Trunk Control Test (TCT) | Stroke Motor Impairment Evaluation

Execution:

  1. The Trunk Control Test (TCT) consists of 4 different tasks from easy to difficult
  2. Each task is scored with 0 (not able to complete task without assistance), 12 (able to complete task using non-muscular help, performed in an abnormal style or hands are needed while sitting) or 25 points (able to complete task normally)
  3. Task 1: The patient is lying in supine on the bench (ideally a larger bench) is asked to roll to the weak side and score accordingly
  4. Task 2: Then the patient is asked to roll onto the stronger side
  5. Task 3: The patient is sitting on the edge of the bed with the feet off the ground and asked to sit for 30 seconds without using the arms for support if possible
  6. Task 4: The patient is asked to sit up from supine-lying position
  7. Calculate the total amount of scores

 

Outcome: A TCT score of ≥50 at 6 weeks post-stroke was predictive of recovery of walking ability by 18 weeks

Study

Reliability

Sn Sp LR+

LR-

Parlak Demir et al. (2015): Test-retest reliability

ICC = 0.979

NA NA NA

NA

Collin et al. (1990)

NA

NA NA NA

NA

Comment: Parlak Demir et al. (2015) confirm that the TCT is an easy, reliable and valid instrument for the measurement of trunk performance in ambulatory neuromuscular disease patients.