Chen PT, Hsueh IP, Lee SC, Lee ML, Twu CW, Hsieh CL. Test-Retest Reliability and Responsiveness of the Machine Learning-Based Short-Form of the Berg Balance Scale in Persons With Stroke.
Arch Phys Med Rehabil 2024:S0003-9993(24)01319-4. [PMID:
39522673 DOI:
10.1016/j.apmr.2024.10.013]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2024] [Revised: 10/10/2024] [Accepted: 10/22/2024] [Indexed: 11/16/2024]
Abstract
OBJECTIVE
To examine the test-retest reliability, responsiveness, and clinical utility of the machine learning-based short form of the Berg Balance Scale (BBS-ML) in persons with stroke.
DESIGN
Repeated-measures design.
SETTING
A department of rehabilitation in a medical center.
PARTICIPANTS
This study recruited 2 groups: 50 persons who were more than 6 months post-stroke to examine the test-retest reliability, and 52 persons who were within 3 months post-stroke to examine the responsiveness. Test-retest reliability was investigated by administering assessments twice at a 2-week interval. Responsiveness was investigated by gathering data at admission and discharge from the hospital.
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURE
BBS-ML.
RESULTS
The BBS-ML exhibited excellent test-retest reliability (intraclass correlation coefficient=0.99), acceptable minimal random measurement error (minimal detectable change %=13.6%), and good responsiveness (Kazis' effect size and standardized response mean values≥1.34). On average, the participants completed the BBS-ML in around 6 minutes per administration.
CONCLUSIONS
Our findings indicate that the BBS-ML appears an efficient measure with excellent test-retest reliability and responsiveness. Moreover, the BBS-ML may be used as a substitute for the original BBS to monitor the progress of balance function in persons with stroke.
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