Table 3.
Ordinal Scales
Battery | Components | Scoring | Psychometrics |
---|---|---|---|
| |||
Performance-Oriented Mobility Assessment (POMA) | Balance subscale = 9 items | Range: 0 – 28 | Reliability: Pearson r =0.85 |
Gait subscale = 8 items | ≤ 18 - High fall risk | Validity: r = 0.91 (vs BBS) | |
Takes ~10 mins to complete | ≥ 25 - Low fall risk | ||
| |||
Mini-BESTest | Fourteen items | Item score: 0 – 2 | Test-retest reliability ICC = 0.96 |
Takes 10 – 15 mins to complete | Inter-rater reliability ICC = 0.98 | ||
Convergent reliability = r = 0.85 (vs. BBS) | |||
| |||
Berg Balance Scale (BBS) | Task performance = 7 items | Range: 0 – 56 | Reliability: kappa coefficient = 0.98 |
Posture maintenance= 7 items | ≤ 20- High fall risk | Validity: r = 0.91 (vs POMA) | |
Takes ~20 mins to complete | 21 – 40- Moderate fall risk | Internal consistency: Cronbach α = 0.96 | |
> 40 - Low fall risk | |||
| |||
Brunel Balance | Hierarchy of 12 items Takes ~10 mins to complete |
Pass/fail at each level Patient progresses to next level until failure |
Coefficient of reproducibility1= 0.99 Assessment Coefficient of scalability (subjects)2 = 0.88 (BBA) Coefficient of scalability (items)2= 0.69 Item-Total Correlation = 0.34 – 0.84 Internal consistency: Cronbach α = 0.92 Reliability (kappa coefficient) = 1.0 Validity (Spearman rho; vs BBS) = 0.97 |
coefficient of reproducibility is the likelihood that the patient will fail all the items following the final item passed and pass all the items preceding it.
coefficient of scalability is the proportion of scaling errors to “maximum errors”. Maximum errors are extreme scores - the number of subjects who pass or fall all items or the number of items passed or failed by all subjects.
Both coefficients and the step-wise negative correlation between pass rate and task difficulty are measures of hierarchy.