Deans' stroke musings: Rasch validation and comparison of the Mini-BESTest and S-BESTest in individuals with stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, August 22, 2022

Rasch validation and comparison of the Mini-BESTest and S-BESTest in individuals with stroke

Once again doing useless research. Not doing something like creating protocols to 100% recover balance.

Rasch validation and comparison of the Mini-BESTest and S-BESTest in individuals with stroke

Physical Therapy , Volume 102(4) , Pgs. pzab295.

NARIC Accession Number: J89327. What's this?
ISSN: 0031-9023.
Author(s): Miyata, Kazuhiro; Hasegawa, Satoshi; Iwamoto, Hiroki; Kaizu, Yoichi; Otani, Tomohiro; Shinohara, Tomoyuki; Usuda, Shigeru.
Publication Year: 2022.
Number of Pages: 9.

Abstract:

Study compared the psychometric properties of the Mini-Balance Evaluation Systems Test (Mini-BESTest) and S-BESTest (a version of the BESTest for individuals with subacute stroke) and evaluated which is more suitable for use in clinical settings for individuals with stroke. One hundred fifteen individuals with stroke (mean age, 70.8 years) who were able to stand without physical assistance were examined with the BESTest , with the Mini-BESTest and S-BESTest scored based on the BESTest results. The data were analyzed using a Rasch analysis (partial-credit model). The Mini-BESTest results revealed a correctly functioning rating scale, good fit of the data to the model (apart from 1 overfit item), good reliability for both persons and items (6 statistically detectable levels of balance ability), local dependence between 1 item pair, and essential unidimensionality. The S-BESTest results demonstrated disordered rating scale thresholds (1 response option required collapsing), good fit of the data to the model (apart from 1 underfit item), good reliability for both persons and items (5 statistically detectable levels of balance ability), local dependence between 2 item pairs, and essential unidimensionality. Rasch analysis demonstrated that the Mini-BESTest was a better balance assessment scale than the S-BESTest for individuals with stroke based on its psychometric properties. The analyses confirmed that the reliability of the S-BESTest was good and unidimensional and that the test provides several improved points, such as item redundancy and local independence of items. Nevertheless, the Mini-BESTest results supported previous findings as a whole and were better than those from the S-BESTest.
Descriptor Terms: EQUILIBRIUM, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, PHYSICAL THERAPY, POSTURE, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Miyata, Kazuhiro, Hasegawa, Satoshi, Iwamoto, Hiroki, Kaizu, Yoichi, Otani, Tomohiro, Shinohara, Tomoyuki, Usuda, Shigeru. (2022). Rasch validation and comparison of the Mini-BESTest and S-BESTest in individuals with stroke. Physical Therapy , 102(4), Pgs. pzab295. Retrieved 8/22/2022, from REHABDATA database.