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Clinical Rehabilitation, Vol. 13, No. 2, 141-147 (1999)
DOI: 10.1191/026921599668105029
© 1999 SAGE Publications

Sensitivity of Shah, Vanclay and Cooper's modified Barthel Index

Clare Hocking

School of Occupational Therapy, Auckland, New Zealand

Maynard Williams

Research Centre, Health Studies Faculty, Auckland Institute of Technology, Auckland, New Zealand

Joanna Broad

Clinical Trials Research Unit, University of Auckland, Auckland, New Zealand

Jonathan Baskett

Health Services for Older People, Waitemata Health Ltd, Auckland, New Zealand

Objective: To investigate whether Shah, Vanclay and Cooper's modification of the Barthel Index improved its sensitivity to change.

Design: Correlational study.

Setting: School of Occupational Therapy at Auckland Institute of Technology, Auckland, New Zealand.

Subjects: One hundred subjects requiring rehabilitation following a stroke.

Main outcome measures: Change in function which was measured using Shah, Vanclay and Cooper's (1989) modified Barthel Index and walking speed over 10 metres.

Results: Five statistical analyses were undertaken, none of which demonstrated clear superiority of one measure over the other.

Conclusions: The study did not indicate the modified Barthel Index to be more sensitive to change than the 20-point Barthel Index for this population. The statistical analysis strategies utilized are recommended for similar studies.


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