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Measurement tools in chronic stroke patients : Investigation of the inter- and intra rater-reliability of the Berg Balance Scale, TheFugl- Meyer Test and the Motricity Index test in chronic stroke patients ; A descriptive research

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Measurement tools in chronic stroke patients : Investigation of the inter- and intra rater-reliability of the Berg Balance Scale, TheFugl- Meyer Test and the Motricity Index test in chronic stroke patients ; A descriptive research

Rechten:

Samenvatting

Stroke is the third most common cause of death in the developed countries (Engelen, 2007) and the most common physical consequence of stroke are hemiplegia or hemiparesis(Stokes, 2004). Thus, assessment tools, measuring balance and mobility are of high importance. During the last ten years a small number of assessment tools has gained general acceptance and are frequently used in daily practice. Among the most researched assessment tools for balance and mobility in stroke patients are the Berg Balance Scale(BBS), the Fugl-Meyer Test (F-M) and the Motricity Index (MI). All three tests have been found to be of high reliability and their use is recommended on the KNGF-Guidelines for stroke. This guideline differentiates between intake, immobilization and mobilization phase in stroke patients. However, in this current research, the aim was to determine the inter and intra rater-reliability of chronic stroke patients. Especially for the long-term treatment of chronic stroke patients, reliable measurement tools are of high importance for the adjustment and optimization of treatments and the patient’s motivation. Moreover, due to financial reasons, governmental health care system and insurance companies declare a high interest in the controllability of treatment progress. In the past numerous studies have been conducted on the BBS, F-M and I, with a positive feedback. However, in recent studies, the high and undoubted status of these three tests has come to falter. Due to this uncertainty in terms of reliability and the fact that no research investigated the inter and intra rater-reliability of all three tests for chronic stroke patients in one study, this investigation was inevitable. Due to the particular condition of stroke survivors a specific investigation of these three assessment tools in this patient population was necessary. The research was conducted an intensive “one week trial” in a practice in Switzerland. Seventeen chronic stroke patients, consisting of ten women and seven men, were tested and graded by two assessors. Each test was performed twice in random order and graded by both assessors.

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OrganisatieHogeschool van Amsterdam
InstituutGezondheid
Gepubliceerd in
Jaar2008
TypeBachelorscriptie
TaalEngels

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