Huang yc1, wang wt, liou th, liao cd, lin lf, huang sw. The modified version of the postural assessment scale for. A validation study using a modified version of postural assessment scale for stroke patients. The postural assessment scale for stroke patients pass, adapted from the bl motor assessment, was elaborated in concordance with 3 main ideas. An additional aim was to estimate the change in postural control during the first 12 months after stroke onset. Responsiveness of a modified version of the postural assessment scale for stroke patients and longitudinal change in postural control after stroke postural stroke study in gothenburg postgot. The choice of the scale is based on its validation in patients with stroke and on its good metrological qualities, making it a reference scale. Pass is a postural assessment scale specifically designed to assess. Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice.
Simplifying the postural assessment scale for stroke patients. The postural assessment is also an opportunity to clarify observations about marks on the skin, such as scars from significant operations for example, appendectomies or treatment for fractures in childhood that clients may have forgotten to mention. The aim of this study was to investigate the predictive value of pass for ambulation in patients. Postural assessment scale for stroke patients pass evaluation summary what does the tool measure. It contains 12 fourlevel items of varying difficulty for assessing ability to maintain or change a given lying, sitting, or standing posture. Responsiveness of a modified version of the postural assessment scale for stroke patients and longitudinal change in postural control after stroke. Translation into norwegian, cultural adaptation and examination of reliability abstract background. The swepass assessments were conducted during the first week and 3, 6 and 12 months after stroke in 90 patients. Methods the postural assessment scale for stroke patients pass, adapted from the bl motor assessment, was elaborated in concordance with 3 main ideas. A modified version of postural assessment scale for stroke patients pass was created with some changes in the description of the items and clarifications in the manual e. Pdf postural assessment scale for stroke patients scores as.
Background and purpose few clinical tools available for assessment of postural abilities are specifically designed for stroke patients. Instruct the subject to roll to the nonparetic side lateral movement. Simplifying the postural assessment scale for stroke patients iping hsueh, chiwen chien, chinglin hsieh school of occupational therapy, college of medicine, national taiwan university background and purposes. The modified version of the postural assessment scale. Stroke patients, the swedish version of postural assessment scale for stroke patients, with traditional and newer statistical analyses, particularly for assessments performed by the same rater, support the use of the swedish version of postural assessment scale for stroke patients, in the acute stage after stroke both in clinical and research. Berg balance scale bbs charlson comorbidity index cci chedokemcmaster stroke assessment.
Postural assessment scale for stroke patients scores as a. Rivermead assessment of somatosensory performance 40. Pass is a postural assessment scale specifically designed to assess and monitor postural control after stroke. Validation of a standardized assessment of postural control. The postural assessment scale for stroke patients pass was developed. Persson c u, sunnerhagen k s, danielsson a, grimbyekman a, hansson po. The aim of this validation study was to assess intrarater and interrater reliability using this modified version of pass. Balance what types of clients can the tool be used for. The postural assessment scale for stroke pass was developed to assess postural control in stroke patients within the first 3 months after stroke. Pass is used to assess static and dynamic balance of stroke patients. Postural assessment scale for stroke brighton rehabilitation. Abstract balance problems in hemiparetic patients after stroke can be caused by different impairments in the physiological systems involved in postural control, including sensory afferents, movement strategies, biomechanical constraints, cognitive processing, and perception of verticality. A stopwatch is used in items 4 and 79 where the patient should maintain a position within a specific time. Many postural assessments are not specifically designed for stroke and have not been adequately analyzed for psychometric properties.
Validation of a standardized assessment of postural control in stroke patients. Posture a synthesis of the positions of all the bodys joints at any given time. Strokedge ii outcome measures inpatient and outpatient. The list of acronyms and abbreviations related to pass postural assessment scale for stroke.
Pdf postural assessment scale for stroke patients scores. A validation study using a modified version of postural. Postural stroke study in gothenburg postgot j neuroeng rehabil accepted for publication. The present study aimed at validating a specific postural assessment scale specifically designed to assess and monitor postural control after stroke. The aim of this validation study was to assess intrarater and interrater reliability using this modified. The swepass is a modification of the original french version called the postural assessment scale for stroke patients pass in terms of different definitions of categories. Mao et al5 further compared the reliability, validity, and responsiveness of the pass with 2 balance scales i.
Weakness and somatosensory deficits have long been known to be involved in the postural instability of subjects with stroke. Individuallevel responsiveness of the original and short. Postural assessment scale for stroke patients scores as a predictor of stroke patient ambulation at discharge from the rehabilitation ward. Oct 01, 20 the grouplevel responsiveness of the postural assessment scale for stroke patients pass is similar to that of the shortform pass sfpass.
