DOI QR코드

DOI QR Code

Concurrent Validity of the Seven-Item BBS-3P with Other Clinical Measures of Balance in a Sample of Stroke Patients

  • Kim, Da-Yeon (Department of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Kim, Tae-Ho (Department of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Kim, Jung-Bin (Department of Physical Therapy, Namsan Hospital)
  • Received : 2017.05.01
  • Accepted : 2017.06.30
  • Published : 2017.06.30

Abstract

Purpose: The aim of this study was to investigate if the 7-item Berg balance scale (BBS) 3-point, which is a short form of the BBS (SFBBS), has compatible psychometric properties in comparison with the original BBS, and also to study the concurrent validity using a 10-meter walk test (10mWT) and a timed up and go test (TUG), which are widely used with SFBBS in clinical settings. Methods: A total of 255 patients who had experienced stroke participated in this cross-sectional study. We used results obtained from 188 patients who completed both 10mWT and TUG. The three levels in the center of the BBS were collapsed to a single level (i.e.,0-2-4) to form the SFBBS. The concurrent validity was assessed by computing the Spearman coefficients for correlation among outcome measures and in between each outcome measure and the SFBBS. As there were four outcomes, the corrected p-value for significant correlation was 0.013 (0.05/4). Results: Spearman coefficients for correlations and evaluation instruments for concurrent validity revealed significantly high validity for both of SFBBS and BBS (r=0.944). 10mWT and TUG were -0.749 and -0.770 respectively, which are in the high margin and are statistically significant (p>0.000). Conclusion: SFBBS has sound psychometric properties for evaluating patients with stroke. Thus, we recommend the use of SFBBS in both clinical and research settings.

