Development of a Consensus and Evidence-based Standardised Clinical Assessment and Record Form for Neurological Inpatients: The Neuro Dataset

Crow, J Lesley; Harmeling, Barbara C

doi:10.1016/s0031-9406(05)60527-5

Cited by 8 publications

(3 citation statements)

References 47 publications

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“…25 Moreover, there is still some debate as to what constitutes a balance measure. For example, although the TUG was originally described as a measure of balance, 26 use of a gait aid such as a rollator during the test significantly reduces its balance demands, and a recent content analysis on standardized balance measures did not include the TUG for consideration.…”

Section: Discussionmentioning

confidence: 99%

Understanding Approaches to Balance Assessment in Physical Therapy Practice for Elderly Inpatients of a Rehabilitation Hospital

Gervais

Burling

Krull

et al. 2014

Physiotherapy Canada

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Purpose: Balance is a critical modifiable risk factor for falls in older adults. The purpose of this study was to identify the physiotherapy assessment tools used to evaluate balance in clinical practice and to determine the components of balance assessed through the use of standardized and/or other measures. Methods: A retrospective chart review was performed on 250 patients aged 65 and older undergoing in-patient rehabilitation with a clinical diagnosis associated with a balance impairment (stroke, musculoskeletal conditions, lower limb amputation, deconditioning, or cardiac surgery) at a rehabilitation hospital in Ontario. Results: All patients received at least one assessment that incorporated a balance component. Standardized balance measures were performed for 73% of patients; the timed up-and-go test (48%) and Berg Balance Scale (36%) were most commonly used for this assessment. Reactive movement strategies and cognitive processing were the least commonly assessed components of balance. Balance was assessed least often among people with cardiac surgery. Conclusions: Considerable variation exists in the assessment of balance, and the data suggest that not all relevant components are equally considered. Future research should be conducted in other clinical settings and should include other health care practitioners' assessments to develop a more complete understanding of current balance assessment procedures.Key Words: aged; outcome assessment (health care); postural balance. RÉ SUMÉObjectif : L'é quilibre constitue un facteur modifiable critique de risque de chutes chez les adultes â gé s. Cette é tude visait à dé terminer les outils utilisé s en physiothé rapie pour é valuer l'é quilibre en pratique clinique et les é lé ments constituants de l'é quilibre é valué s au moyen de mesures normalisé es ou autres. Mé thodes : On a procé dé à un examen ré trospectif des dossiers de 250 patients â gé s de 65 ans et plus qui ont suivi une ré adaptation en service interne aprè s avoir reç u un diagnostic clinique associé à une dé ficience de l'é quilibre (accident vasculaire cé ré bral, problè mes de l'appareil locomoteur, amputation d'un membre infé rieur, dé conditionnement et chirurgie cardiaque) à un hô pital de ré adaptation de l'Ontario. Ré sultats : Tous les patients ont fait l'objet d'au moins une é valuation comportant un volet é quilibre. On a pris des mesures normalisé es de l'é quilibre chez 73 % des patients : le test chronomé tré lever-marcher (48 %) et le test d'é quilibre de Berg (36 %) ont servi le plus souvent pour cette é valuation. Les straté gies de mouvement ré actifs et le traitement cognitif ont é té les é lé ments de l'é quilibre é valué s le moins souvent. L'é quilibre a é té é valué le moins souvent chez les personnes qui avaient subi une chirurgie cardiaque. Conclusions : Il existe une variation importante au niveau de l'é valuation de l'é quilibre et les donné es indiquent qu'il n'est pas tenu compte é galement de tous les é lé ments pertinents. Les recherches à venir dans d'autr...

