Health Sciences, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
J Spinal Cord Med. 2020 Jan;43(1):10-23. doi: 10.1080/10790268.2018.1481692. Epub 2018 Jun 5.
Comprehensive balance measures with high clinical utility and sound psychometric properties are needed to inform the rehabilitation of individuals with spinal cord injury (SCI).
To identify the balance measures used in the SCI population, and to evaluate their clinical utility, psychometric properties and comprehensiveness.
Medline, PubMed, Embase, Scopus, Web of Science, and the Allied and Complementary Medicine Database were searched from the earliest record to October 19/16. Two researchers independently screened abstracts for articles including a balance measure and adults with SCI. Extracted data included participant characteristics and descriptions of balance measures. Quality was evaluated by considering study design, sampling method and adequacy of description of research participants. Clinical utility of all balance measures was evaluated. Comprehensiveness was evaluated using the modified Systems Framework for Postural Control.
2820 abstracts were returned and 127 articles included. Thirty-one balance measures were identified; 11 evaluated a biomechanical construct and 20 were balance scales. All balance scales had high clinical utility. The Berg Balance Scale and Functional Reach Test were valid and reliable, while the mini-BESTest was the most comprehensive.
No single measure had high clinical utility, strong psychometric properties and comprehensiveness. The mini-BESTest and/or Activity-based Balance Level Evaluation may fill this gap with further testing of their psychometric properties.
需要具有较高临床实用性和良好心理测量学特性的综合平衡措施来为脊髓损伤（SCI）患者的康复提供信息。
确定在 SCI 人群中使用的平衡措施，并评估其临床实用性、心理测量学特性和全面性。
从最早的记录到 2016 年 10 月 19 日/16 日，对 Medline、PubMed、Embase、Scopus、Web of Science 和补充与替代医学数据库进行了检索。两名研究人员独立筛选了包括平衡措施和成人 SCI 在内的文章的摘要。提取的数据包括参与者特征和平衡措施的描述。通过考虑研究设计、抽样方法和研究参与者描述的充分性来评估质量。评估了所有平衡措施的临床实用性。使用改良的姿势控制系统框架评估全面性。
返回了 2820 条摘要，有 127 篇文章入选。确定了 31 种平衡措施；其中 11 种评估生物力学结构，20 种是平衡量表。所有平衡量表均具有较高的临床实用性。伯格平衡量表和功能性伸展测试具有有效性和可靠性，而 mini-BESTest 则最为全面。
没有单一措施具有较高的临床实用性、较强的心理测量学特性和全面性。进一步测试 mini-BESTest 和/或基于活动的平衡水平评估的心理测量学特性，可能会填补这一空白。
