Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease

Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease Publisher Pubmed

Taghizadeh G¹ ; Martinezmartin P² ; Meimandi M¹ ; Habibi SAH³ ; Jamali S¹ ; Dehmiyani A¹ ; Rostami S¹ ; Mahmuodi A⁴ ; Mehdizadeh M^{5, 6, 7} ; Fereshtehnejad SM^{8, 9, 10}

Show Affiliations

1. Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran
2. National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain
3. Department of Neurology, Rasoul Akram Hospital, Iran University of Medical Science, Tehran, Iran
4. Department of Aging, University of Social Welfare Rehabilitation Sciences, Tehran, Iran
5. Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran
6. Department of Neuroscience, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran
7. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
8. Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden
9. Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada
10. Division of Neurology, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

Source: Annals of Physical and Rehabilitation Medicine Published:2020

Abstract

Background: Independence in activities of daily living (ADL) is one of the most important aspects in planning treatment for people with Parkinson disease (PD). The Barthel Index (BI) and modified Rankin Scale (mRS) are commonly used in neurological diseases. Objective: This study was conducted to confirm the validity and reliability of the BI and mRS in PD during ON and OFF medication phases. Methods: We included 260 individuals with a diagnosis of idiopathic PD. The disability in ADL was measured by the BI, mRS, Parkinson's Disease Questionnaire-39 (PDQ-39), Unified Parkinson Disease Rating Scale-Activities of Daily Living (UPDRS-ADL), and Schwab and England ADL scale (SE). Test–retest, inter-rater reliability, and internal consistency were assessed by the intra-class correlation (ICC) and Cronbach α coefficients. Dimensionality was evaluated by factor analysis. Convergent validity was assessed by the SE, Berg Balance Scale (BBS), PDQ-39 and UPDRS-ADL. Results: For the 260 participants (187 [71.9%] males; mean [SD] age 60.3 [12.3] years), both the BI and mRS achieved an acceptable level of test–retest and inter-rater reliability (ICC = 0.77 to 0.91) in ON and OFF medication phases. The Cronbach α for BI was 0.85 and 0.88, respectively. We found 1 and 2 factors for BI in ON and OFF phases, respectively. Investigation of convergent validity showed moderate to high correlation for the BI with the UPDRS-ADL, SE, PDQ-39 (ADL), BBS and mRS scores in ON and OFF phases (ρ = 0.51–0.74) and mRS with SE, UPDRS-ADL, PDQ-39 (ADL) and BBS scores (ρ = 0.48–0.82). Conclusion: The BI and mRS showed acceptable validity and reliability to measure the degree of disability in patients with PD in daily activities in both ON and OFF medication phases. © 2019 Elsevier Masson SAS

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Style	Citing Format
MLA	Taghizadeh G, et al.. "Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease." Annals of Physical and Rehabilitation Medicine, vol. 63, no. 6, 2020, pp. 500-504.
APA	Taghizadeh G, Martinezmartin P, Meimandi M, Habibi SAH, Jamali S, Dehmiyani A, Rostami S, Mahmuodi A, Mehdizadeh M, Fereshtehnejad SM (2020). Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease. Annals of Physical and Rehabilitation Medicine, 63(6), 500-504.
Chicago	Taghizadeh G, Martinezmartin P, Meimandi M, Habibi SAH, Jamali S, Dehmiyani A, Rostami S, Mahmuodi A, Mehdizadeh M, Fereshtehnejad SM. "Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease." Annals of Physical and Rehabilitation Medicine 63, no. 6 (2020): 500-504.
Harvard	Taghizadeh G et al. (2020) 'Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease', Annals of Physical and Rehabilitation Medicine, 63(6), pp. 500-504.
Vancouver	Taghizadeh G, Martinezmartin P, Meimandi M, Habibi SAH, Jamali S, Dehmiyani A, et al.. Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease. Annals of Physical and Rehabilitation Medicine. 2020;63(6):500-504.
BibTex	@article{ author = {Taghizadeh G and Martinezmartin P and Meimandi M and Habibi SAH and Jamali S and Dehmiyani A and Rostami S and Mahmuodi A and Mehdizadeh M and Fereshtehnejad SM}, title = {Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease}, journal = {Annals of Physical and Rehabilitation Medicine}, volume = {63}, number = {6}, pages = {500-504}, year = {2020} }
RIS	TY - JOUR AU - Taghizadeh G AU - Martinezmartin P AU - Meimandi M AU - Habibi SAH AU - Jamali S AU - Dehmiyani A AU - Rostami S AU - Mahmuodi A AU - Mehdizadeh M AU - Fereshtehnejad SM TI - Barthel Index and Modified Rankin Scale: Psychometric Properties During Medication Phases in Idiopathic Parkinson Disease JO - Annals of Physical and Rehabilitation Medicine VL - 63 IS - 6 SP - 500 EP - 504 PY - 2020 ER -

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