基于视频会议的Berg平衡尺度在中风幸存者的有效性和可靠性:Tele-Berg平衡尺度
Aline Barbosa da Costa1, Bruno Freire, Tayara Gaspar da Silva
1Department of Physical Therapy, Motor Control Laboratory (LADECOM), Centre of Healthy and Sport Sciences, University of Santa Catarina State, Florianópolis, Santa Catarina, Brazil.
Journal of neurologic physical therapy : JNPT
|December 31, 2024
概括
基于视频会议的Berg平衡量表 (Tele-Berg) 是评估中风幸存者的平衡的有效和可靠工具,提供与面对面评估相似的结果. 这种远程康复方法提高了移动性挑战的个体获得护理的机会.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 电话康复为那些在获得传统医疗保健服务方面面临挑战的患者提供了可行的替代方案.
- 评估远程康复工具的可靠性和有效性对于其有效实施至关重要.
- 卒中幸存者经常经历平衡障碍,需要可靠的评估方法.
研究的目的:
- 评估基于视频会议的Berg平衡量级 (Tele-Berg) 评估的有效性和可靠性.
- 将远程Tele-Berg评估与中风幸存者的面对面Berg Balance Scale评估进行比较.
主要方法:
- 31名中风幸存者参与了这项研究.
- 评估包括两个评级者 (测试-重新测试和评级者之间的可靠性) 进行的亲自和远程 (视频会议) 伯格平衡量级评价.
- 统计分析使用了皮尔森的相关系数,布兰德-阿尔特曼图表,类内相关系数 (ICC) 和加权的卡帕.
主要成果:
- 在面对面和远程评估之间发现了强烈的正相关性 (r=0.96).
- 证明了卓越的测试-重复测试 (ICC=0.96) 和测试者之间 (ICC=0.93) 的可靠性.
- 观察到测量误差低 (SEM=1.8,MDC=5.1) 和内部一致性足够,没有天花板效应.
结论:
- 电脑Berg是一个有效和可靠的工具,用于评估中风幸存者的平衡.
- Tele-Berg表现出卓越的可靠性和较低的测量误差,与面对面的评估相美.
- 这种远程康复方法可以有效地弥合中风幸存者获得平衡评估服务的差距.
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