Assessments of interrater reliability and internal consistency of the Norwegian version of the Berg Balance Scale

Arch Phys Med Rehabil. 2007 Jan;88(1):94-8. doi: 10.1016/j.apmr.2006.10.016.

Abstract

Objective: To investigate the interrater reliability and the internal consistency of the Norwegian version of the Berg Balance Scale (BBS) when applied to patients in a geriatric department.

Design: Interrater reliability was measured using the kappa statistics and intraclass correlation coefficients (ICCs).

Setting: Geriatric rehabilitation unit and geriatric day hospital in Norway.

Participants: Eighty-three patients were included; 25 were inpatients in a geriatric rehabilitation unit, whereas 58 were admitted to a geriatric day hospital.

Interventions: Not applicable.

Main outcome measure: The BBS.

Results: The kappa values for the different BBS items varied from 0.83 to 1.00, and the ICC for the sum score of the BBS was .998 (95% confidence interval, .996-.999). The mean value of the BBS was 44.4. There was a negative significant relation between age and the sum score (r=-.36). The sum scores of BBS ranged from 12 to 56. The patients were able to perform the BBS without ceiling effect. The score values 3 and 4 were more frequently used than the score values 0, 1, and 2.

Conclusions: The Norwegian version of the BBS seems to have an excellent interrater reliability and high internal consistency when applied to patients in geriatric rehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Activities of Daily Living
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Day Care, Medical
  • Factor Analysis, Statistical
  • Female
  • Geriatric Assessment / methods*
  • Geriatrics
  • Hospitals, Special
  • Humans
  • Male
  • Mass Screening / methods
  • Mass Screening / standards
  • Norway
  • Observer Variation
  • Physical Examination / methods
  • Physical Examination / standards
  • Postural Balance*
  • Sensation Disorders / classification
  • Sensation Disorders / diagnosis*
  • Sensation Disorders / physiopathology
  • Sensation Disorders / rehabilitation
  • Severity of Illness Index*
  • Statistics, Nonparametric
  • Translating