[논문]The Reliability of Balance, Gait, and Muscle Strength Test for the Elderly with Dementia: A Systematic Review

Lee, Han-Suk; Park, Sun-Wook

doi:10.13066/kspm.2017.12.3.49

The Reliability of Balance, Gait, and Muscle Strength Test for the Elderly with Dementia: A Systematic Review 원문보기

대한물리의학회지 = Journal of the korean society of physical medicine, v.12 no.3, 2017년, pp.49 - 58

Lee, Han-Suk (Dept. of Physical Therapy, Eulji University) , Park, Sun-Wook (Dept. of Physical Therapy, Samsung Medical Center)

Abstract ▼ AI-Helper

PURPOSE: To summarize the evaluation tools of balance [Berg Balance Scale (BBS), timed up and Go (TUG), forward reaching test (FRT)], gait [6 m walking Test (6MWT)], and strength [Chair Stand Test (CST)] for patients with dementia. METHODS: The following databases were searched: Pub MED, Cochrane, Sciences Direct, and Web of Sciences. The inclusion criteria were as follows: 1) repeated measurement design, 2) subjects with dementia, 3) use of testing tools such as the BBS, TUG, FRT, 6MWT, and CST, 4) report the reliability. One reviewer performed the quality assessment of diagnostic accuracy study and two evaluators performed data extraction independently. RESULTS: Six articles and one letter were included. The interrater reliability of 6MWT, TUG, and CST, were acceptable (ICC>.90). However, FRT had unacceptable reliability. In test-retest reliability, only BBS has acceptable reliability (ICC>.90). Others had various reliabilities. The risk of interrater reliability bias was low in all studies. However, the risk of bias of intrarater reliability was low in five studies and moderate in two studies. CONCLUSION: The interrater reliability of the 6MWT, TUG, and CST were acceptable. However, in test-retest reliability, only BBS has acceptable reliability. Therefore, we suggest the use of BBS to test the balance of dementia patients. In addition, the study of tool reliability according to the subtype of dementia is needed in the future.

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문제 정의

In this study, we summarized evaluation tools of gait (6MWT) and balance ability (BBS, TUG, FRT) and strength (CST) for the dementia patients and will see which evaluation tool brings the highest reliability. Besides, just for the systemic reviews of literature, this study selected the following hypothesis: there would be a difference among the reliability of each analysis tool of the gait and balance capability depending on the kind of dementia.

제안 방법

Primary outcome measure was a reliability including test-retest reliability or interrater reliability of BBS, TUG, FRT, 6MWT, and CST.
They retrieved all relevant literatures in articles, full text according to inclusion criteria. This review study targeted any study to analyze the reliability on assessment tools for evaluating balance, gait and strength. Design of study was repeated measures.
This study was included seven studies exploring the reliability of tools measuring balance, gait and strength for subject with dementia. The interrater reliability of TUG, 6MWT and CST were acceptable (ICC>.

대상 데이터

338 articles were selected after searching with key word. After first screening, 48 articles were selected.
The test-retest reliability of tools of balance, gait and strength is shown at Table 5. A total of six studies were chosen. Four studies were examined subjects with dementia and two studies were examined subject with Alzheimer disease.
338 articles were selected after searching with key word. After first screening, 48 articles were selected. Excluded articles have the following reasons that were improper participants (including non-dementia patient) and subjects (not reliability).
Excluded articles have the following reasons that were improper participants (including non-dementia patient) and subjects (not reliability). After getting rid of duplicated articles, 15 studies were chosen. Finally, six articles and one letter that are related to the reliability of BBS, TUG, FRT, 6MWT, and CST that selected among 15 articles.
After getting rid of duplicated articles, 15 studies were chosen. Finally, six articles and one letter that are related to the reliability of BBS, TUG, FRT, 6MWT, and CST that selected among 15 articles. All articles were written in English.
However, the participants who were included the study have various condition like Parkinson's disease, multiple sclerosis, spinal cord injury, outpatients.

이론/모형

The methodology of this study follows a systematic review process originate in evidence-based systematic review of the PRISMA statement (Liberati et al., 2009).
This study reviewed the data of relative reliability except absolute reliability and did not use the statistical method like meta-analysis. Therefore, the results of this study have little objectivity.

성능/효과

In conclusion, this system review has indicated the interrater reliability of TUG, 6MWT and CST were acceptable (ICC>.90).

참고문헌 (29)

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원문보기 상세보기
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연합인증

The Reliability of Balance, Gait, and Muscle Strength Test for the Elderly with Dementia: A Systematic Review 원문보기

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The Reliability of Balance, Gait, and Muscle Strength Test for the Elderly with Dementia: A Systematic Review 원문보기

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