Interrater reliability of the tinetti balance scores in novice and experienced physical therapy clinicians

Cipriany-Dacko, L M; Innerst, Dana; Johannsen, Joann; Rude, Vicki

doi:10.1016/s0003-9993(97)90145-3

Cited by 77 publications

(40 citation statements)

References 22 publications

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“…9,15 Each item of the Tinetti Balance Test was scored using a scale of 0 to 2 with a score of 0 indicating an abnormal response, 1 indicating an adaptive response, and 2 indicating a normal response, except for the sitting and eyes closed maneuvers in which a score of 1 indicates a normal response. 9 For example, the rating of a subject's response to sitting down could be 'safe, smooth motion (normal),' 'uses arms or not a smooth motion (adaptive),' or 'unsafe (misjudged distance, falls into chair) (abnormal).'…”

Section: Methodsmentioning

confidence: 99%

“…9,[15][16][17][18][19] Assessment of the Tinetti Balance Test on 15 ambulatory residents of a long-term care facility by 2 observers resulted in more than 90% agreement on all items. 9 Cipriany-Dacko et al 15 reported fair to excellent interrater reliability (kappa range 0.40-1.00) of scores obtained by 12 raters on 24 hospital inpatients and 31 residents of a skilled nursing facility.…”

Section: Interrater and Intrarater Reliability Of The Tinetti Balancementioning

confidence: 98%

“…15 Raters 2 and 3 were designated the observing raters (ORs) as their role was to watch at a distance of less than 8 feet from the subject and score each subject's performance.The ORs had a lateral view of the subject and the AR never stood between the ORs and the subjects during testing. Raters did not speak to each other during testing.…”

Section: Ratersmentioning

confidence: 99%

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Interrater and Intrarater Reliability of the Tinetti Balance Test for Individuals with Amyotrophic Lateral Sclerosis

Kloos¹,

Bello-Haas²,

Thome³

et al. 2004

Journal of Neurologic Physical Therapy

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Background and Purpose: Individuals with amyotrophic lateral sclerosis (ALS) develop balance problems. This study was conducted to determine the reliability of the Tinetti Balance Test for individuals with ALS. Subjects and Methods: Subjects in Stages I -III volunteered for Parts 1 (n=21) and 2 (n=11). One physical therapist and 2 physical therapy students (Part 1) rated subjects' live performances of the Tinetti Balance Test. Two physical therapists and 4 physical therapy students (Part 2) rated videotaped performances twice. Results: Excellent ICC values (> 0.90) were found for the total Tinetti Balance Test scores in Parts 1 and 2. In Part 1, substantial to almost perfect agreement among all 3 raters (kappa range 0.62 -0.84) was found for 88% of individual maneuvers. In Part 2, fair to perfect agreement (kappa range 0.40 -1.00) was found on 93% of maneuver scores recorded 1 week apart for the 6 raters. Conclusion:The results suggest that the Tinetti Balance Test is reliable for examination of individuals with ALS in Stages I-III by physical therapists and physical therapy students.Post-Doctoral Fellow and Lecturer,

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Section: Methodsmentioning

confidence: 99%

Section: Interrater and Intrarater Reliability Of The Tinetti Balancementioning

confidence: 98%

See 1 more Smart Citation

Interrater and Intrarater Reliability of the Tinetti Balance Test for Individuals with Amyotrophic Lateral Sclerosis

Kloos¹,

Bello-Haas²,

Thome³

et al. 2004

Journal of Neurologic Physical Therapy

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“…Additionally, many problems have stemmed from structural problems with the examination methods, inefficiency of time and money, the ceiling effect, and floor effect (Pollock et al 2000;Grimmer et al 2004;Tyson et al 2010). Among them, the results of the examination tools are composed of an ordinal 4-or 5-point scale that is generally classified into 0 points (cannot perform), 1 point (can perform with the most help), 2 points (can perform with partial help), 3 points (can perform alone but direction or observation is required), and 4 points (can perform independently), or the results are classified as trace, poor, fair, or good (Cipriany-Dacko et al 1997;Tyson et al 2008;Tyson and Connell 2009). For examination tools that use these scales, there is cause to question the degree of reliability and the accuracy of the results in the repeated measuring because of ambiguous definitions of balance and differences in the therapists' professional experience.…”

Section: Introductionmentioning

confidence: 99%

Validity of the Performance-Oriented Mobility Assessment in Predicting Fall of Stroke Survivors: A Retrospective Cohort Study

Lee

2014

Tohoku J. Exp. Med.

