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Systematic ReviewSystematic Review
Open Access

A systematic review of adults’ sitting balance assessments in neurological and neuromuscular conditions

Walaa A Alammar and Hetaf A Alammar
Neurosciences Journal July 2020, 25 (3) 163-168; DOI: https://doi.org/10.17712/nsj.2020.3.20190592
Walaa A Alammar
From the Occupational Therapist (Alammar W), and from Department of Psychology (Alammar H), Shaqra University, Shaqra, Kingdom of Saudi Arabia
Bsc
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  • For correspondence: [email protected]
Hetaf A Alammar
From the Occupational Therapist (Alammar W), and from Department of Psychology (Alammar H), Shaqra University, Shaqra, Kingdom of Saudi Arabia
PhD
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    Figure 1

    flow diagram of the process of choosing studies.

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    Table 1

    PICO components of the review.

    PICO table
    PopulationAdult with neurological impairment (stroke, TBI, SCI, MS, ALS, CP and N-TBI).
    InterventionAssessment of sitting balance (objective and subjective)
    ComparisonN/A
    OutcomePsychometrics properties
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    Table 2

    Studies included in the review based on the condition.

    Condition, number of studiesStudy citation
    Spinal cord injury, 6 studies[5], [6], [7], [8], [9] and [10]
    Stroke, three studies[11], [12] and [13]
    Multiple sclerosis, one study[14]
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    Table 3

    Studies characteristics (neurological condition, citation, measured aspects, participants, reliability elements and study quality percentage).

    CitationsInstrument nameParticipant numberResultReliability elementsStudy quality(average QATSDD percentage)
    Spinal cord injury
    [5]Motor Assessment Scale (MAS) item 3 ‘balanced sitting’N=50Inter-rater reliability for MAS (kw¼0.83–0.91)85.74%
    Sitting balance score SBSInter-rater reliability for SBS (kw¼0.69–0.96)
    [6]Brazilian version in Portuguese of the Thoracic-Lumbar Control ScaleN=22- Intra-examiner reliability 0.9688.09%
    - Inter-examiner reliability (0.961 and 0.986)
    - High value of internal consistency (0.934)
    [7]clinical trunk control testN=177- Inter-observer reliability a pondered Kappa of 0.98789.58%
    - Alpha coefficient had a value of 0.979.
    [8]Hand-Held Dynamometry in Individuals with Spinal Cord InjuryN=29- Intrarater reliability was good to excellent (intraclass correlation coefficients, 0.80–0.98 [unsupported]; 0.79–0.99 [supported]) for all raters in the four directions of force application.83.33%
    - Interrater reliability was excellent (intraclass correlation coefficients, 0.97–0.99 [unsupported]; 0.96–0.98 [supported]) for all directions
    [9]Dynamic sitting balance tests: Limits of stabilityN=9- Moderate to excellent test–retest reliability (intraclass correlation coefficients ranged from 0.673 to 0.990)71.42%
    Dynamic sitting balance tests: sequential weight shifting- Moderate to excellent reliability (intraclass correlation coefficients ranged from0.688 to 0.952)79.19%
    [10]Sitting balance measureN=30- Cronbach’s α = 0.9679.19%
    Stroke
    [11]The Italian version of the Trunk Impairment ScaleN=41- Cronbach’s α = 0.8859.52%
    - Internal consistency ranged from 0.79 to 0.88. ICC values ranged from 0.725 to 0.933 for inter-rater reliability, with the SEM ranging from 0.52 to 1.11, and from 0.770 to 0.911 for intra-rater reliability
    - Kappa values ranged from moderate to almost perfect
    [12]Trunk Impairment Scale Norwegian version modified TIS-NVN=50Cronbach’s α = 0.8588.09%
    [13]Function In SittingTestN=31- The person separation index was 0.97883.33%
    - Coefficient alpha was 0.98, indicating high internal consistency
    Multiple sclerosis
    [14]Function in sitting testN=20Cronbach’s α = 0.9180.95%
    • View popup
    Table 4

    Average percentage given by both reviewers WA and HA using The Quality Assessment Tool for Reviewing Studies with Diverse Designs approach.

    Study referenceQATSDD percentage
    [5]85.74%
    [6]88.09%
    [7]89.58%
    [8]83.33%
    [9]71.42%
    [10]79.19%
    [11]59.52%
    [12]88.09%
    [13]83.33%
    [14]80.95%
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Neurosciences Journal: 25 (3)
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1 Jul 2020
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A systematic review of adults’ sitting balance assessments in neurological and neuromuscular conditions
Walaa A Alammar, Hetaf A Alammar
Neurosciences Journal Jul 2020, 25 (3) 163-168; DOI: 10.17712/nsj.2020.3.20190592

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A systematic review of adults’ sitting balance assessments in neurological and neuromuscular conditions
Walaa A Alammar, Hetaf A Alammar
Neurosciences Journal Jul 2020, 25 (3) 163-168; DOI: 10.17712/nsj.2020.3.20190592
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