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 |