Validity and Reliability of the Videoconference-Based Berg Balance Scale in Stroke Survivors: The Tele-Berg Balance Scale.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Neurologic Physical Therapy Pub Date : 2024-12-27 DOI:10.1097/NPT.0000000000000506

Aline Barbosa da Costa, Bruno Freire, Tayara Gaspar da Silva, Stella Maris Michaelsen

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引用次数: 0

Abstract

Background and purpose: Telerehabilitation represents an alternative for individuals who have difficulty accessing services to receive care. Therefore, telerehabilitation measures must be studied for their reliability and validity. This study evaluated the validity and reliability of the videoconference-based Berg Balance Scale assessment in stroke survivors.

Methods: Thirty-one stroke survivors were assessed. Rater A conducted in-person and remote assessments via videoconferencing at 2 different times (test-retest), and rater B conducted an assessment using the second recording made remotely. The validity and agreement between the in-person and remote assessments were analyzed using the Pearson's correlation coefficient and the Bland-Altman plots limits of agreement (LoA), respectively. Test-retest and inter-rater reliability were analyzed using the intraclass correlation coefficient (ICC) with a 95% confidence interval (95% CI), and individual item reliability was assessed by weighted Kappa. The standard error of measurement and minimal detectable change were computed. Cronbach's alpha was used for the analysis of internal consistency, and the ceiling effect was investigated.

Results: In-person and remote assessments showed a strong positive correlation (r = 0.96) and less than a 1-point difference between the 2 assessments. Both the test-retest (ICC = 0.96; 95% CI, 0.93-0.98) and inter-rater (ICC = 0.93; 95% CI, 0.87-0.97) reliability were excellent. The standard error of measurement and minimal detectable change were 1.8 and 5.1 points, respectively. Results showed adequate internal consistency and no ceiling effect.

Discussion and conclusions: The Tele-Berg demonstrated validity, excellent test-retest and inter-rater reliability, low measurement error, adequate internal consistency, and lack of ceiling effect. These findings suggest that the Tele-Berg is comparable to in-person Berg Balance Scale in stroke survivors.

Video abstract available for more insights from the authors (see Supplemental Digital Content, available at: http://links.lww.com/JNPT/A509).

查看原文本刊更多论文

基于视频会议的脑卒中幸存者伯格平衡量表的有效性和可靠性：远程伯格平衡量表。

背景和目的：远程康复是难以获得护理服务的个人的另一种选择。因此，必须对远程康复措施的信度和效度进行研究。本研究评估了基于视频会议的Berg平衡量表在脑卒中幸存者中的效度和可靠性。方法：对31例脑卒中幸存者进行评估。评分者A通过视频会议进行了2次面对面和远程评估（测试-重新测试），评分者B使用远程录制的第二次录音进行了评估。面对面评估和远程评估的有效性和一致性分别使用Pearson相关系数和Bland-Altman图限制的一致性（LoA）进行分析。采用95%置信区间（95% CI）的类内相关系数（ICC）分析重测信度和评分者间信度，采用加权Kappa评估单项信度。计算了测量的标准误差和最小可检测变化。采用Cronbach’s alpha分析内部一致性，并考察天花板效应。结果：现场评估和远程评估显示出很强的正相关（r = 0.96），两种评估之间的差异小于1分。两项测试-重测(ICC = 0.96；95% CI, 0.93-0.98)和间因子(ICC = 0.93；95% CI（0.87-0.97）可靠度极佳。测量的标准误差为1.8分，最小可检测变化为5.1分。结果显示内部一致性良好，无天花板效应。讨论与结论：Tele-Berg量表具有良好的效度、重测信度和量表间信度，测量误差小，内部一致性好，不存在天花板效应。这些发现表明，在中风幸存者中，Tele-Berg平衡量表与面对面的Berg平衡量表相当。视频摘要可从作者获得更多见解（见补充数字内容，可在：http://links.lww.com/JNPT/A509）。

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来源期刊

Journal of Neurologic Physical Therapy CLINICAL NEUROLOGY-REHABILITATION

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Neurologic Physical Therapy (JNPT) is an indexed resource for dissemination of research-based evidence related to neurologic physical therapy intervention. High standards of quality are maintained through a rigorous, double-blinded, peer-review process and adherence to standards recommended by the International Committee of Medical Journal Editors. With an international editorial board made up of preeminent researchers and clinicians, JNPT publishes articles of global relevance for examination, evaluation, prognosis, intervention, and outcomes for individuals with movement deficits due to neurologic conditions. Through systematic reviews, research articles, case studies, and clinical perspectives, JNPT promotes the integration of evidence into theory, education, research, and practice of neurologic physical therapy, spanning the continuum from pathophysiology to societal participation.