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http://dx.doi.org/10.21598/JKPNFA.2018.16.3.405

The Test-Retest Reliability and Criterion-Related Validity of a Trunk Stability Robot When Measuring Static Sitting and Standing Symmetry in Stroke Patients  

An, Seung-Heon (Department of Physical Therapy, National Rehabilitation Center)
Kim, Dong-Hoon (Department of Physical Therapy, Bundang Jesaeng Hospital)
Jang, Young-Min (Department of Physical Therapy, National Rehabilitation Center)
Publication Information
PNF and Movement / v.16, no.3, 2018 , pp. 405-414 More about this Journal
Abstract
Purpose: The purpose of this study was to examine test-retest reliability and criterion-related validity of a trunk stability robot when measuring the weight-bearing symmetry static sitting and standing in stroke patients. Methods: For 27 stroke patients, weight-bearing symmetry was assessed twice, 7 days apart. The intraclass correlation coefficient (ICC2,1) and minimal detectable change (MDC) were used to examine the level of agreement between test and retest. The criterion-related validity of weight -bearing symmetry was demonstrated by Spearman correlation of modified Barthel index (MBI), the sit to stand test (STS), the timed up & go Test (TUG), and the function in sitting test (FIST). Results: the test-retest agreements were excellent for the weight-bearing symmetry of static sitting (ICC2,1: 0.90) and standing (ICC2,1: 0.89). It all showed that the acceptable MDC for the weight-bearing symmetry of static sitting and standing was 0.11 and 0.16, respectively (highest possible score<20 %), indicating that the measures had a small and acceptable degree of measurement error. The weight-bearing symmetry of static sitting was significantly correlated with the TUG(r=-0.45) and FIST(r=0.46)(p<0.05); the weight-bearing symmetry of static standing was also significantly correlated with MBI (r=0.65), TUG (r=-0.67), FIST (r=0.61)(p<0.01), and STS (r=-0.47)(p<0.05). Conclusion: The weight-bearing symmetry of static sitting and standing assessed by the trunk stability robot showed highly sufficient test-retest agreement and mild-to-moderate validity. It could also be useful for clinicians and researchers to evaluate balance performance and monitor functional change in stroke patients.
Keywords
Balance; Stroke; Trunk control; Weight-bearing symmetry;
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1 Davis PM. Problems associated with the loss of selective trunk activity in hemiplegia. Right in the Middle. Selective trunk activity in the treatment of adult hemiplegia, 6th ed. Heidelberg. Springer. 2003.
2 Dickstein R, Shefi S, Marcovitz E, et al. Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients. Archives of Physical Medicine and Rehabilitation. 2004;85(2):261-267.   DOI
3 Dursun E, Hamamci N, Donmez S, et al. Angular biofeedback device for sitting balance of stroke patients. Stroke. 1996;27(8):1354-1357.   DOI
4 Duarte E, Marco E, Muniesa JM, et al. Trunk control test as a functional predictor in stroke patients. Journal of Rehabilitation Medicine. 2002;34(6):267-272.   DOI
5 Duarte E, Marcoa E, Muniesaa J, et al. Early detection of non-ambulatory survivors six months after stroke. NeuroRehabilitation. 2010;26(4):317-323.
6 Duncan RP, Leddy AL, Earhart GM. Five times sit-to-stand test performance in Parkinson's disease. Archives of Physical Medicine and Rehabilitation. 2011;92(9):1431-1436.   DOI
7 Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Archives of Physical Medicine and Rehabilitation. 2002;83(8):1138-1144.   DOI
8 Engardt M, Olsen E. Body weight-bearing while rising and sitting down in patients with stroke. Scandinavian Journal of Rehabilitation Medicine. 1992;24(2):67-64.
9 Flansbjer UB, Holmback AM, Downham D, et al. Reliability of gait performance tests in men and women with hemiparesis after stroke. Journal of Rehabilitation Medicine. 2005;37(2):75-72.   DOI
10 Gorman SL, Harro CC, Platko C, et al. Examining the function in sitting test for validity, responsiveness, and minimal clinically important difference in inpatient rehabilitation. Archives of Physical Medicine and Rehabilitation. 2014a;95(12):2304-2311.   DOI
11 Gorman SL, Radtka S, Melnick ME, et al. Development and validation of the function In sitting test in adults with acute stroke. Journal of Neurological Physical Therapy. 2010;34(3):150-160.   DOI
12 Gorman SL, Rivera M, McCarthy L. Reliability of the function in sitting test (FIST). Rehabilitation Research and Practice. 2014b;2014:593280.
