Validity and reliability of clinical tests to assess seated balance and transfer tasks for adults with stroke: Literature review - 15/07/18
Résumé |
Introduction/Background |
The seated balance and transfer tasks have been used in clinical practice and research to assess trunk control in adults with hemiparesia post-stroke. But, it is unclear if the evidence is sufficient to warrant its use in stroke patients. The aim of this study was to realize a literature review about validity and reliability (intra- and inter-raters) of seated balance and transfer tasks tests in patients with hemiparesis post-stroke.
Material and method |
The research was conducted using keywords related to seated balance and transfer tasks on electronic databases: PubMed, ScienceDirect, Pedro, Cochrane and Kinedoc. Observational studies involving adults with stroke that explored any measurement property of transfer tasks or seated balance were included. The Qarel scale was used to assess the methodological quality of included studies.
Results |
In total, 1241 articles were identified. Following the selection criteria, 12 articles were included, with 5 on seated balance (Qarel: 7/12, min: 6/max: 8) and 7 on transfer tasks (Qarel: 8.14/12min: 6/max: 10). The findings about the seated balance revealed that these tests had efficient inter-raters (0.92<ICC<0.97) and intra-rater (0.93<ICC<0.99) reliability, while the validity was more variable (0.20<r<0.94). For transfer tasks, the studies highlighted good inter-raters (0.93<ICC<1.00) and intra-rater (0.64<ICC<0.99) reliability, but poor to moderate validity (0.03<r<0.75).
Conclusion |
Despite a large number of tests used in clinical practice, very few studies exist on the measurement properties of the tests used to assess sitting balance and transfer tasks in stroke patients. This review indicates that appropriate tests with good validity and reliability exist. The tests are varied (stable sitting position, unstable, sit-to-stand, standing floor, etc.) and with a good feasibility in clinical practice.
Le texte complet de cet article est disponible en PDF.Keywords : Stroke, Seated balance, Transfer tasks
Plan
Vol 61 - N° S
P. e202 - juillet 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.