Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Reliability and Validity of the Balancia using Wii Balance Board for Assessment of Balance with Stroke Patients

뇌졸중 환자들의 균형평가를 위한 Balancia 프로그램의 신뢰도와 타당도

  • 박대성 (국립재활원 재활연구소) ;
  • 이동엽 (선문대학교 물리치료학과) ;
  • 최성진 (대전대학교 대학원 물리치료학과) ;
  • 신원섭 (대전대학교 물리치료학과)
  • Received : 2013.03.19
  • Accepted : 2013.06.07
  • Published : 2013.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Balance is the foundation for all active daily livings. Evaluation of balance has been conducted to measure postural sway of center of pressure(COP). The purpose of this study is to introduce the Balancia and to examine the validity and inter-, intra-reliability for measure of balance with stroke patients. COP was measured by Wii balance board. The subjects Participated in this study were 39 stroke patients. Intra- and inter-reliability was examined using intraclass correlation coefficient(ICC) with 95% confidence interval. In the result of intra- and inter-reliability, all COP parameters of postural sway showed high to very high reliability with ICC=.793-.939 and ICC=.791-.955. Validity was determined by correlation with Accusway force plate. There were high validity with ICC=.851-.955 between tools. According to these results, the Balancia showed high validity and reliability. It is a useful clinical tool for evaluating balance in stroke patients.

균형은 일상생활의 기본적인 요소이며 균형능력의 평가는 무게중심의 측정으로 한다. 본 연구에서는 뇌졸중 환자를 대상으로 균형 능력을 평가하기 위한 Balancia 프로그램의 신뢰도와 타당도를 측정하고자 하였다. COP의 측정을 위한 장비로는 Wii Balance Board를 이용하였다. 연구는 39명의 뇌졸중 환자들 대상으로 하였다. 신뢰도 검사는 동요거리, 동요속도, area95% 결과값의 검사자간 신뢰도와 검사자내 신뢰도를 실시하였다. 검사자내 신뢰도는 검사-재검사의 방법으로 급간내 상관계수를 측정하여 ICC .793-.939로 높은 신뢰도를 보였고, 검사자간 신뢰도에서도 ICC .791-.955로 높은 신뢰도를 보였다. 타당도는 Accusway와 비교하여 ICC .851-.955로 매우 높은 일치도를 보였다. 따라서 본 연구를 통해 Balancia 프로그램이 뇌졸중 환자의 균형 능력을 평가하는데 높은 신뢰도와 타당도를 가진 프로그램으로 입증되었다.

