Author/Editor     Vidmar, Gaj; Janša, Jelka
Title     O merskih značilnostih dveh ocenjevalnih lestvic za oceno prizadetosti pri pacientih po ishemični možganski kapi
Translated title     On metric characteristics of two disability measures applied to acute ischaemic stroke patients
Type     članek
Source     Inform Med Slov Print Ed
Vol. and No.     Letnik 5, št. 1-2
Publication year     1998
Volume     str. 135-41
Language     slo
Abstract     Systematic assessment of patient performance has a long tradition and it is being intensely developed within stroke rehabilitation. Functional outcome has been assessed primarily in terms of degree of physical independence, the criteria of independence being performance-oriented and conceptualised in the ADL (Activities of Daily Living) approach. Two ADL-scales were compared in the study: the Barthel Index (BI) and the Extended Barthel Index (EBI). BI has become the standard ADL measure for rehabilitation research, while EBI is a modification of the B1 with extended scoring of physical disability and addition of a second, cognitive part. Thirty-three patients with first ischaemic stroke, all having received early rehabilitation service within the neurology department, were assessed at week 1, week 3 and week 6 post stroke. Four principal issues were addressed: sensitivity of EBI to clinically important changes compared to BI (the question of ceiling effect); ability of both scales to show the rehabilitation trend; reliability of both scales; and criterion validity of EBI (relation to a motor scale and a memory test). While all the questions were answered positively bar the first one, emphasis was also put on combining diverse data-analysis methodologies: inferential statistics and data visualisation, bivariate and multivariate methods and parametric as well as nonparametric tests.
Descriptors     CEREBRAL INFARCTION
DIAGNOSIS, COMPUTER-ASSISTED
DISABILITY EVALUATION
CEREBRAL ISCHEMIA