Standardized assessment of postural control in stroke patients, the postural assessment scale for stroke patients pass. Patients following stroke, regardless of balance performance is this a screening or assessment tool. The postural assessment scale for stroke patients pass was elaborated in concordance with 3 main ideas. The modified version of the postural assessment scale for stroke patients swepass 1, 2 see additional file 1 is an ordinal scale aimed for use in stroke rehabilitation and research. Rasch analysis of the modified version of the postural. Pdf postural assessment scale for stroke patients scores as a. In the 1st part, 287 people with stroke were evaluated with the pass at 14 and 30day poststroke intervals. The grouplevel responsiveness of the postural assessment scale for stroke patients pass is similar to that of the shortform pass sfpass. Postural assessment scale for stroke patients pass. Ensure that the patient manages the criteria for the scores below, as well as the criterion for the registered score. Most have major floor or ceiling effects, and their metrological properties are not always completely known. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
The postural assessment scale for stroke patients munin. Pass abbreviation stands for postural assessment scale for stroke patients. The strokedge taskforce highly recommends the pass for acute care, as it has excellent psychometric properties and clinical utility. Analysis and comparison of the psychometric properties of three balance measures for stroke patients. This result is counterintuitive because the pass has more items 12 and response levels 4 than does the sfpass 5 items and 3 response levels. The postural assessment scale for stroke patients pass. The postural assessment scale for stroke patients has been found to be highly valid and reliable during the first 3 months after stroke. The postural assessment scale for stroke patients pass has demonstrated sound psychometric. General postural assessment scale for stroke patients pass postural assessment scale for stroke patients pass purpose. Persson cu, hansson po, danielsson a, sunnerhagen ks. Use of the postural assessment scale for stroke patients.
Postural assessment scale for stroke patients pass stroke engine. Five items have been suggested 33 to measure trunk control. Efficiency of physical therapy on postural imbalance after. The list of acronyms and abbreviations related to pass postural assessment scale for stroke patients. Effects of core stability training on postural control. In normal posture, gravity acts in a balanced line on the physiological curves of the spine. Responsiveness of a modified version of the postural. This article was the starting point of this phd project, the postural stroke study in gothenburg postgot, although i. It is more sensitive for assessment of stroke in the first 3 months and can discriminate between patients with right and left brain damage.
Postural assessment scale for stroke rehabmeasures database. Postural assessment an overview sciencedirect topics. Pdf responsiveness of a modified version of the postural. Apr 11, 2016 analysis and comparison of the psychometric properties of three balance measures for stroke patients. The postural assessment scale for stroke patients pass was developed specifically to evaluate balance after stroke and is applicable for all including those with poor postural control 9. Recently, it has been shown that impaired representations of the orientation of the longitudinal axis of the body lba, egocentric reference and of verticality allocentric reference may also play a role. To develop a short form of postural assessment scale for stroke patients sfpass with sound psychometric properties including reliability, validity, and responsiveness. Use of the postural assessment scale for stroke patients in. The postural assessment scale for stroke patients pass assesses balance in lying, sitting and standing positions. To compare the efficacy of motor relearning programme and bobath technique with motor relearning programme in improving. The main reasons for carrying out a postural assessment are to acquire information, save time, establish a baseline, and treat holistically.
Pass is used to assess the ability to maintain or change positions in lying, sitting and standing, and contains items with varying degrees of difficulty 9 benaim c, perennou da, villy j, et al. Postural assessment scale for stroke patients stroke impact scale stroke rehabilitation assessment of movement recommended measures. To compare the efficacy of motor relearning programme and bobath technique with motor relearning programme in improving functional activities among hemiplegic patients. Pass has demonstrated good measurement properties for reliability and validity, but its predictive effect for ambulation in stroke patients has not been investigated. Developing a short form of the postural assessment scale. The postural assessment scale for stroke patients pass is used to assess static and dynamic balance of stroke patients. The postural assessment scale for stroke pass also evaluates the functional postural abilities of patients with stroke in several conditions lying on the back, sitting, standing and while. The prevalence of stroke in india was estimated as perpopulation above 20 years, amounting to a total of about 1 million cases 3. Methods the postural assessment scale for stroke patients pass, adapted from the bl motor assessment, was elaborated in concordance with 3 main. Acute care therapists face many barriers that limit the use of screening tools including time constraints and lack of measures appropriate for use in this setting. What is the abbreviation for postural assessment scale for stroke patients.
We would like to show you a description here but the site wont allow us. Developing a short form of the postural assessment scale for. Rocked my world acid refluxhiatal herniagerd patient from boston duration. Links 27 yoneyama sm, roiz rm, oliveira tm, oberg td, lima nmfv. To translate the modified swedish version of postural assessment scale for stroke swepass into norwegian swepassnv and assess its intra and interrater reliability. The postural assessment scale for stroke patients pass was developed to assess sitting, lying, and standing balance in persons who experienced a stroke.
Pdf validation of a standardized assessment of postural. This evaluates functional balance during everyday situations using scores to evaluate different populations, 22, 23 such as elderly 24, stroke 24, 25 patients, and people with severe intellectual and visual disabilities. It was designed specifically for patients with stroke and is suitable for all individuals regardless of postural performance. Pass is one of the most valid clinical assessments of postural control in stroke patients. Fiveminute walk test 5mwt fuglmeyer assessment of sensorimotor recovery after stroke fma gaitrite. Objective the postural assessment scale for stroke patients pass is used to assess static and dynamic balance of stroke patients. Motor assessment scale mas rivermead mobility index rmi rivermead motor assessment rma sixminute walk test 6mwt threeminute walk test 3mwt. Oct 06, 2011 a modified version of postural assessment scale for stroke patients pass was created with some changes in the description of the items and clarifications in the manual e. Many of the tests used today are not optimal for patients with poor balance, due to a floor effect 9, 10. Validation of a standardized assessment of postural. To observe postural control changes, we measured maintenance and change of posture, balance and coordination ability with postural assessment scale for stroke pass and trunk impairment scale tis. Modiefied postural assesment scale for stroke pass only one attempt per item is allowed.