Estimating Postural Control With the Balance Rehabilitation Unit: Measurement Consistency, Accuracy, Validity, and Comparison With Dynamic Posturography

Objective: To examine the psychometric properties (test-retest reliability, concurrent validity, construct validity) of the Balance Rehabilitation Unit (BRU) during testing of sensory integration processes in healthy adults and individuals with vestibular disorders. Design: Experimental cross-sectional design. Setting: Clinic. Participants: Participants (N=90) included 30 subjects with vestibular disorders (age range, 18-85y), 30 young healthy adults (age range, 18-50y), and 30 older healthy adults (age range, 60-85y). Interventions: Not applicable. Main Outcome Measures: Participants were tested twice with the BRU and once with the SMART EquiTest Sensory Organization Test (SOT). The center of pressure (COP) in the anteroposterior direction (COP,) and the COP in the mediolateral direction (COP) were recorded. The COP, and COPml time series were used to estimate the area and velocity of the COP Results: The intraclass correlation coefficient of the COP area and velocity measures for the BRU for all subjects was at least 76 in all sensory organization conditions (P <.001). Significant correlations were found between the BRU and the SOT, ranging from .64 to .81 for COP area and from .44 to .76 for COP velocity. The older control group had significantly greater COP area and velocity compared with younger controls for the BRU and the SOT. The COP (area, velocity) was significantly higher for the younger individuals in the vestibular group than the younger controls. Conclusions: The reliability and validity of COP measurements obtained during testing of the sensory integration processes were demonstrated using the BRU. Future work should examine the responsiveness of these measures when individuals with balance disorders participate in rehabilitation. Archives of Physical Medicine and Rehabilitation 2014;95:65-73 (c) 2014 by the American Congress of Rehabilitation Medicine