Comparison of the Fullerton Advanced Balance Scale, Mini-BESTest, and Berg Balance Scale to Predict Falls in Parkinson Disease

Schlenstedt, Christian; Brombacher, Stephanie; Hartwigsen, Gesa; Weisser, Burkhard; Möller, Bettina; Deuschl, Günther

doi:10.2522/ptj.20150249

Cited by 64 publications

(60 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, using various scales, balance problems could be easily checked in PD patients, and it is possible to predict falls with these scales 30 . Therefore, balance function is crucial to avoiding falls, and prevention strategies focusing on postural instability, such as balance rehabilitation, could reduce falls in PD patients 31, 32 .…”

Section: Discussionmentioning

confidence: 99%

Falling Direction can Predict the Mechanism of Recurrent Falls in Advanced Parkinson’s Disease

Youn

Okuma

Hwang

et al. 2017

Sci Rep

View full text Add to dashboard Cite

Falls are a common and disabling symptom in patients with Parkinson’s disease (PD). For prevention, it is important to understand the pathophysiology of falls in PD patients, but the predictors for the possible mechanisms underlying such falls have not been clearly elucidated. In this prospective observational study, we investigated the implications of falling direction to predict the mechanisms of recurrent falls in PD patients. We enrolled 62 recurrent fallers with PD and divided them into two groups according to the main falling directions: 45 PD fallers who fell forward (forward fallers), and 17 PD fallers who fell in the other directions (non-forward fallers). Although there was no difference in demographic data, parkinsonism, or frontal lobe function, forward fallers showed more severe falls and tended to fall during walking or turning, while non-forward fallers usually fell during sitting/standing or turning. Additionally, forward fallers revealed higher score on a freezing of gait (FOG) questionnaire. Logistic regression analysis demonstrated that FOG was associated with falling forward, while balance impairment, akinetic-rigid subtype, and neuropsychiatric symptoms were associated with falling into the other directions. Our results indicate that FOG and balance impairment are two major mechanisms for recurrent falling in PD patients, and falling direction is an important predictor for these mechanisms.

show abstract

Section: Discussionmentioning

confidence: 99%

Falling Direction can Predict the Mechanism of Recurrent Falls in Advanced Parkinson’s Disease

Youn

Okuma

Hwang

et al. 2017

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Based on a recommended cut score of 20/32 points, the BEST test accurately predicted falls in PD during a 6‐month period (area under curve = 0.87, sensitivity = 0.86, specificity = 0.78) . There was no evidence of ceiling or floor effects, and a normal distribution of scores was observed in PD . An informative, web‐based training is available for these tests.…”

Section: Assessing Risk and Classifying Falls: From Technology To CLImentioning

confidence: 99%

“…47,48 There was no evidence of ceiling or floor effects, and a normal distribution of scores was observed in PD. 49 An informative, webbased training is available for these tests. Another advantage of the BEST and mini-BEST is that both identify specific domains where deficits occur, identifying targets for therapy.…”

Section: Classification Of Fallsmentioning

confidence: 99%

Falls in Parkinson's disease: A complex and evolving picture

et al. 2017

View full text Add to dashboard Cite

Falls are a major determinant of poor quality of life, immobilization, and reduced life expectancy in people affected by Parkinson's disease (PD) and in older adults more generally. Although many questions remain, recent research has advanced the understanding of this complex problem. The goal of this review is to condense new knowledge of falls in PD from prodromal to advanced disease, taking into account risk factors, assessment, and classification as well as treatment. The fundamental steps of clinical and research-based approaches to falls are described, namely, the identification of fall risk factors, clinical and instrumental methods to evaluate and classify fall risk, and the latest evidence to reduce or delay falls in PD. We summarize recent developments, the direction in which the field should be heading, and what can be recommended at this stage. We also provide a practical algorithm for clinicians.© 2017 International Parkinson and Movement Disorder Society.

show abstract

“…Each assignment's score is 0-4, with 0 indicating inability to fulfill the balance assignment and 4 showing the subjects' ability to accomplish the task ideally and totally independently. The total score is calculated by summing up the scores of the ten sections [22,23]. A test-retest reliability coefficient of 0.96 and an interrater reliability of 0.94-0.97 were also calculated for this tool [22][23][24].…”

Section: The Fullerton Advanced Balance (Fab) Scalementioning

confidence: 99%

“…The total score is calculated by summing up the scores of the ten sections [22,23]. A test-retest reliability coefficient of 0.96 and an interrater reliability of 0.94-0.97 were also calculated for this tool [22][23][24].…”

Section: The Fullerton Advanced Balance (Fab) Scalementioning

confidence: 99%