Is the Berg Balance Scale an Internally Valid and Reliable Measure of Balance Across Different Etiologies in Neurorehabilitation? A Revisited Rasch Analysis Study

Porta, Fabio La; Caselli, Serena; Susassi, Sonia; Cavallini, Paola; Tennant, Alan; Franceschini, Marco

doi:10.1016/j.apmr.2012.02.020

Cited by 75 publications

(90 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Berg Balance Scale (BBS) constitutes one of the very well-characterized and established clinical assessment measures for balance in the elderly and patients with balance deficiencies due to various neurological conditions (e.g. stroke, multiple sclerosis and Parkinson's disease) (La Porta et al, 2012;Toomey and Coote, 2013). Isolated functional balance tests include the Romberg Test, which has the advantage of differentiating between lesions in the central and peripheral nervous system, the Functional Reach Test and the Timed Up and Go test, which have all been used in combination with several functional scales in clinical and research settings (Barry et al, 2014;Garcia et al, 2012;Tyson and Connell, 2009;Yelnik and Bonan, 2008).…”

Section: Introductionmentioning

confidence: 99%

Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke

Lampropoulou

Billis²,

Gedikoglou

et al. 2018

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

Objectives: This study aimed to investigate the psychometric characteristics of reliability, validity and ability to detect change of a newly developed balance assessment tool, the Mini-BESTest, in Greek patients with stroke. Design: A prospective, observational design study with test-retest measures was conducted. Methods: A convenience sample of 21 Greek patients with chronic stroke (14 male, 7 female; age of 63 ± 16 years) was recruited. Two independent examiners administered the scale, for the inter-rater reliability, twice within 10 days for the test-retest reliability. Bland Altman Analysis for repeated measures assessed the absolute reliability and the Standard Error of Measurement (SEM) and the Minimum Detectable Change at 95% confidence interval (MDC 95% ) were established. The Greek Mini-BESTest (Mini-BESTest GR ) was correlated with the Greek Berg Balance Scale (BBS GR ) for assessing the concurrent validity and with the Timed Up and Go (TUG), the Functional Reach Test (FRT) and the Greek Falls Efficacy Scale-International (FES-I GR ) for the convergent validity. The exceptionally high reliability and the equally good validity of the Mini-BESTest GR , strongly support its utility in Greek people with chronic stroke. Its ability to identify clinically meaningful changes and falls risk need further investigation. ARTICLE HISTORY

show abstract

Section: Introductionmentioning

confidence: 99%

Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke

Lampropoulou

Billis²,

Gedikoglou

et al. 2018

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

show abstract

“…For community-dwelling elderly [2] and people with neurologic disorders [3], the Berg Balance Scale (BBS) has demonstrated excellent psychometric properties and has been widely used as an objective assessment of balance ability. Recent research has determined that the BBS is a valid assessment of balance ability in people with lower-limb amputations, including prosthetic and nonprosthetic users [4].…”

Section: Introductionmentioning

confidence: 99%

Role of balance ability and confidence in prosthetic use for mobility of people with lower-limb loss

et al. 2014

View full text Add to dashboard Cite

Abstract-For people with lower-limb loss, impaired balance is common and limits prosthetic function within the community. This cross-sectional study (1) analyzed relationships among prosthetic use for mobility, balance ability and confidence, and amputation-related variables and (2) determined multivariate models to identify level of prosthetic use. Subjects included 46 community-dwelling adults (mean age 56.2 yr) with limb loss (91.3% unilateral) of varied levels (52.2% transtibial) and etiologies (69.6% vascular). A three-variable linear regression model including balance ability, balance confidence, and years since amputation explained 63.7% of variance in the Houghton scale of prosthetic use score. A logistic regression model including the 14-task Berg Balance Scale, balance confidence, years since amputation, age, and number of comorbidities correctly differentiated between people who had reached a satisfactory level of prosthetic use or not 89.1% of the time. The first three variables demonstrated moderate accuracy with positive likelihood ratios from 2.34 to 4.35. The regression model was further reduced to correctly classify 87.0% of cases with three balance ability tasks (retrieving objects from floor, turning to look behind, and placing alternate foot on stool), balance confidence, and numbers of comorbidities. Logistic models that include balance ability, balance confidence, and numbers of comorbidities can identify level of prosthetic use in people with lower-limb loss. Increased balance confidence and ability when retrieving objects from floor, turning to look behind, and placing alternate foot on stool were most indicative of successful prosthetic use for mobility.

show abstract

“…Therefore we modified the BBS and removed these three items. Validity and reliability of this assessment has been demonstrated in neurological rehabilitation [11][12][13] and as well in patients with SCI. 14 The Dynamic Gait Index (DGI) 15 was also filled out on a monthly basis.…”

mentioning

confidence: 99%

Effects of training with the ReWalk exoskeleton on quality of life in incomplete spinal cord injury: a single case study

Raab

Krakow

Tripp

et al. 2016

Spinal Cord Ser Cases

View full text Add to dashboard Cite

It is a single case study. An investigation to what extent the quality of life (QoL) of patients with spinal cord injury can be influenced by the training with an exoskeleton. The study was carried out at a Hospital for neurological rehabilitation, Germany. One patient (male, 22 years), initially unable to walk independently after traumatic spinal cord injury with neurological level Th11 (ASIA Impairment Scale C) was recruited for this study 1 year after injury. The progress of the first 6 months of ReWalk training was documented and as primary outcome measure the QoL was measured with SF-36 questionnaire. Secondary outcome measures were ASIA scale, Berg-Balance-Scale and Dynamic Gait Index. At the end of the studyperiod the patient was able to walk independently supervised by one person. QoL, mobility, risk of falling, motor skills and control of bladder and bowel functions were improved. A positive effect of robot-assisted gait training on various areas of the QoL was shown. Subsequent studies should aim to verify this effect through a higher number of patients and to different injury levels.

show abstract

Is the Berg Balance Scale an Internally Valid and Reliable Measure of Balance Across Different Etiologies in Neurorehabilitation? A Revisited Rasch Analysis Study

Cited by 75 publications

References 24 publications

Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke

Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke

Role of balance ability and confidence in prosthetic use for mobility of people with lower-limb loss

Effects of training with the ReWalk exoskeleton on quality of life in incomplete spinal cord injury: a single case study

Contact Info

Product

Resources

About