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Titre : | Minimal Detectable Changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed Up & Go Test, Gait Speeds, and 2-Minute Walk Test in Individuals With Chronic Stroke With Different Degrees of Ankle Plantarflexor Tone (2012) |
Auteurs : | Vimonwan Hiengkaew ; Khanitha Jitaree ; Pakaratee Chaiyawat |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/7, 2012) |
Article en page(s) : | pp. 1201-1208 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Évaluation de résultat (soins) ; Membre inférieur ; Mouvement du corps ; Rééducation et réadaptation |
Mots-clés: | Cerebrovascular accident ; Leg ; Movement ; Muscle hypertonia ; Outcomes assessment (health care) ; Hypertonie musculaire |
Résumé : |
Objective To determine test-retest reliability and absolute and relative minimal detectable changes at the 95% confidence level (MDC95) of measures to detect postural balance and lower limb movements in individuals with chronic stroke who were able to walk and had differences in ankle plantarflexor tone. Design Test-retest study. Data were collected on 2 occasions, about 6 days apart. Setting Outpatient physical therapy clinics. Participants Volunteers (N=61) with chronic stroke who were able to walk and had differences in ankle plantarflexor tone: no increase in ankle plantarflexor tone (n=12), a slight increase in ankle plantarflexor tone (n=32), and a marked increase in ankle plantarflexor tone (n=17). Intervention Not applicable. Main Outcome Measures Reliability and absolute and relative MDC95 of the Berg Balance Scale (BBS), the lower limb subscale of Fugl-Meyer Assessment (FMA-LE), the Timed Up & Go test (TUG), the comfortable gait speed (CGS), the fast gait speed (FGS), and the 2-minute walk test (2MWT). Results Excellent reliability of the BBS, FMA-LE, TUG, CGS, FGS, and 2MWT for all the participants combined and for the subgroups was shown. All the participants combined showed the absolute and relative MDC95 in the BBS of 5 points and 10%, FMA-LE of 4 points and 16%, TUG of 8 seconds and 28%, CGS of 0.2m/s and 34%, FGS of 0.1m/s and 21%, and 2MWT of 13m and 23%. The absolute and relative MDC95 of the subgroups were varied based on ankle plantarflexor tone. Conclusions The BBS, FMA-LE, TUG, CGS, FGS, and 2MWT are reliable measures to detect postural balance and lower limb movements in individuals with chronic stroke who have differences in ankle plantarflexor tone. The absolute and relative MDC95 of each measure are dissimilar in those with differences in ankle plantarflexor tone. The relative MDC95 seems more useful than the absolute MDC95 because the relative value can be used for a single individual. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900078-0/abstract |