Validity of the Community Balance and Mobility Scale in Community-Dwelling Persons After Stroke

Validity of the Community Balance and Mobility Scale in Community-Dwelling Persons After Stroke
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DOI:
10.1016/j.apmr.2010.02.010
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发表时间:
2010-06-01
影响因子:
4.3
通讯作者:
Garland, Jayne
Garland, Jayne
中科院分区:
医学1区
文献类型:
--
作者:
Knorr, Svetlana;Brouwer, Brenda;Garland, Jayne

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目的:探讨社区平衡与活动量表(CB&M)在社区卒中幸存者中的收敛效度、变化敏感性、下限和上限效应。第二个目标是确定CB&M和下肢运动恢复和strength.Design之间的相关性:效度研究。设置:两个大学为基础的研究centers.Participants:社区居住的人中风后(N=44; 24男,20女;平均年龄62.6 +/-12.6岁)。基线测量在卒中发作后3个月进行(98.6 +/-52.6天);参与者在卒中后8个月重新评估(246.8 +/- 57.2d).干预措施:不适用.主要结果指标:CB&M、贝格平衡量表(BBS)、定时起身和行走(TUG)、Chedoke McMaster卒中评估(CMSA)腿部和足部损伤量表,使用测力计测量下肢屈肌和伸肌群的同心双侧等速力量。CB&M、BBS和TUG之间的关联程度和标准化反应均值(SRM)分别用于检查收敛效度和变化敏感性。
Objectives: To examine the convergent validity, sensitivity to change, floor and ceiling effects of the Community Balance and Mobility Scale (CB&M) in community-dwelling stroke survivors. The secondary objective was to determine the correlations between the CB&M and lower-limb motor recovery and strength.Design: Validity study.Setting: Two university-based research centers.Participants: Community-dwelling persons after stroke (N=44; 24 men, 20 women; mean age, 62.6 +/- 12.6y). Baseline measures were taken 3 months after the onset of stroke (98.6 +/- 52.6d); participants were reassessed 8 months post-stroke (246.8 +/- 57.2d).Interventions: Not applicable.Main Outcome Measures: CB&M, Berg Balance Scale (BBS), Timed Up & Go (TUG), Chedoke McMaster Stroke Assessment (CMSA) Impairment Inventory for leg and foot, concentric bilateral isokinetic strength of the lower-limb flexor and extensor muscle groups using a dynamometer. The magnitude of the associations and the standardized response means (SRMs) among the CB&M, BBS, and TUG were used to examine the convergent validity and sensitivity to change, respectively.Results: Moderate to high convergent validities (p=.70 to .83, P