Arifin Nooranida, Abu Osman Noor Azuan, Wan Abas Wan Abu Bakar
Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.
J Appl Biomech. 2014 Apr;30(2):300-4. doi: 10.1123/jab.2013-0130. Epub 2013 Jul 20.
The measurements of postural balance often involve measurement error, which affects the analysis and interpretation of the outcomes. In most of the existing clinical rehabilitation research, the ability to produce reliable measures is a prerequisite for an accurate assessment of an intervention after a period of time. Although clinical balance assessment has been performed in previous study, none has determined the intrarater test-retest reliability of static and dynamic stability indexes during dominant single stance. In this study, one rater examined 20 healthy university students (female=12, male=8) in two sessions separated by 7 day intervals. Three stability indexes--the overall stability index (OSI), anterior/posterior stability index (APSI), and medial/ lateral stability index (MLSI) in static and dynamic conditions--were measured during single dominant stance. Intraclass correlation coefficient (ICC), standard error measurement (SEM) and 95% confidence interval (95% CI) were calculated. Test-retest ICCs for OSI, APSI, and MLSI were 0.85, 0.78, and 0.84 during static condition and were 0.77, 0.77, and 0.65 during dynamic condition, respectively. We concluded that the postural stability assessment using Biodex stability system demonstrates good-to-excellent test-retest reliability over a 1 week time interval.
姿势平衡的测量常常涉及测量误差,这会影响结果的分析与解读。在大多数现有的临床康复研究中,能够产生可靠的测量结果是在一段时间后准确评估一项干预措施的前提条件。尽管在之前的研究中已经进行了临床平衡评估,但尚无研究确定在优势单腿站立期间静态和动态稳定性指标的评分者内重测信度。在本研究中,一名评分者对20名健康大学生(女性 = 12名,男性 = 8名)进行了两次测试,两次测试间隔7天。在优势单腿站立期间,测量了静态和动态条件下的三个稳定性指标——整体稳定性指标(OSI)、前后稳定性指标(APSI)和内外侧稳定性指标(MLSI)。计算了组内相关系数(ICC)、测量标准误差(SEM)和95%置信区间(95%CI)。静态条件下,OSI、APSI和MLSI的重测ICC分别为0.85、0.78和0.84;动态条件下,分别为0.77、0.77和0.65。我们得出结论,使用Biodex稳定性系统进行姿势稳定性评估在1周时间间隔内显示出良好至优秀的重测信度。
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