面对面和远程评估多发性硬化症患者平衡测试的一致性。
The agreement between face-to-face and tele-assessment of balance tests in patients with multiple sclerosis.
机构信息
Istanbul University-Cerrahpasa, Institute of Graduate Studies, Department of Physiotherapy and Rehabilitation, Istanbul, Türkiye; Bezmialem Vakif University, Faculty of Health Sciences, Division of Physiotherapy and Rehabilitation, Istanbul, Türkiye.
Istanbul University-Cerrahpasa, Institute of Graduate Studies, Department of Physiotherapy and Rehabilitation, Istanbul, Türkiye; Istanbul Aydin University, Vocational School of Health Services, Physiotherapy Program, Istanbul, Türkiye.
出版信息
Mult Scler Relat Disord. 2024 Oct;90:105766. doi: 10.1016/j.msard.2024.105766. Epub 2024 Jul 10.
BACKGROUND
To investigate the reliability of balance tests administered using a tele-assessment method in patients with multiple sclerosis (MS).
METHODS
The participants were assessed both online and face-to-face. The assessments were performed synchronously by two physiotherapists. The first method to used to evaluate the participants was determined through randomization. The Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and Timed Up and Go (TUG) were used in the evaluations. Three days were left between the assessment methods. Online platforms were used for tele-assessment. The agreement between and correlation of face-to-face and tele-assessments was analyzed by applying intra-class correlation coefficients (ICC), limits of agreement, and Pearson's correlation coefficient.
RESULTS
This study included 39 individuals with MS with an EDSS score of 3.03 ± 1.41. Intra-rater reliability of the tele-assessment was excellent (ICC = 0.96; ICC = 0.97; ICC = 0.97). Very high correlations were observed in all BBS, DGI, and TUG measurements between face-to-face and tele-assessment methods according to the first and second assessors (r = 0.92; r = 0.93; r = 0.94; r = 0.95; r = 0.94; r = 0.95, respectively). The inter-rater reliability of tele-assessments (ICC = 0.97; ICC = 0.97; ICC = 1.00) achieved excellent reliability.
CONCLUSION
BBS, DGI, and TUG are reliable and agreed tests that can be used with tele-assessments, offering similar data to face-to-face methods.
背景
研究使用远程评估方法对多发性硬化症（MS）患者进行平衡测试的可靠性。
方法
参与者同时进行在线和面对面评估。由两名物理治疗师同步进行评估。通过随机化确定要使用的评估方法。使用 Berg 平衡量表（BBS）、动态步态指数（DGI）和计时起立行走测试（TUG）进行评估。在评估方法之间留三天时间。在线平台用于远程评估。通过应用组内相关系数（ICC）、一致性界限和 Pearson 相关系数分析面对面和远程评估之间的一致性和相关性。
结果
这项研究纳入了 39 名 EDSS 评分为 3.03 ± 1.41 的多发性硬化症患者。远程评估的内部评估者可靠性为优秀（ICC=0.96；ICC=0.97；ICC=0.97）。根据第一和第二评估者，所有 BBS、DGI 和 TUG 测量值在面对面和远程评估方法之间均显示出非常高的相关性（r=0.92；r=0.93；r=0.94；r=0.95；r=0.94；r=0.95）。远程评估的组间评估者可靠性（ICC=0.97；ICC=0.97；ICC=1.00）达到了优秀的可靠性。
结论
BBS、DGI 和 TUG 是可靠且一致的测试，可用于远程评估，提供与面对面方法相似的数据。
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