Sensitivity to Change and Responsiveness of Four Balance Measures for Community-Dwelling Older Adults

Pardasaney, Poonam; Latham, Nancy K.; Jette, Alan M.; Wagenaar, Robert; Ni, Pengsheng; Slavin, Mary D.; Bean, Jonathan F.

doi:10.2522/ptj.20100398

Cited by 157 publications

(155 citation statements)

References 54 publications

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“…Ceiling and floor effects as well as skewness of the Mini-BESTest GR were examined to assure that the sample distribution of scores would not affect the ability of the scale to detect changes in performance, and hence limit sensitivity (Pardasaney et al, 2012).…”

Section: Distribution Of the Scores Ceiling And Floor Effectsmentioning

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

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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

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Section: Distribution Of the Scores Ceiling And Floor Effectsmentioning

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

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“…9 However, due to multidimensional properties of the balance system, it is not useful to design only a single balance assessment capable of predicting a person's risk for falling and minimize the ceiling and floor effect at the same time. 10 The Berg balance scale (BBS) 11 is a test with five different scoring scales. This instrument is widely used to evaluate balance function in elderly people and in patients with stroke.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Validity of the Seven-Item BBS-3P with Other Clinical Measures of Balance in a Sample of Stroke Patients

Kim

Kim³

2017

J Kor Phys Ther

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Purpose: The aim of this study was to investigate if the 7-item Berg balance scale (BBS) 3-point, which is a short form of the BBS (SFBBS), has compatible psychometric properties in comparison with the original BBS, and also to study the concurrent validity using a 10-meter walk test (10mWT) and a timed up and go test (TUG), which are widely used with SFBBS in clinical settings. Methods: A total of 255 patients who had experienced stroke participated in this cross-sectional study. We used results obtained from 188 patients who completed both 10mWT and TUG. The three levels in the center of the BBS were collapsed to a single level (i.e.,0-2-4) to form the SFBBS. The concurrent validity was assessed by computing the Spearman coefficients for correlation among outcome measures and in between each outcome measure and the SFBBS. As there were four outcomes, the corrected p-value for significant correlation was 0.013 (0.05/4). Results: Spearman coefficients for correlations and evaluation instruments for concurrent validity revealed significantly high validity for both of SFBBS and BBS (r= 0.944). 10mWT and TUG were -0.749 and -0.770 respectively, which are in the high margin and are statistically significant (p> 0.000). Conclusion: SFBBS has sound psychometric properties for evaluating patients with stroke. Thus, we recommend the use of SFBBS in both clinical and research settings.

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“…Early detection of decline in balance could facilitate earlier intervention and potentially reduce the risk of falls. Current clinical measures of balance are restricted by ceiling scores which higher functioning older adults are likely to obtain [6]. Inertial sensor based balance assessments may represent an appropriate substitute to current assessments for higher functioning groups.…”

Section: Introductionmentioning

confidence: 99%

Early identification of declining balance in higher functioning older adults, an inertial sensor based method

et al. 2014

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Sensitivity to Change and Responsiveness of Four Balance Measures for Community-Dwelling Older Adults

Cited by 157 publications

References 54 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

Concurrent Validity of the Seven-Item BBS-3P with Other Clinical Measures of Balance in a Sample of Stroke Patients

Early identification of declining balance in higher functioning older adults, an inertial sensor based method

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