Keywords

References

  1. Ragnarsdottir M, "The concept of balance", Physiotherapy, Vol. 82, No. 6, pp. 368-375, 1996. DOI: http://dx.doi.org/10.1016/S0031-9406(05)66484-X
  2. Jarnlo N, "Functional balance tests related to falls among elderly people living in the community", Eur J Geriatr, Vol. 5, No. 1, pp. 7-14, 2003.
  3. Wallmann HW, Gillis CB, Alpert PT, Miller SK, "The effect of a senior jazz dance class on static balance in healthy women over 50 years of age: a pilot study", Biol Res Nurs, Vol. 10, No. 3, pp. 257-266, 2009. DOI: http://dx.doi.org/10.1177/1099800408322600
  4. Vearrier LA, Langan J, Shumway-Cook A, Woollacott M, "An intensive massed practice approach to retraining balance post-stroke", Gait Posture, Vol. 22, No. 2, pp. 154-163, 2005. DOI: http://dx.doi.org/10.1016/j.gaitpost.2004.09.001
  5. Dodd KJ, Morris ME, "Lateral pelvic displacement during gait: abnormalities after stroke and changes during the first month of rehabilitation", Arch Phys Med Rehabil, Vol. 84, No. 8, pp. 1200-1205, 2003. DOI: http://dx.doi.org/10.1016/S0003-9993(03)00142-4
  6. Blum L, Korner-Bitensky N, "Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review", Phys Ther, Vol. 88, No. 5, pp. 559-566, 2008. DOI: http://dx.doi.org/10.2522/ptj.20070205
  7. Gustavsen M, Aamodt G, Mengshoel A, "Measuring balance in sub-acute stroke rehabilitation", Adv Physiother, Vol. 8, No. 1, pp. 15-22, 2006. DOI: http://dx.doi.org/10.1080/14038190500494709
  8. Clark RA, Bryant AL, Pua Y, McCrory P, Bennell K, Hunt M, "Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance", Gait Posture, Vol. 31, No. 3, pp. 307-310, 2010. DOI: http://dx.doi.org/10.1016/j.gaitpost.2009.11.012
  9. Palmieri R, Ingersoll C, Stone M, Krause B, "Center of pressure parameters used in the assessment of postural control", J Sport Rehabil, Vol. 11, No. 1, pp. 51-66, 2002. https://doi.org/10.1123/jsr.11.1.51
  10. Chesnin KJ, Selby-Silverstein L, Besser MP, "Comparison of an in-shoe pressure measurement device to a force plate: concurrent validity of center of pressure measurements", Gait Posture, Vol. 12, No. 2, pp. 128-133, 2000. DOI: http://dx.doi.org/10.1016/S0966-6362(00)00071-0
  11. Young W, Ferguson S, Brault S, Craig C, "Assessing and training standing balance in older adults: a novel approach using the 'Nintendo Wii' Balance Board", Gait Posture, Vol. 33, No. 2, pp. 303-305, 2011. DOI: http://dx.doi.org/10.1016/j.gaitpost.2010.10.089
  12. Salavati M, Hadian MR, Mazaheri M, Negahban H, Ebrahimi I, Talebian S, Jafari AH, Sanjari MA, Sohani SM, Parnianpour M, "Test-retest reliability [corrected] of center of pressure measures of postural stability during quiet standing in a group with musculoskeletal disorders consisting of low back pain, anterior cruciate ligament injury and functional ankle instability", Gait Posture, Vol. 29, No. 3, pp. 460-464, 2009. DOI: http://dx.doi.org/10.1016/j.gaitpost.2008.11.016
  13. Laufer Y, Sivan D, Schwarzmann R, Sprecher E, "Standing balance and functional recovery of patients with right and left hemiparesis in the early stages of rehabilitation", Neurorehabil Neural Repair, Vol. 17, No. 4, pp. 207-213, 2003. DOI: http://dx.doi.org/10.1177/0888439003259169
  14. DeBolt LS, McCubbin JA, "The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis", Arch Phys Med Rehabil, Vol. 85, No. 2, pp. 290-297, 2004. DOI: http://dx.doi.org/10.1016/j.apmr.2003.06.003
  15. Swanenburg J, de Bruin ED, Favero K, Uebelhart D, Mulder T, "The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers", BMC Musculoskelet Disord, Vol. 9, No. p. 162, 2008. DOI: http://dx.doi.org/10.1186/1471-2474-9-162
  16. Kejonen P, Kauranen K, Ahasan R, Vanharanta H, "Motion analysis measurements of body movements during standing: association with age and sex", Int J Rehabil Res, Vol. 25, No. 4, pp. 297-304, 2002. DOI: http://dx.doi.org/10.1097/00004356-200212000-00007
  17. Liston RA, Brouwer BJ, "Reliability and validity of measures obtained from stroke patients using the Balance Master", Arch Phys Med Rehabil, Vol. 77, No. 5, pp. 425-430, 1996. DOI: http://dx.doi.org/10.1016/S0003-9993(96)90028-3
  18. Chaudhry H, Bukiet B, Ji Z, Findley T, "Measurement of balance in computer posturography: Comparison of methods--A brief review", J Bodyw Mov Ther, Vol. 15, No. 1, pp. 82-91, 2011. DOI: http://dx.doi.org/10.1016/j.jbmt.2008.03.003
  19. Manor B, Doherty A, Li L, "The reliability of physical performance measures in peripheral neuropathy", Gait Posture, Vol. 28, No. 2, pp. 343-346, 2008. DOI: http://dx.doi.org/10.1016/j.gaitpost.2008.01.004
  20. Pinsault N, Vuillerme N, "Test-retest reliability of centre of foot pressure measures to assess postural control during unperturbed stance", Med Eng Phys, Vol. 31, No. 2, pp. 276-286, 2009. DOI: http://dx.doi.org/10.1016/j.medengphy.2008.08.003
  21. Shih CH, Shih CT, Chiang MS, "A new standing posture detector to enable people with multiple disabilities to control environmental stimulation by changing their standing posture through a commercial Wii Balance Board", Res Dev Disabil, Vol. 31, No. 1, pp. 281-286, 2010. DOI: http://dx.doi.org/10.1016/j.ridd.2009.09.013

Cited by

  1. Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke vol.5, pp.3, 2016, https://doi.org/10.14474/ptrs.2016.5.3.113
  2. Effect of Wholebody Vibration Stimulation According to Various Frequencies on Ankle Instability, Ankle Range of Motion and Balance Ability in Adult with Chronic Ankle Instability vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.63