Authors

  1. Mossberg, Kurt A. PT, PhD
  2. Norcross, Julie BS
  3. Orlander, Evelyne BS

Article Content

Objective: To assess the relationship between objective measures of endurance capacity and the self-report measures of physical function derived from the SF-36 Health Status Questionnaire. Design: Descriptive comparison study. Setting: Postacute residential treatment center. Participants: The sample consisted of 32 persons recovering from traumatic brain injury (TBI) admitted to a postacute residential rehabilitation facility. A total of 29 males and 3 females gave written consent to participate. Subjects were excluded if they were unable to follow 2-step commands and ambulate independently without manual assistance. Intervention: Not applicable. Main outcome measures: Subjects either walked on a treadmill until exhaustion during which peak aerobic capacity (VO2) was measured (n = 32) or walked overground for 6 minutes (6 MW) during which intensity and total distance walked were monitored (n = 24). In addition, each subject completed the SF-36 Health Status Questionnaire and correlations between measures were calculated. Results: The relationship between total distance on the 6 MW and SF-36 measures of physical function (PF), vitality (VT), and the physical component summary (PCS) score were 0.44, 0.46, and 0.41 (P < .05), respectively. The relationship between peak VO2 and PF, VT, and PCS was 0.17, 0.16, and 0.15, respectively. Conclusions: Self-reports of physical function obtained by the SF-36 may not be valid estimates of endurance capacity in patients with TBI during postacute rehabilitation. The SF-36 questions related to physical function are more general than the measure of endurance obtained by incremental treadmill walking (peak VO2) and may account for the poor relationship. Overground walking (6 MW total distance) was better correlated to self-reports of physical function in patients with TBI.