Berg平衡量表在脑卒中患者不同远程评估方法中的效度和信度

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Birol Önal, Nezire Köse, Şeyma Nur Önal, Hatice Yağmur Zengin
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引用次数: 0

摘要

目的和目的平衡评价是确定脑卒中患者治疗及其效果的必要条件。考虑到远程医疗服务的广泛使用,评估平衡量表对远程评估的适用性是很重要的。摘要本研究旨在探讨Berg平衡量表(BBS)在同步和异步远程评估方法下的信度和效度。方法由2名物理治疗师进行远程评估。同步评估使用应用程序Zoom在线实时进行,而异步评估则是患者根据发送给他们的参考评估视频录制视频。10天后重复所有测试以评估事后信度。结果本组共36例脑卒中患者,平均年龄55.9±9.5岁。Berg平衡量表(BBS)的同步和异步远程评估均表现出良好的互信度,同步和异步远程评估的ICC值分别为0.989和0.997。内部信度也很高,不同评分者和方法的ICCs范围为0.982 ~ 0.997。在并发效度方面,同步远程评估BBS得分与面对面论坛(r = 0.970)和定时平衡测试(TBT)得分呈显著正相关(r = 0.901),异步远程评估BBS得分也呈显著正相关(r = 0.945;TBT: r = 0.885)。与姿势摇摆参数的相关性适中,r = - 0.40至- 0.54。结论:同步和异步远程评估可能是替代面对面评估的一种可行方法。然而,需要更大样本的进一步研究来支持这些发现并提高其普遍性。试验注册ClinicalTrials.gov标识符:NCT05263063。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Validity and Reliability of the Berg Balance Scale in Different Tele-Assessment Methods in Patients With Stroke

Validity and Reliability of the Berg Balance Scale in Different Tele-Assessment Methods in Patients With Stroke

Aims and Objective

Balance evaluation is essential for determining treatment and its effectiveness in stroke patients. Considering the widespread use of telehealth services, it is important to evaluate the applicability of balance scales for teleassessment. The aim in this study was to investigate the reliability and validity of the Berg Balance Scale (BBS) applied using synchronous and asynchronous teleassessment methods.

Method

Teleassessments were performed by two physiotherapists. Synchronous assessments were conducted online in real time using the application Zoom, while asynchronous assessments involved patients recording videos according to a reference evaluation video sent to them. All tests were repeated 10 days later to assess intrarater reliability.

Results

Thirty-six stroke patients (mean age 55.9 ± 9.5 years) participated in the study. Both synchronous and asynchronous teleassessments of the Berg Balance Scale (BBS) demonstrated excellent interrater reliability, with ICC values of 0.989 for synchronous and 0.997 for asynchronous assessments. Intrarater reliability was also high, with ICCs ranging from 0.982 to 0.997 across raters and methods. Regarding concurrent validity, synchronous teleassessment BBS scores showed a strong correlation with face-to-face BBS (r = 0.970) and Timed Balance Test (TBT) scores (r = 0.901), while asynchronous assessments also demonstrated strong correlations (BBS: r = 0.945; TBT: r = 0.885). Correlations with postural sway parameters were moderate, ranging from r =−0.40 to −0.54.

Conclusion

Our findings suggest that synchronous and asynchronous teleassessment of the BBS may be a viable alternative to face-to-face assessments. However, further research with larger samples is needed to support these findings and increase their generalizability.

Trial Registration

ClinicalTrials.gov identifier: NCT05263063.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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