Keywords

References

  1. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the activities-specific balance confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr. 2004;38(1):11-26. https://doi.org/10.1016/S0167-4943(03)00082-7
  2. Salavati M, Negahban H, Mazaheri M et al. The persian version of the Berg balance scale: inter and intra-rater reliability and construct validity in elderly adults. Disabil Rehabil. 2012;34(20):1695-8. https://doi.org/10.3109/09638288.2012.660604
  3. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008;38(6):467-78. https://doi.org/10.1016/j.neucli.2008.09.001
  4. Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. Eur J Phys Rehabil Med. 2010;46(2):239-48.
  5. Rao SS. Prevention of falls in older patients. Am Fam Physician. 2005; 72(1):81-8.
  6. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 5th. Philadelphia, Lippincott Williams & Wilkins, 2016.
  7. Pollock C, Eng J, Garland S. Clinical measurement of walking balance in people post stroke: a systematic review. Clin Rehabil. 2011;25(8):693-708. https://doi.org/10.1177/0269215510397394
  8. Tyson SF, Connell LA. How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions. Clin Rehabil. 2009;23(9): 824-40. https://doi.org/10.1177/0269215509335018
  9. Scott V, Votova K, Scanlan A et al. Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings. Age Ageing. 2007;36(2):130-9. https://doi.org/10.1093/ageing/afl165
  10. Pardasaney PK, Latham NK, Jette AM et al. Sensitivity to change and responsiveness of four balance measures for community-dwelling older adults. Phys Ther. 2012;92(3):388-97. https://doi.org/10.2522/ptj.20100398
  11. Berg K, Wood-Dauphine S, Williams J et al. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989;41(6):304-11. https://doi.org/10.3138/ptc.41.6.304
  12. Wang CH, Hsueh IP, Sheu CF et al. Psychometric properties of 2 simplified 3-level balance scales used for patients with stroke. Phys Ther. 2004; 84(5):430-8.
  13. Mao HF, Hsueh IP, Tang PF et al. Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke. 2002;33(4):1022-7. https://doi.org/10.1161/01.STR.0000012516.63191.C5
  14. Chou CY, Chien CW, Hsueh IP et al. Developing a short form of the berg balance scale for people with stroke. Phys Ther. 2006;86(2):195-204.
  15. Stevenson TJ. Detecting change in patients with stroke using the Berg balance scale. Aust J Physiother. 2001;47(1):29-38. https://doi.org/10.1016/S0004-9514(14)60296-8
  16. Hsueh I, Mao H, Huang H et al. Clinical applications of balance measures in stroke inpatients. J Formos Med Assoc. 2001;5(3):261-8.
  17. Hobart J, Thompson A. The five item Barthel index. J Neurol Neurosurg Psychiatry. 2001;71(2):225-30. https://doi.org/10.1136/jnnp.71.2.225
  18. Hocking C, Williams M, Broad J et al. Sensitivity of Shah, Vanclay and Cooper's modified Barthel index. Clin Rehabil. 1999;13(2):141-7. https://doi.org/10.1191/026921599668105029
  19. Frykberg GE, Lindmark B, Lanshammar H et al. Correlation between clinical assessment and force plate measurement of postural control after stroke. J Rehabil Med. 2007;39(6):448-53. https://doi.org/10.2340/16501977-0071
  20. Park CS, Choi YI, An SH. The comparison of simplified postural assessment scale for stroke and Berg balance scale used for stroke patiens. J Korean Soc Occup Ther. 2010;18(1):65-77.
  21. An SH, Kim JH, Hong CH. The comparison of postural assessment scale for stroke (PASS: 5items-3level) and Berg balance scale (BBS: 7items-3level) used for patients with stroke. J Korean Soc Phys Med. 2010;5(1):89-99.
  22. Sibley KM, Straus SE, Inness EL et al. Clinical balance assessment: perceptions of commonly-used standardized measures and current practices among physiotherapists in Ontario, Canada. Implement Sci. 2013; 8:33. https://doi.org/10.1186/1748-5908-8-33
  23. Faul F, Erdfelder E, Buchner A et al. Statistical power analyses using g*power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60. https://doi.org/10.3758/BRM.41.4.1149
  24. Tabachnick BG, Fidell LS. Using multivariate statistics. 6th. Boston, Pearson Education, 2013.
  25. Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
  26. Podsiadlo D, Richardson S. The timed "up & go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2): 142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  27. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the timed "up & go" test in people with parkinson disease. Phys Ther. 2001;81(2):810-8. https://doi.org/10.1093/ptj/81.2.810
  28. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther. 2000;80(9):896-903.
  29. Tyson S, Connell L. The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review. Clin Rehabil. 2009;23(11):1018-33. https://doi.org/10.1177/0269215509339004
  30. Watson MJ. Refining the ten-metre walking test for use with neurologically impaired people. Physiotherapy. 2002;88(7):386-97. https://doi.org/10.1016/S0031-9406(05)61264-3
  31. Flansbjer UB, Holmback AM, Downham D et al. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med. 2005;37(2):75-82. https://doi.org/10.1080/16501970410017215
  32. Collen FM, Wade DT, Bradshaw CM. Mobility after stroke: reliability of measures of impairment and disability. Int Disabil Stud. 1990;12(1):6-9. https://doi.org/10.3109/03790799009166594
  33. Peters DM, Middleton A, Donley JW et al. Concurrent validity of walking speed values calculated via the gaitrite electronic walkway and 3 meter walk test in the chronic stroke population. Physiother Theory Pract. 2014;30(3):183-8. https://doi.org/10.3109/09593985.2013.845805
  34. Wolf SL, Catlin PA, Gage K et al. Establishing the reliability and validity of measurements of walking time using the emory functional ambulation profile. Phys Ther. 1999;79(12):1122-33.
  35. Portney LG, Watkins MP. Foundations of clinical research : applications to practice. 3rd eds. Philadelphia, F.A. Davis Company, 2015.
  36. Wallace D, Duncan PW, Lai SM. Comparison of the responsiveness of the Barthel index and the motor component of the functional independence measure in stroke: the impact of using different methods for measuring responsiveness. J Clin Epidemiol. 2002;55(9):922-8. https://doi.org/10.1016/S0895-4356(02)00410-9
  37. Jones G, Jenkinson C, Kennedy S. Development of the short form endometriosis health profile questionnaire: the ehp-5. Qual Life Res. 2004;13(3):695-704. https://doi.org/10.1023/B:QURE.0000021321.48041.0e
  38. Liaw LJ, Hsieh CL, Hsu MJ et al. Test-retest reproducibility of two short-form balance measures used in individuals with stroke. Int J Rehabil Res. 2012;35(3):256-62.
  39. Kim SG, Kim MK. The intra- and inter-rater reliabilities of the short form berg balance scale in institutionalized elderly people. J Phys Ther Sci. 2015;27(9):2733-4. https://doi.org/10.1589/jpts.27.2733
  40. Jogi P, Spaulding SJ, Zecevic AA et al. Comparison of the original and reduced versions of the Berg balance scale and the western Ontario and Mcmaster universities osteoarthritis index in patients following hip or knee arthroplasty. Physiother Can. 2011;63(1):107-14. https://doi.org/10.3138/ptc.2009-26