Author/Editor     Janša, Jelka; Pogačnik, Tomaž; Gompertz, Patrick
Title     An evaluation of the extended Barthel index with acute ischemic stroke patients
Type     članek
Source     Neurorehabilitation Neural Repair
Vol. and No.     Letnik 18, št. 1
Publication year     2004
Volume     str. 37-41
Language     eng
Abstract     Objective. To evaluate the Extended Barthel Index with acute ischemic stroke patients. Methods. This prospective 1- to 6-week poststroke follow-up study was carried out using 33 newly diagnosed acute ischemic stroke patients who were admitted to the University Medical Centre Ljubljana, Department of Neurology. Measures used were Barthel Index (BI), Extended Barthel Index (EBI), Fugl Meyer Motor Impairment Scale, 2-5 Self-assessment scale, Rivermead Behavioural Memory Test. Results. The EBI is a reliable scale in terms of internal consistency. The cognitive part is less reliable than the physical part of the EBI. It is a 3-dimensional scale as calculated by factor analysis (factor 1 with eigenvalue 8.2, factor 2 with eigenvalue 2. 7 and factor 3 with eigenvalue 0.9`. Criterion validity to the BI and and the Fugl-Meyer Motor Impairment scale was supported (P = 0.1-0.001). External validity to the Self-Assessment scale was also supported (P < 0.001). It is more sensitive to the changes in functional status that occur in the Zst 6 weeks poststroke than the original Bl, although the ceiling effect was not really explained in this follow-up period. Conclusion. The EBI is a valid, reliable, 2- to 3-dimensional outcome measure of disability/ activity for stroke patients. To some extent, it also reveals the level of patients' perception of their functional status.
Descriptors     CEREBRAL ISCHEMIA
CEREBROVASCULAR DISORDERS
DISABILITY EVALUATION
AGE FACTORS
SEX FACTORS
PROSPECTIVE STUDIES
REPRODUCIBILITY OF RESULTS
FOLLOW-UP STUDIES
EVALUATION STUDIES
ACUTE DISEASE
ACTIVITIES OF DAILY LIVING