The Korean version of relative and absolute reliability of gait and balance assessment tools for patients with dementia in day care center and nursing home

韩国版日间护理中心和养老院痴呆症患者步态和平衡评估工具的相对和绝对可靠性

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Abstract

[Purpose] This study was aimed to determine the relative and absolute reliability of Korean version tools of the Berg Balance Scale (BBS), the Timed Up and Go (TUG), the Four-Meter Walking Test (4MWT) and the Groningen Meander Walking Test (GMWT) in patients with dementia. [Subjects and Methods] A total of 53 patients with dementia were tested on TUG, BBS, 4MWT and GMWT with a prospective cohort methodological design. Intra-class Correlation Coefficients (ICCs) to assess relative reliability and the standard error of measurement (SEM), minimal detectable change (MDC(95)) and its percentage (MDC(%)) to analyze the absolute reliability were calculated. [Results] Inter-rater reliability (ICC((2,3))) of TUG, BBS and GMWT was 0.99 and that of 4MWT was 0.82. Inter-rater reliability was high for TUG, BBS and GMWT, with low SEM, MDC(95), and MDC(%). Inter-rater reliability was low for 4MWT, with high SEM, MDC(95), and MDC(%). Test-retest (ICC((2,3))) of TUG, BBS and GMWT was 0.96-0.99 and Test-retest (ICC((2,3))) of 4MWT was 0.85. The test-retest was high for TUG, BBS and GMWT, with low SEM, MDC(95), and MDC(%), but it was low for 4MWT, with high SEM, MDC(95), and MDC(%). [Conclusion] The relative reliability was high for all the assessment tools. The absolute reliability has a reasonable level of stability except the 4MWT.

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