going up and down stairs, going up and down hills, jumping over steps, getting in and out of a car are required. There is no physical function test that simultaneously evaluates both the upper and lower extremities of individuals who have had lower extremity amputations. Therefore, we planned to perform the validity and reliability of the Glittre activities of daily living (ADL) test, which is used in COPD patients, for individuals who have had lower extremity amputation. The Glittre ADL test is the most widely used test to evaluate the performance of COPD patients in activities of daily living. The test is a simple test that can be easily applied and includes functional activities for the lower extremity and upper extremity.

RESEARCH QUESTIONS / HYPOTHESES:

1. Is the Glittre ADL Test reliable in amputees using a lower extremity prosthesis?
2. Is the Glittre ADL Test valid for evaluating amputees using a lower extremity prosthesis?

METHOD OF THE RESEARCH:

Glittre ADL Test:

It is a test that takes place within a distance of 10 m in total. This distance of 10 m will be divided into 2 in the middle by the ladder. Each rung of the ladder will be adjusted 17 cm high and 27 cm deep. Individuals will be asked to climb a 2-step ladder and then walk towards the shelf. The height of the shelves will be adjusted according to the shoulders and waist levels of the participants. It will place 3 pieces of 1 kg objects on the top shelf, one by one, first from the top shelf to the middle shelf, then from the middle shelf to the bottom shelf, from the bottom shelf to the middle shelf, and finally from the middle shelf to the top shelf. It is a test that takes place within a distance of 10 m in total. This distance of 10 m will be divided into 2 in the middle by the ladder. Each rung of the ladder will be adjusted 17 cm high and 27 cm deep. Individuals will be asked to climb a 2-step ladder and then walk towards the shelf. The height of the shelves will be adjusted according to the shoulders and waist levels of the participants. It will place 3 pieces of 1 kg objects on the top shelf, one by one, first from the top shelf to the middle shelf, then from the middle shelf to the bottom shelf, from the bottom shelf to the middle shelf, and finally from the middle shelf to the top shelf.

For the validity test; 2 minute walk test, functional reach test, timed get up and go test will be done and these tests will be examined in terms of Construct validity, Convergent validity and Discriminant validity.

For reliability test; Day 1 and Day 2 will be evaluated by the same physiotherapist. Day 3 will be evaluated by a different physiotherapist.

There will be 3 evaluations in 1 week and it will be planned to be 1 day between evaluations. Two assessments will be done by the same physiotherapist, while the third will be done by another physiotherapist.

Eligibility Criteria:
Inclusion Criteria:

* People over the age of 18 who have had lower extremity amputation
* Unilateral amputees using a lower extremity prosthesis for at least 6 months
* Those who can walk at least 30 m independently

Exclusion Criteria:

* Presence of ulcer on the stump
* Lack of stump socket compatibility
* Having a different orthopedic or neurological problem other than amputation
* Having a cardiopulmonary problem that will prevent the test from being completed.
* I ndividuals who cannot understand and follow commands