Article

The lack of knowledge about the responsiveness and predictive
validity of a set of Hierarchical Balance Short Forms (the HBSF) in people with
stroke limits the utility of the HBSF in both clinical and research settings.
The purpose of this study was to investigate the responsiveness and
predictive validity of the HBSF in people receiving inpatient rehabilitation
after stroke. DESIGN: A prospective cohort study was conducted. METHODS:
Sixty-six participants completed both the 6-item HBSF and the 12-item Postural
Assessment Scale for Stroke (PASS) after admission to the rehabilitation ward and
before hospital discharge. The standardized effect size (ES) and the standardized
response mean (SRM) were used to investigate the internal responsiveness of the
HBSF and the PASS. Changes in the Barthel Index and the mobility subscale of the
Stroke Rehabilitation Assessment of Movement were used as the external criteria
for examining external responsiveness. Moreover, the admission scores on the HBSF
and the PASS and the discharge scores on the Barthel Index and mobility subscale
of the Stroke Rehabilitation Assessment of Movement were analyzed to investigate
the predictive validity of the 2 balance measures. RESULTS: The internal
responsiveness of the HBSF was high (ES>0.9, SRM>1.6). The SRM of the HBSF was
significantly larger than that of the PASS, whereas the ES of the HBSF was not
significantly larger than that of the PASS. The external responsiveness and
predictive validity of the HBSF were sufficient and similar to those of the PASS
(external responsiveness: r>/=.35; predictive validity: r>/=.67). LIMITATIONS:
The convenience sampling of people receiving inpatient rehabilitation after
stroke may limit the generalization of the results. CONCLUSIONS: The HBSF has
sufficient responsiveness and predictive validity in people receiving inpatient
rehabilitation after stroke and is thus recommended for both clinicians and
researchers.

Langue : ANGLAIS