Abstract：
OBJECTIVE: Accurate and reliable balance measures are important for prescribing fall prevention treatments and monitoring their effectiveness. Thus, we aimed to systematically review the psychometric properties of the Six-Spot Step Test, an increasingly used measure of dynamic balance.
METHODS: A literature search using the free-text term \"Six-Spot Step Test\" was performed on 12 February 2024, in Medline, Embase, Rehabilitation & Sports Medicine and SPORTDiscus. Eligibility criteria were adults aged 18 or more, trials evaluating the psychometric properties of the Six-Spot Step Test, and English-language articles. Conference abstracts were excluded.
METHODS: Two investigators screened and selected data independently and assessed the methodological quality and evidence using the COSMIN Risk of Bias checklist and modified GRADE approach. One investigator extracted study characteristics such as design, population and psychometric properties.
RESULTS: Of the 159 articles identified, 16, evaluating multiple measurement properties, were included in the final analysis. A total of 1319 people participated, including people affected by Stroke, multiple sclerosis, Parkison\'s disease, chronic inflammatory polyneuropathy and older adults with balance problems. Eight articles assessing reliability (n = 618, intraclass correlations coefficient ≥0.7, minimal detectable change = 22%) and 12 construct validity (n = 1082, 83% true hypothesis, area under the curve >0.7) exhibited sufficient methodological quality with high-level evidence, while two studies (n = 167) examining responsiveness showed very low evidence.
CONCLUSIONS: Apart from responsiveness, robust evidence supports the reliability and validity of the Six-Spot Step Test for assessing dynamic balance in a specific group of individuals with neurological diseases and older adults. Further, it is considered feasible for clinical use.
METHODS: A literature search using the free-text term \"Six-Spot Step Test\" was performed on 12 February 2024, in Medline, Embase, Rehabilitation & Sports Medicine and SPORTDiscus. Eligibility criteria were adults aged 18 or more, trials evaluating the psychometric properties of the Six-Spot Step Test, and English-language articles. Conference abstracts were excluded.
METHODS: Two investigators screened and selected data independently and assessed the methodological quality and evidence using the COSMIN Risk of Bias checklist and modified GRADE approach. One investigator extracted study characteristics such as design, population and psychometric properties.
RESULTS: Of the 159 articles identified, 16, evaluating multiple measurement properties, were included in the final analysis. A total of 1319 people participated, including people affected by Stroke, multiple sclerosis, Parkison\'s disease, chronic inflammatory polyneuropathy and older adults with balance problems. Eight articles assessing reliability (n = 618, intraclass correlations coefficient ≥0.7, minimal detectable change = 22%) and 12 construct validity (n = 1082, 83% true hypothesis, area under the curve >0.7) exhibited sufficient methodological quality with high-level evidence, while two studies (n = 167) examining responsiveness showed very low evidence.
CONCLUSIONS: Apart from responsiveness, robust evidence supports the reliability and validity of the Six-Spot Step Test for assessing dynamic balance in a specific group of individuals with neurological diseases and older adults. Further, it is considered feasible for clinical use.
摘要：
目的：准确可靠的平衡措施对于规定预防跌倒治疗和监测其有效性非常重要。因此，我们旨在系统地回顾六点步骤测试的心理测量特性，越来越多地使用动态平衡的衡量标准。
方法：于2024年2月12日在Medline进行了使用自由文本术语“六点步骤测试”的文献检索，Embase,康复与运动医学和SPORTDiscus。资格标准为18岁或以上的成年人，评估六点步骤测试的心理测量特性的试验，和英语文章。会议摘要被排除在外。
方法：两名研究人员独立筛选和选择数据，并使用COSMIN偏差风险核对表和改进的GRADE方法评估方法学质量和证据。一位研究者提取了设计等研究特征，人口和心理测量属性。
结果：在确定的159篇文章中，16，评估多个测量属性，包括在最终分析中。共有1319人参加,包括受中风影响的人，多发性硬化症,Parkison病,慢性炎症性多发性神经病和有平衡问题的老年人。8篇评估可靠性的文章（n=618，组内相关系数≥0.7，最小可检测变化=22％）和12个结构效度（n=1082，83％真实假设，曲线下面积>0.7)表现出足够的方法学质量和高水平的证据，而两项检查反应性的研究(n=167)显示出非常低的证据。
结论：除了反应性，有力的证据支持六点步骤测试的可靠性和有效性，用于评估患有神经系统疾病的特定人群和老年人的动态平衡。Further,它被认为是临床可行的。
方法：于2024年2月12日在Medline进行了使用自由文本术语“六点步骤测试”的文献检索，Embase,康复与运动医学和SPORTDiscus。资格标准为18岁或以上的成年人，评估六点步骤测试的心理测量特性的试验，和英语文章。会议摘要被排除在外。
方法：两名研究人员独立筛选和选择数据，并使用COSMIN偏差风险核对表和改进的GRADE方法评估方法学质量和证据。一位研究者提取了设计等研究特征，人口和心理测量属性。
结果：在确定的159篇文章中，16，评估多个测量属性，包括在最终分析中。共有1319人参加,包括受中风影响的人，多发性硬化症,Parkison病,慢性炎症性多发性神经病和有平衡问题的老年人。8篇评估可靠性的文章（n=618，组内相关系数≥0.7，最小可检测变化=22％）和12个结构效度（n=1082，83％真实假设，曲线下面积>0.7)表现出足够的方法学质量和高水平的证据，而两项检查反应性的研究(n=167)显示出非常低的证据。
结论：除了反应性，有力的证据支持六点步骤测试的可靠性和有效性，用于评估患有神经系统疾病的特定人群和老年人的动态平衡。Further,它被认为是临床可行的。
