Development of a set of functional hierarchical balance short forms for patients with stroke

Wen Hsuan Hou, Jyun Hong Chen, Yen Ho Wang, Chun Hou Wang, Jau Hong Lin, I. Ping Hsueh, Yu Chih Ou, Ching Lin Hsieh

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Hou W-H, Chen J-H, Wang Y-H, Wang C-H, Lin J-H, Hsueh I-P, Ou Y-C, Hsieh C-L. Development of a set of functional hierarchical balance short forms for patients with stroke. Objective: To develop a set of 3 hierarchical balance short forms (HBSF; containing sitting, standing, and stepping forms) to measure balance function in patients with stroke. Design: First, we developed the HBSF, based on a previous data set, with each short form containing 6 items. Second, we examined the psychometric properties and efficiency of the HBSF. Setting: Six teaching hospitals. Participants: Patients with stroke (n=764) for the first part of this study; inpatients and outpatients (n=85) for the second part of this study. Interventions: Not applicable. Main Outcome Measures: We used the item bank (9 sitting-related, 14 standing-related, and 13 stepping-related items) from the Balance Computerized Adaptive Test to develop the HBSF. Both the HBSF and the Berg Balance Scale (BBS) were administered to patients, to determine the concurrent validity and time needed for administration of both measures. Each patient was assessed by 1 of the 3 short forms selected by a rater. Results: The reliability of the HBSF was relatively high (reliability coefficients, .94.95). The scores of the HBSF were highly correlated with those of the BBS (Spearman ρ=.80.91), supporting the concurrent validity of the HBSF. The average time needed to administer the HBSF was 122 seconds (ie, about 40% of that for the BBS). Conclusions: Our results provide sufficient evidence that the HBSF is an efficient, reliable, valid, and practical way to measure balance function in patients with stroke.

Original languageEnglish
Pages (from-to)1119-1125
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume92
Issue number7
DOIs
Publication statusPublished - Jul 2011
Externally publishedYes

Keywords

  • Postural Balance
  • Psychometrics
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Fingerprint Dive into the research topics of 'Development of a set of functional hierarchical balance short forms for patients with stroke'. Together they form a unique fingerprint.

Cite this