星状伸展平衡测试评定脑卒中患者动态平衡的信度和效度

doi:10.3969/j.issn.1006-9771.2021.05.014

Abstract

Abstract: Objective

To apply Star Excursion Balance Test (SEBT) in evaluating dynamic balance function in stroke patients.

Methods

From September, 2018 to November, 2019, 38 stroke hemiplegic patients of Brunnstrom IV and above who could walk independently were included. They completed SEBT by two testers; the anterior, posteromedial and posterolateral extension standardized distance of the affected leg support were recorded. One of the testers measured SEBT again the day after the next day. The intraclass correlation coefficient (ICC) was calculated. The limits of stability on different directions were measured with active balancer EAB-100 (EAB) and tested with Timed 'Up & Go' Test (TUGT) by the third tester. The correlation of SEBT to EAB and TUGT was analyzed with Pearson correlation coefficient.

Results

ICCs of three directions was 0.892 to 0.951 between testers, and 0.888 to 0.963 of test-retest. The standardized distance of three directions of SEBT correlated with the anterior and lateral stability limits of EAB (r = 0.479 to 0.671, P < 0.05), as well as TUGT (r = -0.557~-0.633， P < 0.05).

Conclusion

SEBT is valid and reliable for evaluation of the dynamic balance for stroke patients of Brunnstrom IV and above who can walk independently.

Key words: stroke, Star Excursion Balance Test, balance, rehabilitation assessment

CLC Number:

R743.3

Ya-nan WANG,Tong ZHANG,Yuan-min LIU,Xiao-min ZHU,Xue-jin DU. Validity and Reliability of Star Excursion Balance Test for Dynamic Balance Assessment in Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 604-608.

Figures/Tables 4

References 30

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项目	数值
性别(男/女, n)	22/16
年龄(岁)	41.79±10.33
身高(cm)	171.32±6.88
体质量(kg)	73.16±8.85
BMI (kg/m²)	24.89±2.27
下肢长(cm)	83.32±5.94
疾病种类(脑梗死/脑出血, n)	18/20
偏瘫侧(左/右, n)	17/21

方向	测试者A第一次	测试者A第二次	测试者B	ICC^a	95%CI^a	ICC^b	95%CI^b
前	47.53±12.74	48.02±13.26	47.47±11.24	0.888	0.794~0.940	0.951	0.909~0.974
后内	70.45±13.37	68.62±13.10	72.56±13.37	0.963	0.900~0.984	0.892	0.794~0.944
后外	54.82±16.69	55.62±14.71	54.14±15.32	0.953	0.912~0.975	0.905	0.825~0.949

TUGT (s)	EAB (mm)
TUGT (s)	前	后内	后外	外
19.53±9.26	58.21±16.06	68.20±14.62	52.98±21.46	63.72±18.35
r	-0.535	-0.116	-0.208	-0.532
P值	0.001	0.488	0.209	0.001

测量			SEBT
测量			前	后内	后外
EAB (mm)	前	r	0.531	0.479	0.559
		P值	0.001	0.002	< 0.001
	后内	r	0.099	0.060	0.128
	后内	P值	0.553	0.722	0.445
	后外	r	0.147	0.163	0.138
	后外	P值	0.378	0.328	0.375
	外	r	0.653	0.587	0.671
	外	P值	< 0.001	< 0.001	< 0.001
TUGT(s)		r	-0.557	-0.641	-0.633
		P值	< 0.001	< 0.001	< 0.001

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Validity and Reliability of Star Excursion Balance Test for Dynamic Balance Assessment in Stroke Patients

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