13 Haas BM, Whitmarsh TE. Inter- and intra-tester reliability of the Balance Performance Monitor in a non-patient population. Physiotherapy Research International. 1983;3(2):135-147.   DOI
14 Hesse S, Schauer M, Malezec M, et al. Quantitative analysis of rising from a chair in healthy and hemiparetic subjects. Scandinavian Journal of Rehabilitation Medicine. 1994;26(3):161-166.
15 Holden MK, Gill KM, Magliozzi MR, et al. Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Physical Therapy. 1984;64(1):35-40.   DOI
16 Hsieh C, Sheu C, Hsueh I, et al. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke. 2002;33(11):2626-2630.   DOI
17 Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait & Posture. 2005;22(2):126-131.   DOI
18 Hsueh IP, Lee MM, Hsieh CL. Psychometric characteristics of the Barthel activities of daily living index in stroke patients. Journal of the Formosan Medical Association. 2001;100(8):526-532.
19 Kwakkel G, Wagenaar RC, Kollen BJ, et al. Predicting disability in stroke a critical review of the literature. Age and Ageing. 1996;25(6):479-489.   DOI
20 Liaw LJ, Hsieh CL, Lo SK, et al. The relative and absolute reliability of two balance performance measures in chronic stroke patients. Disability and Rehabilitation. 2008;30(9):656-661.   DOI
21 Lu WS, Wang CH, Lin JH, et al. The minimal detectable change of the simplified stroke rehabilitation assessment of movement measure. Journal of Rehabilitation Medicine. 2008;40(8): 615-619.   DOI
22 Medley A, Thompson M. Development, reliability, and validity of the sitting balance scale. Physiotherapy Theory and Practice. 2011;27(7):471-481.   DOI
23 Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Archives of Physical Medicine and Rehabilitation. 2010;91(3):407-413.   DOI
24 Morgan P. The relationship between sitting balance and mobility outcome in stroke. Australian Journal of Physiotherapy. 1994;40(2):91-96.   DOI
25 Powell ES, Pyburn RE, Hill E, et al. Measurement of sitting balance using the Manchester active position seat (MAPS): a feasibility study. Clinical Rehabilitation. 2002; 16(6):661-668.   DOI
26 Munroe BH. Statistical methods for health care research, 2nd ed. Philadelphia. Lippincott Co. 1993.
27 Nakagawa S. A farewell to Bonferroni: the problems of low statistical power and publication bias. Behavioral Ecology. 2004;15(6):1044-1045.   DOI
28 Portney L, Watkins M. Foundations of clinical research: applications to practice, 3rd ed. Upper Saddle River. Pearson Prentice Hall. 2009.
29 Sandin KJ, Smith BS. The measure of balance in sitting in stroke rehabilitation prognosis. Stroke. 1990;21(1):82-86.   DOI
30 Sackley CM, Hill HJ, Pound K, et al. The intra-rater reliability of the balance performance monitor when measuring sitting symmetry and weight-shift activity after stroke in a community setting. Clinical Rehabilitation. 2005;19(7):746-750.   DOI
31 Thompson M, Medley A, Teran S. Validity of the sitting balance scale in older adults who are non-ambulatory or have limited functional mobility. Clinical Rehabilitation. 2013;27(2):166-173.   DOI
32 Verheyden G, Nieuwboer A, Feys H, et al. Discriminant ability of the Trunk Impairment Scale: a comparison between stroke patients and healthy individuals. Disability and Rehabilitation. 2005;27(17):1023-1028.   DOI
33 Verheyden G, Nieuwboer A, Wit De, et al. Trunk performance after stroke: an eye catching predictor of functional outcome. Journal of Neurology, Neurosurgery, and Psychiatry. 2007;78(7):694-698.   DOI
34 Chen HM, Hsieh CL, Sing Kai L, et al. The test retest reliability of 2 mobility performance tests in patients with chronic stroke. Neurorehabilitation and Neural Repair. 2007;21(4):347-352.   DOI
35 Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clinical Rehabilitation. 2006;20(5):451-458.   DOI
36 Wade DT, Wood VA, Langtoni-Hewer R. Recovery after stroke: the first three months. Journal of Neurology, Neurosurgery. and Psychiatry. 1985;48(1):7-13.   DOI
37 Ashburn A. Sitting balance responses: comparison of subjects with hemiplegia and normals controls. Physiotherapy. 1996;82(11):636-637
38 Cameron MH, Monroe LG. Physical rehabilitation: evidence based examination, evaluation, and intervention. St Louis. Saunders Elsevier. 2007.