Stroke affects body-balance performance in elderly who falls. Best-suited-rehabilitation for post-stroke/ hemiplegics (PSH) patients depends on the accuracy and reliability of methods in assessing their static body balance. This prospectively designed single blinded study was conducted to compare the outcome of balance assessment among male PSH patients between quantitative (computerized Balance Master System: BMS) and qualitative (Tinetti`s Balance & Mobility Subscale Score: TBMS and Barthel Index Score: BIS) methods. Data were analyzed using SPSS Windows 12.0. Results of BMS and TBMS/BIS methods demonstrated high interrater-reliability and concurrent validity of findings based on Limit of Stability(LOS) and Target Sway(TS) tests, when performed on a foam-platform to assess 3 types of sensory organization tests: eyeopen(EO), eye-closed(EC) & central-target(CT). Mean post-stroke duration of 30 patients studied was 10.7+-8.6 weeks from onset. Of them (mean age 62.3±14.5years), 90% sustained a cerebral infarction and 10% hemorrhage. And, 53% had a right while 47% had left-sided hemiplegia. While, TBMS correlated with BIS, positively (r=0.83, p<0.01), it correlated with BMS negatively, in terms of (i) LOS for EO (r=-0.36,p<0.03), and, EC (r=-0.35,p<0.03) on foam platforms; and (ii) CT for TS (r=-0.48,p<0.001) on firm platform. Similarly, BIS was negatively correlated with BMS: in terms of (i) LOS of EO performed on foam platform (r=-0.41,p<0.012) and (ii) LOS of EC (r=-0.30, p<0.05) and CT/TS of EC(r=-0.40,p<0.01), both performed on firm platform. However, a highly positive correlation existed among all BMS findings: with EC LOS (r=0.721,p<0.01)] and E0 LOS (r= 0.0.604,p<0.001) correlated on both firm and foam platforms.In conclusion, BMS method proved to be more reliable and valid in LOS parameters including TS for CT, than qualitative assessments of TBMS and BIS. Moreover, findings of BMS is not affected by the psychological aspects of the therapist carrying on the test on PSH-patients which may confounded the findings of qualitative analytic methods.
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