Article

OBJECTIVE: To review systematically the psychometric properties of balance
measures for use in people with cerebellar ataxia.
DATA SOURCES: Medline, AMED,
CINAHL, Web of Science and EMBASE were searched between 1946 and April 2014.
REVIEW METHODS: Two reviewers independently searched data sources.
Cerebellar-specific and generic measures of balance were considered. Included
studies tested psychometric properties of balance measures in people with
cerebellar ataxia of any cause. Quality of reported studies was rated using the
Consensus Based Standards for the selection of health status Measurement
INstruments (COSMIN) checklist. RESULTS: Twenty-one articles across which 16
measures had been tested were included for review. Using the COSMIN, quality of
methodology in studies investigating psychometric properties of generic balance
measures (n=10) was rated predominantly as 'poor'. Furthermore, responsiveness
has not been tested for any generic measures in this population.
The quality of
studies investigating psychometric properties of balance sub-components of the
cerebellar-specific measures (n=6) ranged from 'poor' to 'excellent'; however,
Minimally Clinically Important Difference has not been determined for these
cerebellar-specific measures. CONCLUSION: The Posture and Gait (PG) sub-component
of the International Cooperative Ataxia Rating Scale (ICARS) demonstrates the
most robust psychometric properties with acceptable clinical utility.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS