Yu Wan-Hui, Chen Kuan-Lin, Huang Sheau-Ling, Lu Wen-Shian, Lee Shu-Chun, Hsieh Ching-Lin
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan, Taiwan.
Arch Phys Med Rehabil. 2016 Dec;97(12):2137-2145.e2. doi: 10.1016/j.apmr.2016.07.003. Epub 2016 Jul 25.
To examine the intrarater and interrater reliability of a quick balance measure, the Hierarchical Balance Short Forms (HBSF), in outpatients with stroke receiving rehabilitation.
A repeated-assessments design (1wk apart) was used to examine the intrarater and interrater reliability of the HBSF. The HBSF was administered by a single rater in the intrarater reliability study and by 2 raters in the interrater reliability study. The raters had sufficient working experience in stroke rehabilitation.
Seven teaching hospitals.
Two independent groups of outpatients (N=106; each group, n=53) with stroke in chronic stages and in stable medical condition were recruited.
Not applicable.
HBSF.
For the intrarater reliability study, the values of the intraclass correlation coefficient (ICC), minimal detectable change (MDC), and percentage of minimal detectable change (MDC%) were .95, 1.02, and 16.3%, respectively, for the HBSF. The 95% limits of agreement (LOA) of the HBSF ranged from -.69 to 1.19. For the interrater reliability study, the values of the ICC, MDC, and MDC% were .91, 1.22, and 18.3%, respectively, for the HBSF. The 95% LOA of the HBSF ranged from -1.01 to 1.35.
Our results suggest that the HBSF has satisfactory intrarater and interrater reliability for assessing balance function in outpatients with stroke. The MDC values of the HBSF are useful for both researchers and clinicians to determine whether the change in balance function of an individual patient is real when administered by an individual rater or by different raters.
检验一种快速平衡测量方法——分层平衡简表（HBSF）在接受康复治疗的中风门诊患者中的评分者内信度和评分者间信度。
采用重复评估设计（间隔1周）来检验HBSF的评分者内信度和评分者间信度。在评分者内信度研究中，由一名评分者实施HBSF评估；在评分者间信度研究中，由两名评分者实施评估。评分者在中风康复方面有足够的工作经验。
七家教学医院。
招募了两组独立的门诊患者（N = 106；每组n = 53），均处于中风慢性期且病情稳定。
不适用。
HBSF。
在评分者内信度研究中，HBSF的组内相关系数（ICC）、最小可检测变化（MDC）和最小可检测变化百分比（MDC%）分别为0.95、1.02和16.3%。HBSF的95%一致性界限（LOA）范围为 -0.69至1.19。在评分者间信度研究中，HBSF的ICC、MDC和MDC%分别为0.91、1.22和18.3%。HBSF的95% LOA范围为 -1.01至1.35。
我们的结果表明，HBSF在评估中风门诊患者的平衡功能方面具有令人满意的评分者内信度和评分者间信度。HBSF的MDC值有助于研究人员和临床医生确定当由单个评分者或不同评分者进行评估时，个体患者平衡功能的变化是否真实。
