Interrater and Intrarater Reliability of Common Clinical Standing Balance Tests for People With Hip Osteoarthritis

Choi, Yik Ming; Dobson, Fiona; Martin, Joel; Bennell, Kim L; Hinman, Rana S

doi:10.2522/ptj.20130266

Cited by 50 publications

(41 citation statements)

References 47 publications

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“…In the present study, most of the IADL information was obtained from patients or the care givers interview (subjective data). Unlike direct observation (objective data), the differences in a patient's answer have the potential to alter their performance between sessions (Choi et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

A New Assessment of Activities of Daily Living for Thai Stroke Patients

Apichai¹,

Chinchai²,

Dhippayom³

et al. 2020

CMUJNS

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This study aimed to develop the Activities of Daily Living Assessment Tool (ADL-AT) for Thai stroke patients and to examine its psychometric properties. 45 stroke patients and 45 normal subjects were selected by purposive sampling. Raters were occupational therapists experienced with stroke patients and received ADL-AT for Thai stroke patients training. To measure inter-rater reliability, stroke patients were assessed by two raters at the same time. To assess the test-retest reliability, stroke patients were retested at a time interval within 5 to 7 days. Intraclass correlation coefficients (ICC) model 3, k and 3, 1 were used to determine inter-rater and test-retest reliability, respectively. Internal consistency was evaluated using Cronbach's alpha which was conducted to study construct validity. The independent samples t-test was used to measure the test's ability to discriminate between stroke patients and normal subjects. The present study found that ADL-AT for Thai stroke patients had shown an excellent inter-rater and test-retest reliability (ICC = .98, .93, respectively). The analysis of Cronbach's alpha coefficient revealed high internal consistency (α = .88). In addition, this tool displayed a positive correlation with Barthel index (r = 0.9; P < 0.001). In known-groups validity, stroke patients obtained lower ADL-AT for Thai stroke patients scores compared to normal subjects (P < 0.001.). The results of this study suggest that the ADL-AT for Thai stroke patients is known to be reliable and valid and recommended to further the services system.

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Section: Discussionmentioning

confidence: 99%

A New Assessment of Activities of Daily Living for Thai Stroke Patients

Apichai¹,

Chinchai²,

Dhippayom³

et al. 2020

CMUJNS

View full text Add to dashboard Cite

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“…All assessors were trained by the primary investigator to ensure a standardised method of muscle testing. Dynamic standing balance was assessed via the step test, a reliable balance outcome measure in the hip osteoarthritis and postsurgical hip fracture populations [31,32].…”

Section: Physical Outcomesmentioning

confidence: 99%

Telerehabilitation is non-inferior to usual care following total hip replacement — a randomized controlled non-inferiority trial

et al. 2020

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Objectives: Determine if outpatient physiotherapy care via telerehabilitation is as effective as inperson physiotherapy care after total hip replacement. Trial Registration: ACTRN12615000824561. (Australian New Zealand Clinical Trials Registry) Contribution of the Paper: Key messages:-Telerehabilitation for post-operative THR patients achieves non-inferior physical and selfreported outcomes to in-person rehabilitation-Telerehabilitation can successfully be delivered directly into the homes of THR patients-Telerehabilitation achieves equally high levels of patient satisfaction to in-person rehabilitation New knowledge added by this study:-This paper provides evidence that outpatient telerehabilitation is non-inferior to in-person rehabilitation in the THR population

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“…It was originally developed to assess dynamic standing balance in stroke patients [44]. Subsequent studies have proven it a reliable balance outcome measure in both the hip osteoarthritis and postsurgical hip fracture populations [45,46]. …”

Section: Methodsmentioning

confidence: 99%

Telerehabilitation Versus Traditional Care Following Total Hip Replacement: A Randomized Controlled Trial Protocol

et al. 2017

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BackgroundTotal hip replacement (THR) is the gold standard treatment for severe hip osteoarthritis. Effectiveness of physical rehabilitation for THR patients following discharge from hospital is supported by evidence; however, barriers such as geographical location and transport can limit access to appropriate health care. One solution to this issue is using an alternative model of care using telerehabilitation technology to deliver rehabilitation programs directly into patients’ homes. A telerehabilitation model may also have potential health care cost savings for health care providers.ObjectiveThis study aims to determine if a telerehabilitation model of care delivered remotely is as effective as face-to-face rehabilitation in the THR population and cost effective for health care providers and patients.MethodsA total of 70 people undergoing THR will be recruited to participate in a randomized, single-blind, controlled noninferiority clinical trial. The trial will compare a technology-based THR rehabilitation program to in-person care. On discharge from hospital, participants randomized to the in-person group will receive usual care, defined as a paper home exercise program (HEP) targeting strengthening exercises for quadriceps, hip abductors, extensors, and flexors; they will be advised to perform their HEP 3 times per day. At 2, 4, and 6 weeks postoperatively, they will receive a 30-minute in-person physiotherapy session with a focus on gait retraining and reviewing and progressing their HEP. The telerehabilitation protocol will involve a program similar in content to the in-person rehabilitation program, except delivery will be directly into the homes of the participants via telerehabilitation technology on an iPad. Outcomes will be evaluated preoperatively, day of discharge from in-patient physiotherapy, 6 weeks and 6 months postoperatively. The primary outcome will be the quality of life subscale of the hip disability and osteoarthritis outcome score, measured at 6 weeks. Both intention-to-treat and per-protocol analyses as recommended in the extension of the Consolidated Standards for Reporting Trials (CONSORT) guideline for noninferiority trials will be performed.ResultsRecruitment commenced in September 2015 and is expected to be completed by June 2017. Data collection will be completed by December 2017. It is anticipated the results from this trial will be published by July 2018.ConclusionsPrevious research investigating telerehabilitation in postoperative orthopedic conditions has yielded promising results. If shown to be as effective as in-person care, telerehabilitation after THR could be helpful in addressing access issues in this population. Furthermore, it may help reduce the cost of health care provision by enabling patients to take a more independent approach to their rehabilitation.Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12615000824561; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364010 (Archived by WebCite at http://www.webcitation.org/6oWXwe...

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Interrater and Intrarater Reliability of Common Clinical Standing Balance Tests for People With Hip Osteoarthritis

Abstract: The Step Test (standing on study limb) is recommended as a highly reliable test with acceptable measurement error for assessing standing balance in people with hip OA.

Cited by 50 publications

References 47 publications

A New Assessment of Activities of Daily Living for Thai Stroke Patients

A New Assessment of Activities of Daily Living for Thai Stroke Patients

Telerehabilitation is non-inferior to usual care following total hip replacement — a randomized controlled non-inferiority trial

Telerehabilitation Versus Traditional Care Following Total Hip Replacement: A Randomized Controlled Trial Protocol

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