Email this article 
Hide
Show all
Original Research
Assesing motor impairment of the trunk in patients with traumatic brain injury: reliability and validity of the trunk impairment scale
Submitted: 08 January 2006 | Published: 18 February 2006
About the author(s)
G. Verheyden, Research Assistant, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium, BelgiumJ. Hughes, Division of Physiotherapy, University of Cape Town, South Africa
J. Jelsma, Division of Physiotherapy, University of Cape Town, South Africa
A. Nieuwboer, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium
W De Weerdt, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium
Full Text:
PDF (32KB)Abstract
Introduction: Literature regarding trunk assessment after Traumatic Brain Injury (TBI) is limited. The Trunk Impairment Scale (TIS) is a newly developed tool which is intended to assess static and dynamic sitting balance and trunk co-ordination.
Aim: It was the aim of this study to examine the reliability and
validity of the TIS in TBI patients.
Methods: Thirty TBI subjects were recruited from within a
rehabilitation setting. Two researchers observed each subject
simultaneously, but scored independently. Each subject was
re-examined by one of the raters.
Results: Kappa and weighted kappa values for all items ranged from 0.34 to 1. All percentages of agreement were 70% or higher. Intraclass correlation (ICC) coefficients for the sub-scale scores were between 0.72 and 0.88. Test-retest and inter-rater reliability for the total TIS score (ICC) was 0.88 and 0.95, respectively. The 95% limits of agreement for the test-retest and interexaminer measurement error interval were -4,4 and -3,3, respectively. The construct validity was evaluated by means of the Spearman rank correlation coefficient between the TIS and the Barthel Index (r=0.59, p=.0007).
Discussion and conclusion: Fair to perfect item agreement was found but the reliability of certain items requires
further attention. Acceptable sub-scale and total TIS reliability and validity justify the use of the TIS in TBI treatment
and research.
Keywords
Metrics
Total abstract views: 5058Total article views: 4167
Crossref Citations
1. Psychometric properties of the Chinese version of the Trunk Impairment Scale in people with a stroke
Jie Zhao, Janita Pak Chun Chau, Yuli Zang, Kai Chow Choi, Rong He, Yali Zhao, Xiaoqi Xiang, Qin Li, David R. Thompson
Health and Quality of Life Outcomes vol: 19 issue: 1 year: 2021
doi: 10.1186/s12955-021-01730-y
2. How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions
SF Tyson, LA Connell
Clinical Rehabilitation vol: 23 issue: 9 first page: 824 year: 2009
doi: 10.1177/0269215509335018
3. Validity of the Sitting Balance Scale in older adults who are non-ambulatory or have limited functional mobility
Mary Thompson, Ann Medley, Steve Teran
Clinical Rehabilitation vol: 27 issue: 2 first page: 166 year: 2013
doi: 10.1177/0269215512452879
4. The Relationship Between Respiratory Functions and Balance, Trunk Control, and Functional Capacity in Multiple Sclerosis Patients
Tuğçe Duman Özkan, Semra Oğuz, Elif Unal, Canan Emir, Mine Gulden Polat
Izmir Democracy University Health Sciences Journal vol: 7 issue: 2 first page: 162 year: 2024
doi: 10.52538/iduhes.1460958
5. Motivation, Usability, and Credibility of an Intelligent Activity-Based Client-Centred Training System to Improve Functional Performance in Neurological Rehabilitation: An Exploratory Cohort Study
Els Knippenberg, Ilse Lamers, Annick Timmermans, Annemie Spooren
International Journal of Environmental Research and Public Health vol: 18 issue: 14 first page: 7641 year: 2021
doi: 10.3390/ijerph18147641
6. A novel review of potential assessment tools for Para Dressage Classification
Rachel C Stockley, Lindsay St George, Joseph Spencer, Sarah Jane Hobbs
European Journal of Adapted Physical Activity vol: 15 year: 2022
doi: 10.5507/euj.2022.011
7. Validity of the Trunk Impairment Scale as a Measure of Trunk Performance in People With Parkinson’s Disease
Geert Verheyden, Anne-Marie Willems, Lieve Ooms, Alice Nieuwboer
Archives of Physical Medicine and Rehabilitation vol: 88 issue: 10 first page: 1304 year: 2007
doi: 10.1016/j.apmr.2007.06.772
8. Construct Validity of the Trunk Impairment Classification System in Relation to Objective Measures of Trunk Impairment
Viola C. Altmann, Brenda E. Groen, Karlijn H. Groenen, Yves C. Vanlandewijck, Jacques van Limbeek, Noël L. Keijsers
Archives of Physical Medicine and Rehabilitation vol: 97 issue: 3 first page: 437 year: 2016
doi: 10.1016/j.apmr.2015.10.096
9. The Trunk Impairment Scale – modified to ordinal scales in the Norwegian version
Bente Gjelsvik, Kyrre Breivik, Geert Verheyden, Tori Smedal, Håkon Hofstad, Liv Inger Strand
Disability and Rehabilitation vol: 34 issue: 16 first page: 1385 year: 2012
doi: 10.3109/09638288.2011.645113
10. Validity and reliability of the Persian version of the trunk impairment scale in people with multiple sclerosis
Zahra Ghadimi Korka, Shohreh Noorizadeh Dehkordi, Soheil Mansour Sohani, Marzieh Yassin
Multiple Sclerosis and Related Disorders vol: 81 first page: 105098 year: 2024
doi: 10.1016/j.msard.2023.105098
11. Efficacy of a technology-based client-centred training system in neurological rehabilitation: a randomised controlled trial
Els Knippenberg, Annick Timmermans, Jolijn Coolen, Katrien Neven, Peter Hallet, Jolien Lemmens, Annemie Spooren
Journal of NeuroEngineering and Rehabilitation vol: 18 issue: 1 year: 2021
doi: 10.1186/s12984-021-00977-2
12. Validation of the Spanish version of the Trunk Impairment Scale Version 2.0 (TIS 2.0) to assess dynamic sitting balance and coordination in post-stroke adult patients
Rosa Cabanas-Valdés, Gerard Urrútia, Caritat Bagur-Calafat, Fernanda M. Caballero-Gómez, Ana Germán-Romero, Montserrat Girabent-Farrés
Topics in Stroke Rehabilitation vol: 23 issue: 4 first page: 225 year: 2016
doi: 10.1080/10749357.2016.1151662