Article

OBJECTIVE: To examine the intrarater and interrater reliability of a quick
balance measure, the Hierarchical Balance Short Forms (HBSF), in outpatients with
stroke receiving rehabilitation. DESIGN: A repeated-assessments design (1wk
apart) was used to examine the intrarater and interrater reliability of the HBSF.
The HBSF was administered by a single rater in the intrarater reliability study
and by 2 raters in the interrater reliability study. The raters had sufficient
working experience in stroke rehabilitation. SETTING: Seven teaching hospitals.
PARTICIPANTS: Two independent groups of outpatients (N=106; each group, n=53)
with stroke in chronic stages and in stable medical condition were recruited.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: HBSF. RESULTS: For the
intrarater reliability study, the values of the intraclass correlation
coefficient (ICC), minimal detectable change (MDC), and percentage of minimal
detectable change (MDC%) were .95, 1.02, and 16.3%, respectively, for the HBSF.
The 95% limits of agreement (LOA) of the HBSF ranged from -.69 to 1.19. For the
interrater reliability study, the values of the ICC, MDC, and MDC% were .91,
1.22, and 18.3%, respectively, for the HBSF. The 95% LOA of the HBSF ranged from
-1.01 to 1.35. CONCLUSIONS: Our results suggest that the HBSF has satisfactory
intrarater and interrater reliability for assessing balance function in
outpatients with stroke.
The MDC values of the HBSF are useful for both
researchers and clinicians to determine whether the change in balance function of
an individual patient is real when administered by an individual rater or by
different raters.
CI - Copyright A(c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS