Validity of six balance disorders scales in persons with multiple sclerosis
Validity of six balance disorders scales in persons with multiple sclerosis
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DOI：
10.1080/09638280500404289
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发表时间：
2006-06-01
影响因子：
2.2
通讯作者：
Meotti, Matteo
中科院分区：
文献类型：
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作者：
Cattaneo, Davide;Regola, Alberto;Meotti, Matteo
目的。本研究的目的是在一个患有多发性硬化症的样本中检验几种静态和动态平衡测试的同时效度和判别效度。51名患者参加了这项研究。进行以下测试：Berg平衡量表(BBS)、计时起跑试验(TUG)、动态步态指数(DGI)、Hauser Deambation Index(DI)、头晕手足量表(DHI)和活动特定平衡置信度(ABC)。研究中使用的量表最初被翻译成意大利语。样本受试者报告在评估前一个月的平均跌倒次数为0.98(1.8SD)。测试显示出良好的同时效度：相同方面的测试之间的相关系数较高，而略有不同方面的测试之间的相关系数较低。ABC和DHI测试对跌倒者和非跌倒者的区分比其他测试更好，似乎是摔倒状态的最佳预测因子。BBS和DGI在区分群体方面没有那么有效。相反，在预测使用辅助设备的患者方面，所有测试都显示出良好的差异效度。BBS、TUG、DI、DGI、ABC、DHI具有可接受的同时效度。这些量表在区分下落者和非下落者方面表现不佳。
Purpose. The aim of this study was to test concurrent and discriminant validity of several tests of static and dynamic balance in a sample of subjects suffering from MS.Method. A group of 51 patients were enrolled in the study. The following tests were administered: Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Dynamic Gait Index (DGI), Hauser Deambulation Index (DI), Dizziness Handicap Inventory (DHI), and Activities-specific Balance Confidence (ABC). The scales used in this study were initially translated into Italian.Results. The sample of subjects reported a mean of 0.98 (1.8 SD) falls in the month prior to evaluation. The tests demonstrated good concurrent validity: Higher correlation coefficients among tests tapping the same aspect and lower correlation coefficients among tests tapping slightly different aspects. ABC and DHI tests discriminated better than the others between fallers and non-fallers and appeared the best predictors of fall status. BBS and DGI were not as efficient in discriminating between groups. Conversely all tests showed good difference validity in the prediction of patients who used an assistive device.Conclusion. BBS, TUG, DI, DGI, ABC, DHI have acceptable concurrent validity. The scales have poor performance in discriminating between faller and non-faller.