Comparison of the Berg Balance Scale and the Mini-BESTest for Assessing Balance in Ambulatory People With Spinal Cord Injury: Validation Study

被引：37

作者：

Jorgensen, Vivien ^{[1
,2
]}

Opheim, Arve ^{[2
]}

Halvarsson, Alexandra ^{[1
,3
]}

Franzen, Erika ^{[1
,3
]}

Roaldsen, Kirsti Skavberg ^{[1
,2
]}

机构：

[1] Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden

[2] Sunnaas Rehabil Hosp, Dept Res, N-1450 Nesoddtangen, Norway

[3] Karolinska Univ Hosp, Allied Hlth Profess Funct, Stockholm, Sweden

来源：

PHYSICAL THERAPY | 2017年 / 97卷 / 06期

关键词：

EVALUATION SYSTEMS TEST; VALIDITY; FALLS; INDIVIDUALS; RELIABILITY; RISK; WALKING; LIFE; MULTICENTER; STRENGTH;

D O I：

10.1093/ptj/pzx030

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background. The Berg Balance Scale (BBS) has several constraints-ceiling effect, low responsiveness, and uncertain predictability of falls-in neurological populations. The -Mini-BESTest, which has not yet been validated in spinal cord injury (SCI) populations, has shown no ceiling effect, slightly better responsiveness, and could in some neurological populations predict falls. Objective. Validate and compare psychometric performances of the BBS and -Mini-BESTest in individuals with chronic SCI. Design. Cross-sectional validation study. Methods. Forty-six individuals able to walk 10 meters (85% American Spinal Injury Association Impairment Scale grade D) with mean age of 55 +/- 17 years and median 7 years (range: 1-41) postinjury were included. Floor/ceiling effects were inspected; internal consistency, construct validity, and receiver operating characteristics were analyzed. Results. The Mini-BESTest had no ceiling effect; 28% of participants achieved the maximum score on the BBS. Both scales showed excellent internal consistency (alpha > .93). Strong correlations between both scales (r(s) = 0.90, P < .001) and between both scales and Timed Up and Go (r(s) > .70), Spinal Cord Independence Measure-mobility items (r(s) > .80), and 10-Meter Walk Test (r(s) > .80) support high construct validity. Both scales could differentiate community walkers without walking aids from participants using aids (AUC > .86) and individuals with low/high concerns about falling (AUC > 0.79) but not recurrent (> 2 falls/year) and infrequent fallers (AUC < 0.55). The BBS and Mini-BESTest separated 2 and more than 3 different levels of balance control, respectively. Limitations. Small sample. Conclusions. Both the BBS and Mini-BESTest were found to be valid scales for assessing balance control in individuals with chronic SCI. The Mini-BESTest may be preferable for this group primarily due to the lack of a ceiling effect.

引用

页码：677 / 687

页数：11

共 50 条

[41] Error variability affects the after effects following motor learning of lateral balance control during walking in people with spinal cord injury [J].

Lin, Jui-Te ;

Hsu, Chao-Jung ;

Dee, Weena ;

Chen, David ;

Rymer, William Zev ;

Wu, Ming .

EUROPEAN JOURNAL OF NEUROSCIENCE, 2019, 50 (08) :3221-3234

[42] Role of Virtual Reality in Balance Training in Patients with Spinal Cord Injury: A Prospective Comparative Pre-Post Study [J].

Sengupta, Madhusree ;

Gupta, Anupam ;

Khanna, Meeka ;

Krishnan, U. K. Rashmi ;

Chakrabarti, Dhritiman .

ASIAN SPINE JOURNAL, 2020, 14 (01) :51-58

[43] Do clinical balance measures have the ability to predict falls among ambulatory individuals with spinal cord injury? A systematic review and meta-analysis [J].

Abou, Libak ;

Ilha, Jocemar ;

Romanini, Francielle ;

Rice, Laura A. .

SPINAL CORD, 2019, 57 (12) :1001-1013

[44] Overground vs. treadmill-based robotic gait training to improve seated balance in people with motor-complete spinal cord injury: a case report [J].

Chisholm, Amanda E. ;

Alamro, Raed A. ;

Williams, Alison M. M. ;

Lam, Tania .

JOURNAL OF NEUROENGINEERING AND REHABILITATION, 2017, 14

[45] Gait ability required to achieve therapeutic effect in gait and balance function with the voluntary driven exoskeleton in patients with chronic spinal cord injury: a clinical study [J].

Okawara, Hiroki ;

Sawada, Tomonori ;

Matsubayashi, Kohei ;

Sugai, Keiko ;

Tsuji, Osahiko ;

Nagoshi, Narihito ;

Matsumoto, Morio ;

Nakamura, Masaya .

SPINAL CORD, 2020, 58 (05) :520-527

[46] General Sleep Disturbance Scale (GSDS-IT) in people with spinal cord injury: a psychometric study [J].

Panuccio, Francescaroberta ;

Galeoto, Giovanni ;

Marquez, Maria Auxiliadora ;

Grassi, Maria Letizia ;

Scialpi, Alessia ;

Tofani, Marco ;

Berardi, Anna .

SPINAL CORD, 2020, 58 (11) :1183-1188

[47] A systematic review of validity and reliability assessment of measuring balance and walking at the level of International Classification of Functioning, Disability and Health (ICF) in people with spinal cord injury [J].

Hosseinzadeh, Zahra ;

Ardakani, Mohammad Karimizadeh ;

Minoonejad, Hooman .

JOURNAL OF SPINAL CORD MEDICINE, 2024, 47 (06) :813-823

[48] Balance training improves static stability and gait in chronic incomplete spinal cord injury subjects: a pilot study [J].

Tamburella, F. ;

Scivoletto, G. ;

Molinari, M. .

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, 2013, 49 (03) :353-364

[49] Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study [J].

Postma, Karin ;

Bussmann, Johannes B. J. ;

van Diemen, Tijn ;

Post, Marcel W. M. ;

Dekkers, Jos ;

van Nes, Ilse J. W. ;

Osterthun, Rutger ;

van den Berg-Emons, Rita J. G. .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2020, 101 (12) :2061-2070

[50] Protocol for a single group, mixed methods study investigating the efficacy of photovoice to improve self-efficacy related to balance and falls for spinal cord injury [J].

Sessford, James D. ;

Chan, Katherine ;

Kaiser, Anita ;

Singh, Hardeep ;

Munce, Sarah ;

Alavinia, Mohammad ;

Musselman, Kristin E. .

BMJ OPEN, 2022, 12 (12) :e065684

← 1 2 3 4 5 →