Publication: Minimal detectable changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed “Up & Go” Test, Gait Speeds, and 2-Minute Walk Test in individuals with chronic stroke with different degrees of ankle plantarflexor tone
Issued Date
2012
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eng
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Mahidol University
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Elsevier
Bibliographic Citation
Archives of Physical Medicine and Rehabilitation. Vol.93, No.7 (2012), 1201-1208
Suggested Citation
Vimonwan Hiengkaew, Khanitha Jitaree, Pakaratee Chaiyawat Minimal detectable changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed “Up & Go” Test, Gait Speeds, and 2-Minute Walk Test in individuals with chronic stroke with different degrees of ankle plantarflexor tone. Archives of Physical Medicine and Rehabilitation. Vol.93, No.7 (2012), 1201-1208. doi:https://doi.org/10.1016/j.apmr.2012.01.014 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/10558
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Title
Minimal detectable changes of the Berg Balance Scale, Fugl-Meyer Assessment Scale, Timed “Up & Go” Test, Gait Speeds, and 2-Minute Walk Test in individuals with chronic stroke with different degrees of ankle plantarflexor tone
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Abstract
ABSTRACT. Hiengkaew V, Jitaree K, Chaiyawat P. Minimal
detectable changes of the Berg Balance Scale, Fugl-Meyer Assessment
Scale, Timed “Up & Go” Test, gait speeds, and 2-minute walk
test in individuals with chronic stroke with different degrees of ankle
plantarflexor tone. Arch Phys Med Rehabil 2012;93:1201-8.
Objective: To determine test-retest reliability and absolute
and relative minimal detectable changes at the 95% confidence
level (MDC95) of measures to detect postural balance and
lower limb movements in individuals with chronic stroke who
were able to walk and had differences in ankle plantarflexor
tone.
Design: Test-retest study. Data were collected on 2 occasions,
about 6 days apart.
Setting: Outpatient physical therapy clinics.
Participants: Volunteers (N=61) with chronic stroke who
were able to walk and had differences in ankle plantarflexor
tone: no increase in ankle plantarflexor tone (n=12), a slight
increase in ankle plantarflexor tone (n=32), and a marked
increase in ankle plantarflexor tone (n=17).
Intervention: Not applicable.
Main Outcome Measures: Reliability and absolute and relative
MDC95 of the Berg Balance Scale (BBS), the lower limb
subscale of Fugl-Meyer Assessment (FMA-LE), the Timed
“Up & Go” test (TUG), the comfortable gait speed (CGS), the
fast gait speed (FGS), and the 2-minute walk test (2MWT).
Results: Excellent reliability of the BBS, FMA-LE, TUG,
CGS, FGS, and 2MWT for all the participants combined and
for the subgroups was shown. All the participants combined
showed the absolute and relative MDC95 in the BBS of 5 points
and 10%, FMA-LE of 4 points and 16%, TUG of 8 seconds and
28%, CGS of 0.2m/s and 34%, FGS of 0.1m/s and 21%, and
2MWT of 13m and 23%. The absolute and relative MDC95 of
the subgroups were varied based on ankle plantarflexor tone.
Conclusions: The BBS, FMA-LE, TUG, CGS, FGS, and
2MWT are reliable measures to detect postural balance and
lower limb movements in individuals with chronic stroke who
have differences in ankle plantarflexor tone. The absolute and
relative MDC95 of each measure are dissimilar in those with
differences in ankle plantarflexor tone. The relative MDC95
seems more useful than the absolute MDC95 because the relative
value can be used for a single individual.