Stanley John Winser, Catherine M Smith, Leigh A Hale, Leica S Claydon, Susan L Whitney
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引用次数: 9
摘要
背景:在我们之前的心理测量分析论文中,我们确定了评估平衡的核心平衡措施,我们推荐了Berg平衡量表(BBS)和评估和评定共济失调量表(SARAbal)的平衡子成分,作为对多发性硬化症继发小脑性共济失调(CA)患者的心理测量学上健全的平衡措施。目的:本研究进一步考察BBS和SARAbal量表在心理测量学性质强度、适当性、可解释性、准确性、可接受性和可行性等方面评价CA平衡的适用性。方法:根据Fitzpatrick et al.(1998)的框架定义各因素的满足标准。基于我们之前的心理测量分析结果,我们进一步分析了每个标准。结果:心理测量分析报告了良好的信度和效度估计,推荐BBS和SARAbal作为心理测量学上有效的测量方法;它们满足了适当性和可解释性两方面的标准,这些措施显示了准确性和可接受性的证据,并且就平衡评估所涉及的时间和费用而言,它们被认为是可行的。结论:我们为使用BBS和SARAbal评估CA患者的平衡能力提供了证据。
Clinical assessment of balance using BBS and SARAbal in cerebellar ataxia: Synthesis of findings of a psychometric property analysis.
Background: In the previous psychometric analysis paper in our series for identifying the core set of balance measures for the assessment of balance, we recommended the Berg Balance Scale (BBS) and balance sub-components of the Scale for the assessment and rating of ataxia (SARAbal) as psychometrically sound measures of balance for people with cerebellar ataxia (CA) secondary to multiple sclerosis.
Objective: The present study further examined the suitability of BBS and SARAbal for the assessment of balance in CA with regard to psychometric property strength, appropriateness, interpretability, precision, acceptability and feasibility.
Methods: Criteria to fulfill each factor was defined according to the framework of Fitzpatrick et al. (1998). Based on the findings of our previous psychometric analysis, each criterion was further analyzed.
Results: The psychometric analysis reported good reliability and validity estimates for the BBS and SARAbal recommending them as psychometrically sound measures; they fulfilled both criteria for appropriateness and interpretability, the measures showed evidence for precision and acceptability, and they were found to be feasible in terms of the time and cost involved for the balance assessment.
Conclusion: We have provided evidence for the use of the BBS and SARAbal for the assessment of balance among people with CA.
期刊介绍:
The Hong Kong Physiotherapy Journal is the official journal of the Hong Kong Physiotherapy Association Limited (HKPA Ltd). This peer-reviewed journal aims to contribute to and document the advancements in the principles and practice of physiotherapy in Hong Kong.The Hong Kong Physiotherapy Journal is published annually and papers are categorized into research reports, treatment reports, technical reports, literature reviews, and letters to the editor.