Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > European Journal of Physical and Rehabilitation Medicine 2017 October;53(5) > European Journal of Physical and Rehabilitation Medicine 2017 October;53(5):719-24

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,827


eTOC

 

ORIGINAL ARTICLE  


European Journal of Physical and Rehabilitation Medicine 2017 October;53(5):719-24

DOI: 10.23736/S1973-9087.17.04463-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Test-retest reliability and minimal detectable change of two simplified 3-point balance measures in patients with stroke

Yi-Miau CHEN 1, Yi-Jing HUANG 2 , Chien-Yu HUANG 3, Gong-Hong LIN 2, Lih-Jiun LIAW 4, 5, Shih-Chieh LEE 2, Ching-Lin HSIEH 1, 2

1 Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan; 2 School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; 3 Department of Occupational Therapy, College of Medicine, I-Shou University, Kaohsiung, Taiwan; 4 Department of Physical Therapy, College of Health Science, Kaohsiung Medical University, Kaohsiung, Taiwan; 5 Department of Rehabilitation Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan


PDF  


BACKGROUND: The 3-point Berg Balance Scale (BBS-3P) and 3-point Postural Assessment Scale for Stroke Patients (PASS-3P) were simplified from the BBS and PASS to overcome the complex scoring systems. The BBS-3P and PASS-3P were more feasible in busy clinical practice and showed similarly sound validity and responsiveness to the original measures. However, the reliability of the BBS-3P and PASS-3P is unknown limiting their utility and the interpretability of scores.
AIM: We aimed to examine the test-retest reliability and minimal detectable change (MDC) of the BBS-3P and PASS-3P in patients with stroke.
DESIGN: Cross-sectional study.
SETTING: The rehabilitation departments of a medical center and a community hospital.
POPULATION: A total of 51 chronic stroke patients (64.7% male).
METHODS: Both balance measures were administered twice 7 days apart. The test-retest reliability of both the BBS-3P and PASS-3P were examined by intraclass correlation coefficients (ICC). The MDC and its percentage over the total score (MDC%) of each measure was calculated for examining the random measurement errors.
RESULTS: The ICC values of the BBS-3P and PASS-3P were 0.99 and 0.97, respectively. The MDC% (MDC) of the BBS-3P and PASS-3P were 9.1% (5.1 points) and 8.4% (3.0 points), respectively, indicating that both measures had small and acceptable random measurement errors.
CONCLUSIONS: Our results showed that both the BBS-3P and the PASS-3P had good test-retest reliability, with small and acceptable random measurement error. These two simplified 3-level balance measures can provide reliable results over time.
CLINICAL REHABILITATION IMPACT: Our findings support the repeated administration of the BBS-3P and PASS-3P to monitor the balance of patients with stroke. The MDC values can help clinicians and researchers interpret the change scores more precisely.


KEY WORDS: Postural balance - Stroke - Reproducibility of results - Psychometrics

top of page

Publication History

Issue published online: October 31, 2017
Article first published online: January 12, 2017
Manuscript accepted: January 5, 2017
Manuscript revised: December 23, 2016
Manuscript received: August 17, 2016

Cite this article as

Chen YM, Huang YJ, Huang CY, Lin GH, Liaw LJ, Lee SC, et al. Test-retest reliability and minimal detectable change of two simplified 3-point balance measures in patients with stroke. Eur J Phys Rehabil Med 2017;53:719-24. DOI: 10.23736/S1973-9087.17.04463-X

Corresponding author e-mail

f01429001@ntu.edu.tw