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Falling is one of the most common complications in stroke survivors. It is therefore important to evaluate the risk of falls. In this study, we investigated the usability of the performance-oriented mobility assessment (POMA) for predicting falls in stroke patients. The POMA examines the level of balance and mobility. Data were collected on the number of falls and physical functions from 72 stroke survivors. Physical functions were measured using the POMA balance subscale, One Leg Stand test (OLS), Sit To Stand test (STS), 10-m Walk Test (10WT), Fugl-Meyer assessment (FM), and Trunk Impairment Scale (TIS). Since the accuracy of the POMA balance subscale was moderate, the cutoff value used for predicting falls was 12.5 points (sensitivity: 72%; specificity: 74%), and the area under the curve was 0.78 (95% confidence interval: 0.66-0.91, p < 0.001). When comparing the physical functions (i.e., OLS, STS, 10WT, FM, and TIS) to the cutoff value for the POMA balance subscale, the physical functions of the group over 12.5 points for the subscale were significantly higher than those in the group below 12.5 points (p < 0.05). The muscle strength shown in the STS was the most important factor affecting the performance in the POMA balance subscale (β = −0.447). For the group below 12.5 points on the POMA balance subscale, the risk of falling increased by 0.304 times more than the group over 12.5 points. The POMA balance subscale is a valid tool for assessing the physical function and fall risk of stroke survivors.

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“…Consisting of eight items, scored on a 2-or 3-point scale, and resulting in a maximum score of 15, this subscale has also been identified as an independent predictor of future recurrent falls [18]. Interrater reliability for the POMA-B subscale was good to excellent across many raters of varied experience [19].…”

Section: Motor Performance Testingmentioning

confidence: 99%

Rollator use and functional outcome of geriatric rehabilitation

Vogt¹,

Lucki²,

Matthias³

et al. 2010

JRRD

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Abstract-In a quasi-experimental pre-and postdesign, we examined the effect of rollator use on functional rehabilitation outcome in geriatric patients. From a sample of 458 geriatric inpatients, we matched 30 subjects who were not using assistive devices in their everyday lives but received a wheeled walker at the time of hospital admission (first-time user group) according to their admission scores on three motor performance tests (Timed Up-and-Go, Five-Times-Sit-to-Stand, and Performance-Oriented Mobility Assessment-Balance) with 30 patients who were actively using rollators as their primary walking aid for at least 3 months (long-term user group) and 30 control subjects without walking-aid assistance. Measurements were repeated after the inpatient rehabilitation regimen. The Kruskal-Wallis test did not reveal significant group differences in rehabilitation progress. Controls and device users, regardless of walking-aid experience, demonstrated nearly comparable mobility, strength, and balance improvements. More than half of each cohort (controls, n = 22; first-time, n = 17; long-term, n = 18) achieved functional gains in all three motor tests. The study showed that rollator assistance does not interfere with rehabilitation outcome and, to some extent, legitimates the prescription of assistive devices to improve confidence and restore or maintain motor ability at the highest possible level.

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Interrater reliability of the tinetti balance scores in novice and experienced physical therapy clinicians

Cited by 77 publications

References 22 publications

Interrater and Intrarater Reliability of the Tinetti Balance Test for Individuals with Amyotrophic Lateral Sclerosis

Interrater and Intrarater Reliability of the Tinetti Balance Test for Individuals with Amyotrophic Lateral Sclerosis

Validity of the Performance-Oriented Mobility Assessment in Predicting Fall of Stroke Survivors: A Retrospective Cohort Study

Rollator use and functional outcome of geriatric rehabilitation

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