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PubMed · 12648002

A postural adaptation test for stroke patients.

D Kairy·N Paquet·J Fung
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Abstract

PURPOSE: To explore the interrater reliability of the Advanced Mobility and Balance Scale (AMBS) and to determine its discriminative capacity in stroke patients. METHODS: Twelve hemiparetic patients and six healthy elderly volunteers were videotaped while: (1) executing rapid head motions during standing and walking; and (2) standing and walking on a slope. Five physical therapists viewed the videotapes to establish interrater reliability. RESULTS: Interrater reliability: Intraclass correlation ratios ranged from 0.93-0.97 for the AMBS global as well as slope and head turn subscores. Construct validity: One-way ANOVAs and post-hoc pairwise comparisons were performed to determine whether there was a difference in scores between high (HFL) and low functional-level (LFL) stroke patients (based on gait speed) and healthy subjects. Mean (+/-SD) global scores were 45 +/- 3 for healthy subjects, 40 +/- 9 for HFL stroke patients and 25 +/- 1 for LFL stroke patients (p < 0.05 for HFL versus LFL patients and LFL patients versus healthy subjects). The AMBS slope subscores were 22 +/- 2, 19 +/- 5, 9 +/- 7 for healthy, HFL and LFL subjects respectively (p < 0.05 for HFL versus LFL patients and LFL patients versus healthy subjects). CONCLUSION: The AMBS has excellent interrater reliability and good discriminative capacities.

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Activities of Daily LivingAdaptation, PhysiologicalAgedAnalysis of VarianceCase-Control StudiesFemaleGait Disorders, NeurologicHumansMaleMiddle AgedObserver VariationPhysical Therapy ModalitiesPostural BalancePostureReference ValuesSampling StudiesSensation DisordersSensitivity and SpecificitySeverity of Illness IndexStrokeStroke RehabilitationVideotape RecordingComparative StudyJournal ArticleResearch Support, Non-U.S. Gov't

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D Kairy, N Paquet, J Fung. 2003-02-04. A postural adaptation test for stroke patients.. https://doi.org/10.1080/0963828021000024924

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