A test-retest reliability study of the Barthel Index, the Rivermead Mobility Index, the Nottingham Extended Activities of Daily Living Scale and the Frenchay Activities Index in stroke patients

A test-retest reliability study of the Barthel Index, the Rivermead Mobility Index, the Nottingham Extended Activities of Daily Living Scale and the Frenchay Activities Index in stroke patients
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DOI:
10.1080/09638280110045382
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发表时间:
2001-10-01
影响因子:
2.2
通讯作者:
Young, J
Young, J
中科院分区:
医学3区
文献类型:
--
作者:
Green, J;Forster, A;Young, J

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目的:为了评估一系列的结果measurements在中风patients.Method:22例患者41年中风后进行了两次测试,在1周的时间间隔使用Barthel指数(BI); Rivermead移动指数(RMI);诺丁汉扩展日常生活活动量表(NEADL);和弗伦谢活动指数(FAI)。计算总分的平均差异(偏倚)和信度系数(随机误差)。结果:各量表的平均差异和信度系数分别为BI 0.4 ± 2.0、RMI 0.3 ± 2.2、NEADL 0.6 ± 5.6、FAI -0.6 ± 7.1。评估之间几乎没有偏差。BI和RMI的性能更好,具有更低的随机误差。NEADL和FAI的表现不佳,具有较大的随机误差分量。百分比协议普遍较高,尤其是为BI(>75%)和RMI(>85%),但有相当大的变化在kappa coefficient.Conclusion:测量的基本日常生活活动和流动性的BI和RMI测量是可靠的中风后。在这项研究中,用于评估日常生活活动扩展的测量方法不太可靠。
Purpose: To assess the test-retest reliability of a range of outcome measures in stroke patients.Method: Twenty-two patients 41 year post-stroke were tested twice at an interval of 1 week using the Barthel Index (BI); the Rivermead Mobility Index (RMI); the Nottingham Extended Activities of Daily Living Scale (NEADL); and the Frenchay Activities Index (FAI). The mean difference (bias) and reliability coefficient (random error) were calculated for the total scores. Percentage agreement and the kappa coefficient were used to analyse individual items.Results: The mean differences and reliability coefficients were BI 0.4 +/-2.0, RMI 0.3 +/-2.2, the NEADL 0.6 +/-5.6, FAI -0.6 +/-7.1. There was little bias between assessments. The performance of the BI and RMI were better with lower random error. The NEADL and FAI did not perform as well having larger random error components. Percentage agreements were generally high especially for the BI (>75%) and RMI (>85%), but there was considerable variation in the kappa coefficients.Conclusion: Measurement of basic activities of daily living and mobility as measured by the BI and RMI is reliable poststroke. Measurements used to assess extended activities of daily living were less reliable in this study.