Predictors of Standardized Walking Obstacle Course outcome measures in children with and without developmental disabilities

Pediatr Phys Ther. 2011 Winter;23(4):365-73. doi: 10.1097/PEP.0b013e3182351c3c.

Abstract

Purpose: This study was designed to determine which characteristics of children predict measures on the Standardized Walking Obstacle Course (SWOC).

Methods: SWOC testing was performed under 3 conditions: (1) walk, (2) walk with a tray, and (3) walk wearing shaded glasses. Trials consisted of standing up, walking the course in 1 direction, and sitting down. Children (n = 440) completed 2 trials per condition. Trial measures included time, and numbers of steps, stumbles, and steps off the path. Relationships were evaluated using Chi-square analyses and significant predictors were determined by multiple logistic regression analyses. Sensitivity and specificity were calculated to determine the accuracy of disability as a predictor.

Results: Age, weight, and disability were the strongest predictors (P < .05). Increased age and weight predicted shorter time and fewest steps. Disability predicts longer time and most steps.

Conclusion: The SWOC is appropriate to screen children for disabilities in functional ambulation.

Publication types

  • Validation Study

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Age Factors
  • Body Weight
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Developmental Disabilities / diagnosis*
  • Developmental Disabilities / rehabilitation
  • Disability Evaluation
  • Female
  • Health Status Indicators
  • Humans
  • Logistic Models
  • Male
  • Physical Therapy Modalities
  • Predictive Value of Tests
  • Prognosis
  • Reproducibility of Results
  • Risk Factors
  • Sensitivity and Specificity
  • Statistics as Topic
  • Treatment Outcome
  • Walking / physiology*