Sensitivity of Shah, Vanclay and Cooper's modified Barthel Index

Author:

Hocking Clare1,Williams Maynard2,Broad Joanna3,Baskett Jonathan4

Affiliation:

1. School of Occupational Therapy, Auckland, New Zealand

2. Research Centre, Health Studies Faculty, Auckland Institute of Technology, Auckland, New Zealand

3. Clinical Trials Research Unit, University of Auckland, Auckland, New Zealand

4. Health Services for Older People, Waitemata Health Ltd, Auckland, New Zealand

Abstract

Objective: To investigate whether Shah, Vanclay and Cooper's modification of the Barthel Index improved its sensitivity to change. Design: Correlational study. Setting: School of Occupational Therapy at Auckland Institute of Technology, Auckland, New Zealand. Subjects: One hundred subjects requiring rehabilitation following a stroke. Main outcome measures: Change in function which was measured using Shah, Vanclay and Cooper's (1989) modified Barthel Index and walking speed over 10 metres. Results: Five statistical analyses were undertaken, none of which demonstrated clear superiority of one measure over the other. Conclusions: The study did not indicate the modified Barthel Index to be more sensitive to change than the 20-point Barthel Index for this population. The statistical analysis strategies utilized are recommended for similar studies.

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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