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PHYS THER
Vol. 85, No. 4, April 2005, pp. 323-335

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Research Reports

Continuous-Scale Physical Functional Performance Test: Validity, Reliability, and Sensitivity of Data for the Short Version

M Elaine Cress, John K Petrella, Trudy L Moore and Margaret L Schenkman

ME Cress, PhD, FACSM, is Associate Professor, Department of Exercise Science and The Gerontology Center, University of Georgia, 300 River Rd, Athens, GA 30602-6554 (USA) (mecress{at}coe.uga.edu).
JK Petrella, PhD, is Postdoctoral Research Fellow, Geriatric Research, Education Clinical Center, Department of Physiology and Biophysics, University of Alabama–Birmingham, Birmingham, Ala
TL Moore, MS, is a graduate assistant and doctoral student in the Department of Exercise Science, University of Georgia
ML Schenkman, PT, PhD, is Professor of Physical Therapy, Department of Rehabilitation Medicine, University of Colorado Health Sciences Center, Denver, Colo

Address all correspondence to Dr Cress

Background and Purpose. The Continuous-Scale Physical Functional Performance Test (CS-PFP) can be used to obtain valid, reliable, and sensitive measurements of physical functional capacity. This test requires a fixed laboratory space and approximately 1 hour to administer. This study was carried out in 4 steps, or substudies, to develop and validate a short, community-based version (PFP-10) that requires less space and equipment than the CS-PFP. Subjects and Methods. Retrospective data (n=228) and prospective data (n=91) on men and women performing the CS-PFP or the PFP-10 are reported. A 12-week exercise program was used to examine sensitivity to change. Data analyses were done using paired t-test, Pearson correlation, intraclass correlation coefficient (ICC), and delta index (DI) procedures. Results. The PFP-10 total score and 4 of the 5 domain scores were statistically similar (within 3%) to those of the CS-PFP. The PFP-10 upper-body strength domain score was 17% lower, but was highly correlated (ICC=.97). Community and established laboratory PFP-10 scores were similar (ICC=.85–.97). The PFP-10 also is sensitive to change (DI=.21–.54). Discussion and Conclusion. The PFP-10 yields valid, reliable, and sensitive measurements and can be confidently substituted for the CS-PFP.

Key Words: Older adults • Physical capacity • Physical function




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