@article{ART003114713},
author={Seung Heon An and Park Dae-Sung},
title={Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients},
journal={Journal of the Korean Society of Physical Medicine},
issn={1975-311X},
year={2024},
volume={19},
number={3},
pages={55-63}
TY - JOUR
AU - Seung Heon An
AU - Park Dae-Sung
TI - Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients
JO - Journal of the Korean Society of Physical Medicine
PY - 2024
VL - 19
IS - 3
PB - The Korean Society of Physical Medicine
SP - 55
EP - 63
SN - 1975-311X
AB - PURPOSE: This study examined the test-retest reliability and clinical utility of the Modified Trunk Impairment Scale (mTIS), Trunk Control Test (TCT), and Postural Assessment Scale for Stroke – Trunk Control (PASS-TC) in patients with chronic stroke.
METHODS: Thirty-eight stroke patients were reassessed using the mTIS, TCT, and PASS-TC with a seven-day interval between assessments. The test-retest reliability was evaluated using the intraclass correlation coefficient (ICC2,1), the standard error of measurement (SEM), the minimal detectable change (MDC), and MDC%, as well as Bland–Altman analysis. The relationship between the mTIS, TCT, PASS-TC scores, and the Barthel Index (BI) was also investigated.
RESULTS: The test-retest reliability for the mTIS, TCT, and PASS-TC was high, with ICC values ranging from .91 to .94 (95% confidence interval: .83–.97). The MDCs for the mTIS and TCT were 2.35 and 13.9, respectively, while the MDC for the PASS-TC was 2 .54, a ll below 20% o f the maximum possible score, indicating reliable measurement.
The optimal mTIS cut-off score for distinguishing between mild (75–95 points) and severe (50–74 points) dependence on the BI was ≥ 9.5, with an accuracy of 79%. Patients with an mTIS score ≥ 9.5 (out of 15) showed an 18-fold higher likelihood of achieving a mild level of functional independence than those with a score < 9.5.
CONCLUSION: The mTIS, TCT, and PASS-TC showed high test-retest reliability and no systematic errors in chronic stroke patients. The MDC values were reliable, indicating meaningful change. Among these, the mTIS is a sensitive and a useful tool for predicting functional independence in clinical practice and is straightforward to apply.
KW - Barthel index;Minimal detectable change;Reproducibility;Stroke;Trunk control
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Seung Heon An and Park Dae-Sung. (2024). Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients. Journal of the Korean Society of Physical Medicine, 19(3), 55-63.
Seung Heon An and Park Dae-Sung. 2024, "Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients", Journal of the Korean Society of Physical Medicine, vol.19, no.3 pp.55-63.
Seung Heon An, Park Dae-Sung "Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients" Journal of the Korean Society of Physical Medicine 19.3 pp.55-63 (2024) : 55.
Seung Heon An, Park Dae-Sung. Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients. 2024; 19(3), 55-63.
Seung Heon An and Park Dae-Sung. "Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients" Journal of the Korean Society of Physical Medicine 19, no.3 (2024) : 55-63.
Seung Heon An; Park Dae-Sung. Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients. Journal of the Korean Society of Physical Medicine, 19(3), 55-63.
Seung Heon An; Park Dae-Sung. Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients. Journal of the Korean Society of Physical Medicine. 2024; 19(3) 55-63.
Seung Heon An, Park Dae-Sung. Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients. 2024; 19(3), 55-63.
Seung Heon An and Park Dae-Sung. "Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients" Journal of the Korean Society of Physical Medicine 19, no.3 (2024) : 55-63.
