Comparison of the Test-Retest Reliability of the Balance Computerized Adaptive Test and a Computerized Posturography Instrument in Patients With Stroke.

Objective To compare the test-retest reliabilities of the scores of the Balance Computerized Adaptive Test (CAT) and the Biodex Balance System in patients with stroke. Design A repeated-measures design (at a 1-wk interval) was used to examine the test-retest reliabilities of the scores of the Balanc...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 95; no. 8; pp. 1477 - 1484
Autores principales: Chia-Hsin Chen, Shih-Feng Lin, Wan-Hui Yu, Jau-Hong Lin, Hao-Ling Chen, Ching-Lin Hsieh
Formato: research Journal Article
Publicado: W B Saunders Aug2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2014
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        10.1016/j.apmr.2014.03.005
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        103837835
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        atl: Comparison of the Test-Retest Reliability of the Balance Computerized Adaptive Test and a Computerized Posturography Instrument in Patients With Stroke.
      aug:
        au:
          Chia-Hsin Chen
          Shih-Feng Lin
          Wan-Hui Yu
          Jau-Hong Lin
          Hao-Ling Chen
          Ching-Lin Hsieh
        affil: Department of Physical Medicine and Rehabilitation, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan; Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Department of Physical Medicine and Rehabilitation, School of Medicine, Graduate Institute of Neuroscience, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
      sug:
        subj:
          Stroke Rehabilitation
          Balance, Postural Evaluation
          Clinical Assessment Tools
          Instrument Validation
          Human
          Scales
          Validation Studies
          Test-Retest Reliability
          Descriptive Statistics
          Posturography
          Sensitivity and Specificity
          Pearson's Correlation Coefficient
          Psychometrics
          Reliability and Validity
          Stroke Patients
          Funding Source
      ab: Objective To compare the test-retest reliabilities of the scores of the Balance Computerized Adaptive Test (CAT) and the Biodex Balance System in patients with stroke. Design A repeated-measures design (at a 1-wk interval) was used to examine the test-retest reliabilities of the scores of the Balance CAT and the Biodex Balance System. Setting One rehabilitation unit in a local hospital. Participants Patients (N=50) with stroke for more than 6 months and undergoing outpatient rehabilitation completed the Balance CAT and the eyes open (EO)/closed (EC) tests, but only 17 patients finished the Limit of Stability (LOS) test because they were unable to reach all the targets. Interventions Not applicable. Main Outcome Measures The Balance CAT and 2 computerized tests of the Biodex Balance System, namely the EO/EC test and the LOS, were used to evaluate balance function. Results The test-retest reliabilities of the scores of the Balance CAT (Pearson r=.92, minimal detectable change [MDC] percent=12.8%) was excellent. Those of the EO/EC and LOS tests were poor to good (Pearson r=.56-.85, MDC%=50.8%-126.9%). Conclusions The test-retest reliabilities of the scores of the Balance CAT were sufficient for assessing balance function in patients with stroke. Moreover, the test-retest reliabilities of the scores of the Balance CAT, one of the functional balance measures, were superior to those of the Biodex Balance System, 1 type of computerized posturography instrument. Therefore, the Balance CAT may be a more reliable measure for clinicians and researchers to use in assessing the balance function of patients with stroke for more than 6 months.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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