Is the 360 Degree Turn Test a Safe and Reliable Tool for Post-Stroke Tele-Assessment?

Authors

  • Bruna Nascimento Zanfir Da Silva Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil. https://orcid.org/0000-0003-0548-9178
  • Camila Pinto Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Department of Physical Therapy, Universidade Federal do Rio Grande do Sul (UFRGS), Brazil https://orcid.org/0000-0003-0675-0147
  • Caroline Santos Figueiredo Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil. https://orcid.org/0000-0001-8407-9913
  • Thainara Cruz da Rosa Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil https://orcid.org/0000-0002-8727-7904
  • Katherine Lee Hsieh Department of Physical Therapy, Georgia State University, GSU, Atlanta, USA https://orcid.org/0000-0003-2005-4519
  • Aline de Souza Pagnussat Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Department of Physical Therapy, Georgia State University (GSU), Atlanta, USA https://orcid.org/0000-0001-7837-5855

DOI:

https://doi.org/10.63144/ijt.2026.6730

Keywords:

Reliability, Stroke, Tele-assessment, Telehealth, Telemonitoring, Telerehabilitation

Abstract

Background: Despite the growing use of telehealth in stroke rehabilitation, it remains unclear whether online assessments can match the accuracy of in-person evaluations. Purpose: To investigate the safety and reliability of tele-assessment using the 360 Degree Turn Test in individuals with chronic stroke under controlled conditions. Methods: Twenty-five individuals with chronic stroke were assessed both in person and via synchronous tele-assessment with a 24–48-hour interval. Online assessments were conducted via video call by a trained physiotherapist. One month later, the same physiotherapist and a second physiotherapist scored the recorded assessments asynchronously. Results: There was a high level of agreement between in-person and tele-assessment (ICC > 0.90). Tele-assessment demonstrated excellent intra- and inter-rater reliability. However, participants took significantly longer to complete the test during tele-assessment (p < 0.05). No adverse events were observed. Conclusion: Tele-assessment using the 360 Degree Turn Test demonstrated high reliability and appeared to be safe under the specific conditions tested (i.e., chronic participants, caregiver presence, and controlled environment). However, performance outcomes obtained via tele-assessment may not be directly comparable to in-person assessments in longitudinal follow-up.

  

Author Biography

Thainara Cruz da Rosa, Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil

Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil

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Published

2026-06-24

How to Cite

Bruna Nascimento Zanfir Da Silva, Camila Pinto, Caroline Santos Figueiredo, Thainara Cruz da Rosa, Katherine Lee Hsieh, & Aline de Souza Pagnussat. (2026). Is the 360 Degree Turn Test a Safe and Reliable Tool for Post-Stroke Tele-Assessment?. International Journal of Telerehabilitation, 18(1). https://doi.org/10.63144/ijt.2026.6730

Issue

Vol. 18 No. 1 (2026)

Section

Clinical Research

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Copyright (c) 2026 Bruna Nascimento Zanfir Da Silva, Camila Pinto, Caroline Santos Figueiredo, Thainara Cruz da Rosa, Katherine Lee Hsieh, Aline de Souza Pagnussat

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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