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Section: Discussionmentioning

confidence: 99%

Understanding Approaches to Balance Assessment in Physical Therapy Practice for Elderly Inpatients of a Rehabilitation Hospital

Gervais

Burling

Krull

et al. 2014

Physiotherapy Canada

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“…The Berg Balance Scale (BBS) (Berg et al, 1989) is a functional measure of balance commonly used in neurorehabilitation (Crow and Harmeling, 2002). In 10 individuals with MS, with an EDSS less than 6.5, the test-retest reliability of the BBS measured 1 week apart has been reported to be ICC = 0.99 (Paltamaa et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Reliability and clinical significance of mobility and balance assessments in multiple sclerosis

Learmonth

Paul

McFadyen

et al. 2012

International Journal of Rehabilitation Research

116

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The aim of the study was to establish the test-retest reliability, clinical significance and precision of four mobility and balance measures - the Timed 25-Foot Walk, Six-minute Walk, Timed Up and Go and the Berg Balance Scale - in individuals moderately affected by multiple sclerosis. Twenty four participants with multiple sclerosis (Extended Disability Status Score 5-6.5) were assessed on four measures of mobility and balance. The Timed 25-Foot Walk, Six-minute Walk and Timed Up and Go mobility outcome measures and the Berg Balance Scale were assessed by one assessor one week apart. Intraclass correlation coefficient (ICC) analysis was carried out to determine reliability. Minimal detectable change values were calculated to determine clinical significance; the standard error of each measurement was calculated to assess precision. All four outcome measures were found to be reliable: Timed 25-Foot Walk ICC=0.94, Six-minute Walk Test ICC=0.96, Timed Up and Go ICC=0.97 and Berg Balance Scale ICC=0.96. Minimal detectable change values were as follows: Timed 25-Foot Walk=12.6 s, Six-minute Walk Test=76.2 m, Timed Up and Go=10.6 s and Berg Balance Scale=7 points. Standard errors of measurement were as follows: Timed 25-Foot Walk=4.56 s, Six-minute Walk Test=27.48 m, Timed Up and Go=3.81 s and Berg Balance Scale=3 points. The test-retest reliability of these four outcome measures was found to be good. The calculated clinical significance and precision of these measures highlight the problems of assessing a heterogeneous clinical population.

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“…The rating criteria were designed for all items to be combined to achieve the overall rating of LPS rather than to individually rate items or subcategories. This was done to maintain the clinical utility of the criteria as tests that require this may not be as easy or quick to administer [ 46 , 47 ]. In addition, experienced raters are likely to combine key observations to make an automatic rating [ 48 ] based largely on the overall impression of movement quality, and this method of rating is commonly used by physiotherapists [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Development of Clinical Rating Criteria for Tests of Lumbopelvic Stability

Perrott

Pizzari

Opar

et al. 2012

Rehabilitation Research and Practice

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Background. Lumbopelvic stability (LPS) is regarded as important for injury prevention, yet there are few reliable or valid tests that can be used in the clinical assessment of LPS. Three dynamic functional tests were identified that assess LPS in multiple planes of motion: dip test (DT), single leg squat (SLS), and runner pose test (RPT). Existing rating criteria for SLS have limited reliability and rating criteria for DT and RPT have not been established. Objective. To develop rating criteria for three clinical tests of LPS. Design. Qualitative research: focus group. Method. A focus group of five expert physiotherapists used qualitative methods to develop rating criteria for the three clinical tests. Results. Detailed rating criteria were established for the three tests. Each key factor considered important for LPS had characteristics described that represented both good and poor LPS. Conclusion. This study established rating criteria that may be used to clinically assess LPS.

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Development of a Consensus and Evidence-based Standardised Clinical Assessment and Record Form for Neurological Inpatients: The Neuro Dataset

Cited by 8 publications

References 47 publications

Understanding Approaches to Balance Assessment in Physical Therapy Practice for Elderly Inpatients of a Rehabilitation Hospital

Understanding Approaches to Balance Assessment in Physical Therapy Practice for Elderly Inpatients of a Rehabilitation Hospital

Reliability and clinical significance of mobility and balance assessments in multiple sclerosis

Development of Clinical Rating Criteria for Tests of Lumbopelvic Stability

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