Evidence map›Paper›PMID 37877957›Full record

Observational studyEuropean journal of physical and rehabilitation medicine2024

Reliability and validity of the Greek adaptation of the Modified Barthel Index in neurorehabilitation patients.

Sofia Ferfeli, Antonios Galanos, Ismene A Dontas, Aggeliki Triantafyllou, Ioannis K Triantafyllopoulos, Efstathios Chronopoulos

2 registry-linked trialsOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in European journal of physical and rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07321158 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Effectiveness of High Versus Low Pulse Duration Neuromuscular Electrical Stimulation (NMES) in Patients With Upper Limb Pyramidal Tract-related Spasticity Measured by Neurophysiological Tools: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of West AtticaRan2026 to 2026Enrolled45ConditionsPyramidal Tract-related Spasticity, Upper Motor Neuron LesionArmsHigh Pulse Duration Neuromuscular Electrical Stimulation Group, Low Pulse Duration Neuromuscular Electrical Stimulation Group, Usual Care Group
NCT07504185 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Postoperative Physiotherapy on Postoperative Outcomes of Elderly Patients Undergoing Emergency Laparotomy

TypeinterventionalSponsorUniversity of CyprusRan2025 to 2028Enrolled250ConditionsEmergency Abdominal SurgeryArmsExperimental (Structured postoperative physiotherapy), Standard postoperative care
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Impact of Tai Ji Yunshou with Visual Feedback on Balance and Mobility in Stroke Patients.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Trial
  2. Trial
  3. Article
  4. Article
  5. Evaluation of blood flow restriction combined with routine rehabilitation in incomplete thoracic and lumbar spinal cord injury after decompression: a retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. The Barthel Index Scale as an Indicator of Nursing Workload.Risk management and healthcare policy · 2025
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sofia FerfeliSection of Physical Medicine and Rehabilitation, Department of Medicine, Hospice for Neurodisability, Athens, Greece - sfougia@hotmail.com.
Antonios GalanosLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.
Ismene A DontasLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.
Aggeliki TriantafyllouLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.
Ioannis K TriantafyllopoulosFifth Orthopedic Department, Hygeia Private Hospital, Athens, Greece.
Efstathios ChronopoulosLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, Athens, Greece.
National and Kapodistrian University of Athens · GRHygeia Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Modified Barthel Index (MBI) (Shah version) is a widely used functional assessment measure with greater sensitivity and improved reliability compared to the original Barthel Index.

aimThe aim of this study was to adapt the MBI for use in Greece and measure its reliability and validity on a Greek neuro-rehabilitation population.

designObservational study.

settingKAT Hospital Rehabilitation Clinic and National Rehabilitation Centre in Athens, Greece. POPULATION: A total of 100 rehabilitation inpatients and outpatients consisting of 50 stroke and 50 spinal cord injury (SCI) patients were evaluated.

methodsThe MBI underwent the proper translation and cultural adaptation procedure as required by the World Health Organization and was administered to 100 rehabilitation patients. For criterion validity evaluation all patients were also assessed with the Katz Index of Independence in Activities of Daily Living (Katz Index) and the 36-Item Short Form Survey (SF-36) physical functioning subscale, both questionnaires having been validated for use in Greece.

resultsThe unidimensionality solution was rejected and a two- factor solution was adopted based on exploratory and confirmatory factor analysis (Factor 1 - Transfers and Activities of Daily Living, Factor 2 - Mobility). Very high correlation was presented between the Katz Index score and the Greek MBI Factor 1 (r=0.888, P<0.001) and total score (r=0.873 P<0.001) respectively and high with MBI Factor 2 (r=0.561, P<0.001). High correlation was observed between the SF-36 physical functioning subscale score with MBI Factor 1 (r=0.522, P<0.001), MBI Factor 2 (r=0.590, P<0.001) and MBI Total score (r=0.580, P<0.001). The internal consistency of the MBI Factor 1, Factor 2 and Total score was 0.920, 0.860 and 0.923 respectively. Test-retest reliability was remarkably consistent (total score 0.994, P<0.001).

conclusionsThe Greek version of the Modified Barthel Index has been found to exhibit satisfactory levels of reliability and validity. CLINICAL REHABILITATION IMPACT: The Greek MBI adaptation is an adequate and useful instrument for use on Greek neuro-rehabilitation patients.

Indexed as

Neurological RehabilitationStrokeActivities of Daily LivingHumansPsychometricsReproducibility of ResultsSurveys and Questionnaires

Identifiers

PMID37877957
PMCPMC10938040
OpenAlexW4387931841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.