Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

Toomey, Elaine; Coote, Susan

doi:10.7224/1537-2073.2011-036

Cited by 28 publications

(22 citation statements)

References 28 publications

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“…Possibly the difficulty of these tests led to more variable performance, which contributed to the larger SEM and MDC values. However, the remainder of the SEM values in this study were considerably smaller than those reported by Toomey and Coote 33 for intertester reliability of HHD in people with MS. This suggests that HHD may be better suited for a single rater to assess changes after intervention, rather than between multiple raters.…”

Section: Resultscontrasting

confidence: 88%

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Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Mañago¹,

Hebert²,

Schenkman³

2017

International Journal of MS Care

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Background: Strength training in people with multiple sclerosis (MS) is an important component of rehabilitation, but it can be challenging for clinicians to quantify strength accurately and reliably. This study investigated the psychometric properties of a clinical strength assessment protocol using handheld dynamometry and other objective, quantifiable tests for the lower extremities and trunk in people with MS.

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Section: Resultscontrasting

confidence: 88%

“…In people with MS, response stability of HHD has been reported between raters for a single session in knee extension, hip extension, and ankle dorsiflexion. 33 Response stability has not been reported for a single rater between sessions in people with MS.…”

mentioning

confidence: 99%

Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Mañago¹,

Hebert²,

Schenkman³

2017

International Journal of MS Care

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“…Relative reliability of the Mini-BESTest GR total score was assessed with the Intraclass Correlation Coefficient (ICC) between raters and between repeated measures, and values over 0.75 defined as excellent, 0.40-0.75 as moderate and below 0.4 as poor reliability (Roach, 2006;Toomey and Coote, 2013).…”

Section: Reliability Analysismentioning

confidence: 99%

“…The Berg Balance Scale (BBS) constitutes one of the very well-characterized and established clinical assessment measures for balance in the elderly and patients with balance deficiencies due to various neurological conditions (e.g. stroke, multiple sclerosis and Parkinson's disease) (La Porta et al, 2012;Toomey and Coote, 2013). Isolated functional balance tests include the Romberg Test, which has the advantage of differentiating between lesions in the central and peripheral nervous system, the Functional Reach Test and the Timed Up and Go test, which have all been used in combination with several functional scales in clinical and research settings (Barry et al, 2014;Garcia et al, 2012;Tyson and Connell, 2009;Yelnik and Bonan, 2008).…”

Section: Introductionmentioning

confidence: 99%

Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke

Lampropoulou

Billis²,

Gedikoglou

et al. 2018

Physiotherapy Theory and Practice

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Objectives: This study aimed to investigate the psychometric characteristics of reliability, validity and ability to detect change of a newly developed balance assessment tool, the Mini-BESTest, in Greek patients with stroke. Design: A prospective, observational design study with test-retest measures was conducted. Methods: A convenience sample of 21 Greek patients with chronic stroke (14 male, 7 female; age of 63 ± 16 years) was recruited. Two independent examiners administered the scale, for the inter-rater reliability, twice within 10 days for the test-retest reliability. Bland Altman Analysis for repeated measures assessed the absolute reliability and the Standard Error of Measurement (SEM) and the Minimum Detectable Change at 95% confidence interval (MDC 95% ) were established. The Greek Mini-BESTest (Mini-BESTest GR ) was correlated with the Greek Berg Balance Scale (BBS GR ) for assessing the concurrent validity and with the Timed Up and Go (TUG), the Functional Reach Test (FRT) and the Greek Falls Efficacy Scale-International (FES-I GR ) for the convergent validity. The exceptionally high reliability and the equally good validity of the Mini-BESTest GR , strongly support its utility in Greek people with chronic stroke. Its ability to identify clinically meaningful changes and falls risk need further investigation. ARTICLE HISTORY

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“…29 However, the use of dynamometry for measurement of UE function in that study was limited to elbow flexion and shoulder flexion. Consequently, additional studies are warranted to determine the utility of dynamometry as a performance-based measure of UE muscle strength in MS.…”

Section: Performance-based Measures In Msmentioning

confidence: 99%

Assessment of Upper Extremity Function in Multiple Sclerosis: Review and Opinion

Kraft

Amtmann

Bennett

et al. 2014

Postgraduate Medicine

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Upper extremity (UE) dysfunction may be present in up to ~80% of individuals with multiple sclerosis (MS), although its importance may be under-recognized relative to walking impairment, which is the hallmark symptom of MS. Upper extremity dysfunction affects independence and can impact the ability to use walking aids. Under-recognition of UE dysfunction may result in part from limited availability of performance-based and patient self-report measures that are validated for use in MS and that can be readily incorporated into clinical practice for screening and regularly scheduled assessments. In addition to the 9-Hole Peg Test, which is part of the Multiple Sclerosis Functional Composite, there are several performance-based measures that are generally used in the rehabilitation setting. These measures include the Box and Block Test, the Action Research Arm Test, the Test d'Evaluation de la performance des Membres Supérieurs des Personnes Agées, and the Jebsen-Taylor Test of Hand Function. Several of these measures were developed for use in stroke, although in contrast to stroke, which is characterized by unilateral dysfunction, UE impairment in MS is generally bilateral, and should be assessed as such. Similarly, patient-reported UE measures are available, including Disabilities of the Arm, Shoulder, and Hand (DASH) and its shorter version, QuickDASH, the Manual Ability Measure, and ABILHAND, although none has been psychometrically validated for MS. Recently, item response theory was used to develop a Neuro-QOL (Quality of Life) UE measure and a Patient-Reported Outcomes Measurement Information System UE measure; neither of these have demonstrated sensitivity to change, limiting their use for longitudinal assessment. Consequently, although work is still needed to develop and validate performance-based and patient-reported measures of UE function that are suitable for use in daily MS clinical practice, currently available UE measures can be recommended for incorporation into MS management, albeit with an understanding of their limitations.

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Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

Cited by 28 publications

References 28 publications

Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke

Assessment of Upper Extremity Function in Multiple Sclerosis: Review and Opinion

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