How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions
How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions
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DOI：
10.1177/0269215509335018
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发表时间：
2009-09-01
影响因子：
3
通讯作者：
Connell, L. A.
中科院分区：
文献类型：
--
作者：
Tyson, S. F.;Connell, L. A.
目的：为了确定心理强大的和临床上可行的测量工具的平衡活动的人与神经系统疾病，建议在临床practice.Data来源：MEDLINE，CINAHL，EMBASE，PEDro和AMED.Review方法：独立的审查员选择和提取数据的文章，评估的可靠性，有效性，变化的敏感性和临床效用的措施，平衡活动在成人神经系统疾病。质量评估是基于Jorstad et al.措施与“好”的心理测量和>= 9/10临床效用scores.Results：19测量工具被选中。其中，Brunel平衡评估、贝格平衡量表、躯干损害量表、坐和站的手臂抬起和前伸测试、体重转移、步/轻拍和踏步测试达到了所需的标准，可用于临床实践。布鲁内尔平衡评估及其相关的功能性能测试具有额外的优势，是一个层次的规模与建立缺乏redundancy.Conclusion：上述确定的测量工具是心理测量的强大和可行的，在临床实践中使用。未来客观测量的开发应考虑测量的理论结构、最小可检测变化以及在卒中以外的临床人群中的使用。
Objective: To identify psychometrically robust and clinically feasible measurement tools of balance activity in people with neurological conditions to recommend for use in clinical practice.Data sources: MEDLINE, CINAHL, EMBASE, PEDro and AMED.Review methods: Independent reviewers selected and extracted data from articles that assessed the reliability, validity, sensitivity to change and clinical utility of measures of balance activity in adult neurological conditions. Quality assessment was based on Jorstad et al. Measures with 'good' psychometrics and >= 9/10 clinical utility scores were recommended.Results: Nineteen measurement tools were selected. Of these, the Brunel Balance Assessment, Berg Balance Scale, Trunk Impairment Scale, arm raise and forward reach tests in sitting and standing, weight shift, step/tap and step-up tests reached the required standards and are usable in clinical practice. The Brunel Balance Assessment and its associated functional performance tests have the additional advantages of being a hierarchical scale with established lack of redundancy.Conclusion: The measurement tools identified above are psychometrically robust and feasible to use in clinical practice. Future objective measure development should consider the theoretical construct of the measure, the minimal detectable change and use in clinical populations other than stroke.