Postural Control in Standing Following Stroke: Test-Retest Reliability of Some Quantitative Clinical Tests

1990 ◽  
Vol 70 (4) ◽  
pp. 234-243 ◽  
Author(s):  
Patricia A Goldie ◽  
Thomas A Matyas ◽  
Kay I Spencer ◽  
Ronnie B McGinley
Author(s):  
Jeanette Dobberke ◽  
Omar Baritello ◽  
Miralem Hadzic ◽  
Heinz Völler ◽  
Sarah Eichler ◽  
...  

2017 ◽  
Vol 26 (3) ◽  
Author(s):  
Richelle M. Williams ◽  
Matthew A. Corvo ◽  
Kenneth C. Lam ◽  
Travis A. Williams ◽  
Lesley K. Gilmer ◽  
...  

Context: Postural control plays an essential role in concussion evaluation. The Stability Evaluation Test (SET) aims to objectively analyze postural control by measuring sway velocity on the NeuroCom VSR portable force platform (Natus, San Carlos, CA). Objective: To assess the test-retest reliability and practice effects of the SET protocol. Design: Cohort. Setting: Research laboratory. Patients or Other Participants: 50 healthy adults (20 men, 30 women, age 25.30 ± 3.60 y, height 166.60± 12.80 cm, mass 68.80 ± 13.90 kg). Interventions: All participants completed 4 trials of the SET. Each trial consisted of six 20-s balance tests with eyes closed, under the following conditions: double-leg firm (DFi), single-leg firm (SFi), tandem firm (TFi), double-leg foam (DFo), single-leg foam (SFo), and tandem foam (TFo). Each trial was separated by a 5-min seated rest period. Main Outcome Measures: The dependent variable was sway velocity (deg/s), with lower values indicating better balance. Sway velocity was recorded for each of the 6 conditions as well as a composite score for each trial. Test-retest reliability was analyzed across 4 trials with intraclass correlation coefficients (ICCs). Practice effects analyzed with repeated measures analysis of variance, followed by Tukey post hoc comparisons for any significant main effects (P < .05). Results: Sway-velocity reliability values were good to excellent: DFi (ICC = .88; 95%CI: .81, .92), SFi (ICC = .75; 95%CI: .61, .85), TFi (ICC = .84; 95%CI: .75, .90), DFo (ICC = .83; 95%CI: .74, .90), SFo (ICC = .82; 95%CI: .72, .89), TFo (ICC = .81; 95%CI: .69, .88), and composite score (ICC = .93; 95%CI: .88, .95). Significant practice effects (P < .05) were noted on the SFi, DFo, SFo, TFo conditions and composite scores. Conclusions: Our results suggest the SET has good to excellent reliability for the assessment of postural control in healthy adults. Due to the practice effects noted, a familiarization session is recommended (ie, all 6 conditions) before data are recorded. Future studies should evaluate injured patients to determine meaningful change scores during various injuries.


2017 ◽  
Vol 49 (5S) ◽  
pp. 314
Author(s):  
Megan E. Mormile ◽  
Brian J. Szekely ◽  
Katelyn E. Grimes ◽  
Brian J. Mizeski ◽  
Barry A. Munkasy ◽  
...  

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
SAYYED HAMED FAZELI ◽  
MOHAMMAD AKBARI ◽  
ISMAIL EBRAHIMI TAKAMJANI ◽  
HOLAKOO MOHSENIFAR ◽  
MOHSEN SADEGHI-NAINI

2020 ◽  
Vol 100 (7) ◽  
pp. 1206-1216 ◽  
Author(s):  
Andrew Sawers ◽  
Janis Kim ◽  
Geoff Balkman ◽  
Brian J Hafner

Abstract Objective A major barrier to reducing falls among users of lower limb prostheses (LLP) has been an absence of statistical indices required for clinicians to select and interpret scores from performance-based clinical tests. The study aimed to derive estimates of reliability, measurement error, and minimal detectable change values in performance-based clinical tests administered to unilateral LLP users. Methods A total of 60 unilateral LLP users were administered the Narrowing Beam Walking Test, Timed ``Up and Go'' (TUG), Four Square Step Test (FSST), and 10-Meter Walk Test on 2 occasions, 3 to 9 days apart. Intraclass correlation coefficients (ICCs) were calculated to assess interrater and test-retest reliability, while standard error of measurement (SEM) and minimal detectable change (MDC90) were derived to establish estimates of measurement error in individual scores or changes in score for each test. Results Interrater reliability ICCs (1,1) were high for all tests (ie, ≥0.98). Test-retest ICCs (2,1) varied by test, ranging from .88 for the TUG to .97 for the FSST. SEM and MDC90 varied between .39 and .96 and between .91 seconds and 2.2 seconds for the time-based tests (FSST, TUG, 10-Meter Walk Test). SEM and MDC90 for the Narrowing Beam Walking Test were .07 and .16, respectively. Conclusion With the exception of the TUG, studied tests had test-retest ICCs (2,1) that exceeded the minimum required threshold to be considered suitable for group- and individual-level applications (ie, ICC ≥ 0.70 and ≥ 0.90, respectively). Future research on individuals with dysvascular and transfemoral amputations or in specific age categories is required. Impact Along with published validity indices, these reliability, error, and change indices can help clinicians select balance tests suitable for LLP users. They can also help clinicians interpret test scores to make informed, evidence-based clinical decisions.


2017 ◽  
Vol 29 (8) ◽  
pp. 1399-1404 ◽  
Author(s):  
Maria Mercedes Reguera-García ◽  
Fernanda de Souza-Teixeira ◽  
Jose Antonio de Paz Fernández

2020 ◽  
Author(s):  
Brian Sylcott ◽  
Chia-Cheng Lin ◽  
Keith Williams ◽  
Mark Hinderaker

BACKGROUND Accurately measuring postural sway is an important part of balance assessment and rehabilitation. While force plates give accurate measurements, their cost and space requirements make their use impractical in many situations. OBJECTIVE The work presented here is aimed at addressing this issue by validating a virtual reality (VR) headset as a relatively low-cost alternative for postural sway measurement. The HTC Vive (VR) headset has built-in sensors that allow for position and orientation tracking making it a potentially effective tool for balance assessments. METHODS Participants in this study were asked to stand upright on a force plate (Neurocom platform) while wearing the HTC ViveTM. Position data was collected from the headset and force plate simultaneously as participants experienced a custom-built VR environment that covered their entire field of view. The Intraclass Correlation Coefficient (ICC) was used to examined the test-retest reliability on the postural control variables, including normalized path length (NPL), root-mean-square (RMS), and peak-to-peak (P2P), computed from the VR position output and the center of pressure (COP) data from the force plate. Liner regression were used to investigate the correlation between the VR and force plate measurements. RESULTS Results showed that the test-retest reliability of VR headset was similar to COP in RMS and P2P, ranging from .285 to .636 in VR and .228 to .759. Linear regression between VR and COP measures showed significant correlation in RMS and P2P. CONCLUSIONS Based on our results, the VR headset has potential for use in postural control measurements. However, further development of software and testing protocols for balance assessments is needed.


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