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Reliability of the Instrumented Modified Clinical Test of Sensory Interaction on Balance Using a Virtual Balance

Sonia N Young1, Elizabeth S Norris1, Thomas B Shifflett1

  • 1Department of Physical Therapy, Western Kentucky University, Bowling Green, KY, USA.

International Journal of Exercise Science
|September 11, 2024
PubMed
Summary

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The VirtuSense VirtuBalance System™ (VSTBalance) shows moderate to good reliability for balance assessment using the instrumented modified Clinical Test of Sensory Interaction on Balance (i-mCTSIB). Between-day reliability was higher than within-day reliability.

Area of Science:

  • Biomechanics
  • Neuroscience
  • Rehabilitation Technology

Background:

  • Balance assessment is crucial for identifying fall risk and guiding rehabilitation.
  • Traditional balance tests can be subjective and lack objective quantification.
  • Virtual reality and sensor-based systems offer potential for more reliable and objective balance evaluations.

Purpose of the Study:

  • To evaluate the test-retest reliability of the instrumented modified Clinical Test of Sensory Interaction on Balance (i-mCTSIB) using the VirtuSense VirtuBalance System™ (VSTBalance).
  • To assess the within-day and between-day reliability of trunk sway velocity measurements.
  • To provide recommendations for optimizing balance assessment using the VSTBalance system.

Main Methods:

  • Fifty-four healthy young adults (aged 20-27) participated in a one-group design study.
Keywords:
3D analysisTechnologypostural control

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  • Subjects performed three trials of the i-mCTSIB on two separate days using the VSTBalance system.
  • Intraclass correlation coefficients (ICC) were used to calculate within-day (ICC3,1) and between-day (ICC3,3) reliability.

    • Main Results:

    • Within-day reliability was moderate (ICC = 0.511-0.677).
    • Between-day reliability was moderate to good (ICC = 0.705-0.810).
    • Between-day reliability was consistently higher than within-day reliability across all conditions.

    Conclusions:

    • The VSTBalance system demonstrates moderate to good reliability for balance assessment with the i-mCTSIB in healthy young adults.
    • Clinicians should consider providing practice trials for each condition to enhance within-day reliability.
    • Averaging three trials is recommended for assessing balance changes over time due to higher between-day reliability.