Deans' stroke musings: Intrarater and interrater reliability of the hierarchical balance short forms in patients 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.

Saturday, January 14, 2017

Intrarater and interrater reliability of the hierarchical balance short forms in patients with stroke

Just the fact that they are testing reliability between raters means that this testing is really useless because it is subjective not objective.
Archives of Physical Medicine and Rehabilitation , Volume 97(12) , Pgs. 2137-3145.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J74962&phrase=no&rec=132285&article_source=Rehab&international=0&international_language=&international_location=
NARIC Accession Number: J74962. What's this?
ISSN: 0003-9993.
Author(s): Yu, Wan-Hui; Chen, Kuan-Lin; Huang, Sheau-Ling; Lu, Wen-Shian; Lee, Shu-Chun; Hsieh, Ching-Lin.
Publication Year: 2016.
Number of Pages: 9.
Abstract: Study examined the intrarater and interrater reliability of a quick balance measure, the Hierarchical Balance Short Forms (HBSF), in outpatients with stroke receiving rehabilitation. The HBSF was administered twice, one week apart, to 2 independent groups of outpatients (53 in each group) with chronic stroke and in stable medical condition. The HBSF was administered by a single rater in the intrarater reliability study and by 2 raters in the interrater reliability study. The raters had sufficient working experience in stroke rehabilitation. For the intrarater reliability study, the values of the intraclass correlation coefficient (ICC), minimal detectable change (MDC), and percentage of minimal detectable change (MDC%) for the HBSF were .95, 1.02, and 16.3 percent, respectively. The 95-percent limits of agreement (LOA) of the HBSF ranged from −.69 to 1.19. For the interrater reliability study, the values of the ICC, MDC, and MDC% for the HBSF were .91, 1.22, and 18.3 percent, respectively. The 95-percent LOA of the HBSF ranged from −1.01 to 1.35. The results suggest that the HBSF has satisfactory intrarater and interrater reliability for assessing balance function in outpatients with stroke. The MDC values of the HBSF are useful for both researchers and clinicians to determine whether the change in balance function of an individual patient is real when administered by an individual rater or by different raters.
Descriptor Terms: EQUILIBRIUM, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, POSTURE, STROKE.

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

Citation: Yu, Wan-Hui, Chen, Kuan-Lin, Huang, Sheau-Ling, Lu, Wen-Shian, Lee, Shu-Chun, Hsieh, Ching-Lin. (2016). Intrarater and interrater reliability of the hierarchical balance short forms in patients with stroke. Archives of Physical Medicine and Rehabilitation , 97(12), Pgs. 2137-3145. Retrieved 1/14/2017, from REHABDATA database.