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Teranishi T, Kondo I, Sonoda S, Kagaya H, Wada Y, Miyasaka H, Tanino G, Narita W, Sakurai H, Okada M, Saitoh E. A discriminative measure for static postural control ability to prevent in-hospital falls: Reliability and validity of the Standing Test for Imbalance and Disequilibrium (SIDE). Jpn J Compr Rehabil Sci 2010; 1: 11‒16 Purposes: To determine the reliability, validity, and clinical signifi cance of the Standing Test for Imbalance and Disequilibrium (SIDE), a discriminative measure of standing balance, before using it to prevent falls in clinical settings. Methods: In all, 30 patients (18 men and 12 women) with a mean (standard deviation) age of 57.4 (16.97) years (range, 25‒85 years) who were admitted to the “Kaifukuki” rehabilitation ward voluntarily participated in this study. In the reliability study, 2 physiotherapists independently classifi ed the level of static postural control ability by using SIDE. Functional balance control ability was simultaneously evaluated using the Berg Balance Scale (BBS). Cohen’s κ statistic was used to determine the inter-rater reliability, and the Spearman rank-correlation coeffi cient between the BBS score and SIDE level was used to determine the criterion-related validity. Results: Inter-rater reliability of SIDE showed excellent reproducibility (Cohen’s κ statistic = 0.76). Criterion-related validity was very high between SIDE levels and BBS scores (Spearman rank-correlation coeffi cient = 0.93; p < 0.01). Conclusion: SIDE can be used to effi ciently and accurately classify balance control ability across individuals and has remarkable concurrent validity in balance evaluation compared to BBS.

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A discriminative measure for static postural control ability to prevent in-hospital falls: Reliability and validity of the Standing Test for Imbalance and Disequilibrium (SIDE)