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How to measure balance activity in clinical practice. A systematic review of the psychometric properties and clinical utility of measurement tools in neurological conditions.

Tyson, S; Connell, L

Authors

S Tyson

L Connell



Abstract

Objective: To identify psychometrically robust and clinically feasible measurement tools of balance activity in people with neurological conditions to recommend for use in clinical practice.

Data sources: MEDLINE, CINAHL, EMBASE, PEDro and AMED.

Review methods: Independent reviewers selected and extracted data from articles that assessed the reliability, validity, sensitivity to change and clinical utility of measures of balance activity in adult neurological conditions. Quality assessment was based on Jorstad et al. Measures with ‘good' psychometrics and ≥9/10 clinical utility scores were recommended.

Results: Nineteen measurement tools were selected. Of these, the Brunel Balance Assessment, Berg Balance Scale, Trunk Impairment Scale, arm raise and forward reach tests in sitting and standing, weight shift, step/tap and step-up tests reached the required standards and are usable in clinical practice. The Brunel Balance Assessment and its associated functional performance tests have the additional advantages of being a hierarchical scale with established lack of redundancy.

Conclusion: The measurement tools identified above are psychometrically robust and feasible to use in clinical practice. Future objective measure development should consider the theoretical construct of the measure, the minimal detectable change and use in clinical populations other than stroke.

Citation

Tyson, S., & Connell, L. (2009). How to measure balance activity in clinical practice. A systematic review of the psychometric properties and clinical utility of measurement tools in neurological conditions. Clinical Rehabilitation, 23(9), 824-840. https://doi.org/10.1177/0269215509335018

Journal Article Type Article
Publication Date Jan 1, 2009
Deposit Date Mar 11, 2010
Journal Clinical Rehabilitation
Print ISSN 0269-2155
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 23
Issue 9
Pages 824-840
DOI https://doi.org/10.1177/0269215509335018
Publisher URL http://dx.doi.org/10.1177/0269215509335018
Additional Information Corporate Creators : GMOM Project Steering Group


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