Evidence map›Paper›PMID 40492944›Full record

Observational studyJournal of evaluation in clinical practice2025

Validity and Reliability of the Berg Balance Scale in Different Tele-Assessment Methods in Patients With Stroke.

Birol Önal, Nezire Köse, Şeyma Nur Önal, Hatice Yağmur Zengin

Registry-linked trialAbstract readObservational StudyValidation Study
In one paragraph

Observational study in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05263063 (Comparison of Face-to-face, Synchronous and Asynchronous Use of Methods Used for Balance Assessment), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05263063 completednot on this map

Comparison of Face-to-face, Synchronous and Asynchronous Use of Methods Used for Balance Assessment

Typeobservational_patient_registrySponsorHacettepe UniversityRan2022 to 2023Enrolled36ConditionsStroke PatientsArmsComparison of Face-to-face, Synchronous and Asynchronous Use of Methods Used for Balance Assessment in Individuals With Chronic Stroke
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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

4 authors.

Birol ÖnalDepartment of Physiotherapy and Rehabilitation, Atatürk University, Erzurum, Türkiye.ORCID 0000-0002-3540-7156
Nezire KöseFaculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.ORCID 0000-0001-8342-7293
Şeyma Nur ÖnalBartın University, Vocational School of Health Services, Physiotherapy Program, Bartın, Türkiye.ORCID 0000-0003-2488-7577
Hatice Yağmur ZenginDepartment of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.ORCID 0000-0002-9855-2449

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

AIMS AND

objectiveBalance evaluation is essential for determining treatment and its effectiveness in stroke patients. Considering the widespread use of telehealth services, it is important to evaluate the applicability of balance scales for teleassessment. The aim in this study was to investigate the reliability and validity of the Berg Balance Scale (BBS) applied using synchronous and asynchronous teleassessment methods.

methodTeleassessments were performed by two physiotherapists. Synchronous assessments were conducted online in real time using the application Zoom, while asynchronous assessments involved patients recording videos according to a reference evaluation video sent to them. All tests were repeated 10 days later to assess intrarater reliability.

resultsThirty-six stroke patients (mean age 55.9 ± 9.5 years) participated in the study. Both synchronous and asynchronous teleassessments of the Berg Balance Scale (BBS) demonstrated excellent interrater reliability, with ICC values of 0.989 for synchronous and 0.997 for asynchronous assessments. Intrarater reliability was also high, with ICCs ranging from 0.982 to 0.997 across raters and methods. Regarding concurrent validity, synchronous teleassessment BBS scores showed a strong correlation with face-to-face BBS (r = 0.970) and Timed Balance Test (TBT) scores (r = 0.901), while asynchronous assessments also demonstrated strong correlations (BBS: r = 0.945; TBT: r = 0.885). Correlations with postural sway parameters were moderate, ranging from r =-0.40 to -0.54.

conclusionOur findings suggest that synchronous and asynchronous teleassessment of the BBS may be a viable alternative to face-to-face assessments. However, further research with larger samples is needed to support these findings and increase their generalizability.

trial registrationClinicalTrials.gov identifier: NCT05263063.

Indexed as

Postural BalanceStrokeStroke RehabilitationAgedFemaleHumansMaleMiddle AgedReproducibility of ResultsTelemedicinebalancephysiotherapystroketeleassessmenttelehealth

Identifiers

PMID40492944
PMCPMC12150897

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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.