Differences in psychometric properties, cut-off scores, and outcomes between the Barthel Index and Modified Rankin Scale in pharmacotherapy-based stroke trials: systematic literature review

Balu, Sanjeev

doi:10.1185/03007990902875877

Cited by 67 publications

(53 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The inter-rater reliability is sufficient at the item level. Its overall inter-rater agreement is good 17) .…”

Section: Methodsmentioning

confidence: 77%

Effects of Scapular Stabilization Exercise on Function of Paretic Upper Extremity of Chronic Stroke Patients

Song¹

2013

J Phys Ther Sci

View full text Add to dashboard Cite

Abstract.[Purpose] The purpose of this study was to investigate the therapeutic effects of scapular stabilization exercise on function of the upper extremity of individuals with chronic hemiparetic stroke.[Subjects] Eleven chronic hemiparetic stroke patients participated in a scapular stabilization exercise program conducted in the sitting position for 30 min per session, 5 days per week, for 4 weeks. We used 3 clinical assessments: the Manual Function Test, the Berg Balance Scale, and the Modified Barthel Index.[Results] Manual Functional Test Scores for the paretic upper limb significantly improved after the scapular stabilization exercise program. However, Manual Function Test scores for the non-paretic upper limb did not significantly improve after the scapular stabilization exercise program. The Berg Balance Scale and the Modified Barthel Index scores did not significantly improved after scapular stabilization exercise program.[Conclusion] The results of this study suggest that scapular stabilization exercise can improve the function of the paretic upper extremity of individuals with chronic stroke. However, scapular stabilization exercise did not affect balance or basic daily activities.

show abstract

“…The inter-rater reliability is sufficient at the item level. Its overall inter-rater agreement is good 17) .…”

Section: Methodsmentioning

confidence: 77%

Effects of Scapular Stabilization Exercise on Function of Paretic Upper Extremity of Chronic Stroke Patients

Song¹

2013

J Phys Ther Sci

View full text Add to dashboard Cite

show abstract

“…The cutoff points of dependence in the activities of daily living scales were a Barthel Index (score of ≤60, modified Rankin Scale score of >2, and a Glasgow Outcome Scale score of ≤3. 25,26 However, in the Auer 1989 study, dependence was considered to be Grade 5 according to its own scale. 17 If there was more than one scale to evaluate the patients' functional outcome within one article, we first selected the Barthel Index as the assessment scale, then the modified Rankin Scale and Glasgow Outcome Scale.…”

Section: Data Extractionmentioning

confidence: 99%

Minimally Invasive Surgery for Spontaneous Supratentorial Intracerebral Hemorrhage

Zhou

Chen²,

Li³

et al. 2012

Stroke

191

120

View full text Add to dashboard Cite

Background and Purpose— There has been a nonstandard surgical procedure and extensive international controversy in minimally invasive surgery (MIS) for the management of spontaneous supratentorial intracerebral hemorrhage. This meta-analysis assessed the effectiveness of MIS as compared with other treatment options, including conservative medical treatment and conventional craniotomy, in patients with supratentorial intracerebral hemorrhage. Methods— PubMed, Embase, Cochrane Controlled Trials Register (CCTR), Web of Science, European Association for Grey Literature Exploitation (EAGLE), National Technical Information Service (NTIS), Current Controlled Trials, Clinical Trials, International Clinical Trials Registry, Internet Stroke Center, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure (CNKI) (last searched December 2011) were searched. Randomized controlled trials on MIS in patients with computed tomography-confirmed supratentorial intracerebral hemorrhage were included. We excluded low-quality randomized controlled trials. The death or dependence at the end of follow-up was defined as the primary outcome, and the death at the end of follow-up was defined as the secondary outcome. Results— The 313 randomized controlled trials met the included criteria. We only analyzed 12 high-quality randomized controlled trials involving 1955 patients. The quality of the included trials was consistently high. OR of the primary outcome and secondary outcome of MIS both showed significant reductions (OR, 0.54, P <0.00001; OR, 0.53, P <0.00001). Conclusions— Patients with supratentorial intracerebral hemorrhage may benefit more from MIS than other treatment options. The most likely candidates to benefit from MIS are both sexes, age of 30 to 80 years with superficial hematoma, Glasgow Coma Scale score of ≥9, hematoma volume between 25 and 40mL, and within 72 hours after onset of symptoms. Our study could help select appropriate patients for MIS and guide clinicians to optimize treatment strategies in supratentorial intracerebral hemorrhage.

show abstract

“…Again, there is no standard approach, with good BI arbitrarily defined as total scores ranging from BI of 50 to 95, with the most prevalent cut-off point at BI Ͼ95. 47 It has been suggested that key scores are BI Ͻ40 (representing complete dependence on others), BI Ͼ60 (transition from complete dependence to assisted independence), and BI Ͼ85 (representing independence with minor assistance as could be reasonably provided in a community setting). 38 Some may consider poorest outcome after stroke to be death; unlike mRS, the BI does not have a separate score to represent mortality.…”

Section: Interpreting Bi Data For Stroke Trialsmentioning

confidence: 99%

Barthel Index for Stroke Trials

Quinn

Langhorne

Stott

2011

Stroke

386

175

View full text Add to dashboard Cite

Background and Purpose-Robust measures of functional outcome are required to determine treatment effects in stroke trials. Of the various measures available, the Barthel index (BI) is one of the more prevalent. We aimed to describe validity, reliability, and responsiveness (clinimetric properties) of the BI in stroke trials. Methods-Narrative review of published articles describing clinimetric properties or use of the BI as a stroke trial end point. Results-Definitive statements on properties of BI are limited by heterogeneity in methodology of assessment and in the content of "BI" scales. Accepting these caveats, evidence suggests that BI is a valid measure of activities of daily living; sensitivity to change is limited at extremes of disability (floor and ceiling effects), and reliability of standard BI assessment is acceptable. However, these data may not be applicable to contemporary multicenter stroke trials. Conclusions-Substantial literature describing BI clinimetrics in stroke is available; however, questions remain regarding certain properties. The "BI" label is used for a number of instruments and we urge greater consistency in methods, content, and scoring. A 10-item scale, scoring 0 to 100 with 5-point increments, has been used in several multicenter stroke trials and it seems reasonable that this should become the uniform stroke trial BI. (Stroke. 2011;42:1146-1151.)

show abstract

Differences in psychometric properties, cut-off scores, and outcomes between the Barthel Index and Modified Rankin Scale in pharmacotherapy-based stroke trials: systematic literature review

Cited by 67 publications

References 47 publications

Effects of Scapular Stabilization Exercise on Function of Paretic Upper Extremity of Chronic Stroke Patients

Effects of Scapular Stabilization Exercise on Function of Paretic Upper Extremity of Chronic Stroke Patients

Minimally Invasive Surgery for Spontaneous Supratentorial Intracerebral Hemorrhage

Barthel Index for Stroke Trials

Contact Info

Product

Resources

About