Validity and interrater/intrarater reliability of the Turkish version of the postural assessment scale for stroke patients (PASS-Turk)

ABSTRACT

Background: There is no Turkish version of the Postural Assessment Scale for Stroke patients (PASS).

Objectives: To translate and make the cross-cultural adaptation of the PASS into the Turkish language and evaluate the reliability and validity of the Turkish version (PASS-Turk).

Methods: Sixty patients with stroke who had survived the three-week acute period were included in the study. The first researcher applied the scale to the participants twice with 5-day intervals. The second researcher applied the scale once at the same time with the first researcher. The reliability of PASS-Turk and its subsections was evaluated using Cronbach’s alpha coefficient. In addition, item-total correlation and test-retest reliability were calculated. The interobserver agreement was assessed using the intraclass correlation coefficient. The construct validity of PASS-Turk was assessed using Pearson’s product-moment correlation and principal component analyses. The Berg Balance Scale (BBS) and motor subscale of the Functional Independence Measure (FIM) were used for validity.

Results: The Cronbach’s alpha coefficients of the PASS-Turk scale were 0.903 for the subsection of “maintaining posture,” 0.940 for the subsection of “changing a posture,” and 0.953 for the total PASS-Turk scale. The first and second researcher evaluations were perfectly consistent with each other in terms of PASS-Turk total scores (ICC = 0.999, 95% CI: 0.998–0.999, and p < .001). A strong positive correlation was found between PASS-Turk and BBS and the motor subscale of FIM.

Conclusion: PASS-Turk is a valid and reliable scale for the evaluation of posture and balance of patients with stroke.

KEYWORDS:

• Cerebrovascular disorders
• posture
• postural balance
• reproducibility of results

Author Disclosures

This manuscript describes original work and is not under consideration by any other journal. The authors declare that they have no competing interests and they approved the manuscript and this submission. This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

Ethics approval

Ethical Committee of Ahi Evran University Faculty of Medicine (date 23/02/2016 number: 04/33)

Additional information

Funding

The authors did not receive any financial support for this study.