Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS).

Détails

ID Serval
serval:BIB_65F1614DD1BF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS).
Périodique
Stroke
Auteur⸱e⸱s
Benaim C., Pérennou D.A., Villy J., Rousseaux M., Pelissier J.Y.
ISSN
0039-2499 (Print)
ISSN-L
0039-2499
Statut éditorial
Publié
Date de publication
09/1999
Peer-reviewed
Oui
Volume
30
Numéro
9
Pages
1862-1868
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Few clinical tools available for assessment of postural abilities are specifically designed for stroke patients. Most have major floor or ceiling effects, and their metrological properties are not always completely known.
The Postural Assessment Scale for Stroke patients (PASS), adapted from the BL Motor Assessment, was elaborated in concordance with 3 main ideas: (1) the ability to maintain a given posture and to ensure equilibrium in changing position both must be assessed; (2) the scale should be applicable for all patients, even those with very poor postural performance; and (3) it should contain items with increasing difficulty. This new scale has been validated in 70 patients tested on the 30th and 90th days after stroke onset.
Normative data obtained in 30 age-matched healthy subjects are presented. The PASS meets the following requirements: (1) good construct validity: high correlation with concomitant Functional Independence Measure (FIM) scores (r=0.73, P=10(-6)), with lower-limb motricity scores (r=0.78, P<10(-6)), and with an instrumental measure of postural stabilization (r=0.48, P<10(-2)); (2) excellent predictive validity: high correlation between PASS scores on the 30th day and FIM scores on the 90th day (r=0.75, P<10(-6)); (3) high internal consistency (Cronbach alpha-coefficient=0.95); and (4) high interrater and test-retest reliabilities (average kappa=0.88 and 0.72).
Our results confirm that the PASS is one of the most valid and reliable clinical assessments of postural control in stroke patients during the first 3 months after stroke.
Mots-clé
Cerebrovascular Disorders/physiopathology, Evaluation Studies as Topic, Humans, Methods, Middle Aged, Postural Balance, Posture, Reference Values, Reproducibility of Results
Pubmed
Web of science
Open Access
Oui
Création de la notice
04/05/2020 13:13
Dernière modification de la notice
05/05/2020 6:26
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