The Impaired Balance Systems Identified by the BESTest in Older Patients With Knee Osteoarthritis

Tamura, Takayuki; Otaka, Yohei; Konno, Syunsuke; Sadashima, Kento; Tomatsu, Taisuke; Machida, Satoshi

doi:10.1016/j.pmrj.2016.02.002

Cited by 15 publications

(11 citation statements)

References 29 publications

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“…Intra-rater reliability of total scores and domain scores were determined orientation, and gait stability. The BESTest has been validated to assess postural control impairments in various populations (8)(9)(10)(11). In individuals with subacute stroke, the BESTest showed excellent intra-rater and inter-rater reliability as well as significant correlation with the BBS, Postural Assessment Scale for Stroke (PASS), and Community Balance and Mobility scale (CB&M) suggesting concurrent validity (12).…”

Section: Data Collectionmentioning

confidence: 99%

Comparison of measurement properties of three shortened versions of the balance evaluation system test (BESTest) in people with subacute stroke

Winairuk¹,

Pang²,

Saengsirisuwan³

et al. 2019

J Rehabil Med

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The aim of this study is to determine which short versions of the Balance Evaluation System Test (BESTest), S-BESTest, Brief-BESTest and Mini-BESTest, are most appropriate for assessing balance impairments in patients with subacute stroke. Participants were patients with subacute stroke: 12 in the reliability assessment and 70 in the validity testing. Patients were assessed using 3 short-form BESTests. All short-form BESTests demonstrated excellent reliability and excellent validity, but the S-BESTest demonstrated better accuracy in identifying patients with subacute stroke who had balance improvement using the cutoff score of 6 points. These findings suggest that the S-BESTest is a shortform BESTest that is appropriate for assessing balance impairments in patients with subacute stroke. Objectives: To examine the reliability, validity and responsiveness of 3 different short versions of the Balance Evaluation Systems Test (BESTest: S-BESTest, Brief-BESTest and Mini-BESTest) in patients with subacute stroke. Design: A prospective cohort study. Participants: Patients with subacute stroke. Methods: Patients were assessed using the full BESTest. Scores of 3 short-form BESTests were later extracted. The intra-rater and inter-rater reliability (n = 12) were gathered from 5 raters. Concurrent validity was assessed with the Berg Balance Scale (BBS). Floor/ceiling effect, internal responsiveness and external responsiveness with the BBS (n = 70) were assessed at baseline, 2 weeks and 4 weeks post-rehabilitation. Results and conclusion: All short-form BESTests demonstrated excellent intra-rater and inter-rater reliability (intraclass correlation coefficient (ICC) = 0.95-0.99) and excellent concurrent validity (r = 0.93-0.96). Unlike the Brief-BESTest and Mini-BESTest, the S-BESTest and BESTest had no significant floor/ceiling effects (< 20%). The standardized response mean of all 4 BESTest versions were large, ranging between 1.19 and 1.57, indicating sufficient internal responsiveness. The area under the curve of the S-BESTest and BESTest were significantly higher than the Brief-BESTest and Mini-BESTest, reflecting better accuracy of the S-BESTest and BE-STest in identifying patients with subacute stroke who had balance improvement using the minimal clinically important difference of 6 and 16 points, respectively. These findings suggest that the S-BE-STest is a short-form BESTest that is appropriate for assessing balance impairments in patients with subacute stroke.

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Section: Data Collectionmentioning

confidence: 99%

Comparison of measurement properties of three shortened versions of the balance evaluation system test (BESTest) in people with subacute stroke

Winairuk¹,

Pang²,

Saengsirisuwan³

et al. 2019

J Rehabil Med

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“…While the previous reports have provided useful information on total scores from the BESTest, relationships between sections and falls have been little studied. Different sections of the BESTest have been reported to show significant decreases in patients with knee osteoarthritis 16 ) and chronic obstructive pulmonary disease 17 ) compared to age-matched healthy subjects.…”

Section: Introductionmentioning

confidence: 99%

Prediction of falling risk after discharge in ambulatory stroke or history of fracture patients using Balance Evaluation Systems Test (BESTest)

2018

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[Purpose] The purpose of this study was to clarify the relationships between falls and sections of the Balance Evaluation Systems Test (BESTest) in patients with stroke or those with a history of fracture. [Subjects and Methods] This longitudinal study included 51 self-ambulatory inpatients. Balance was assessed 1 week prior to discharge using the BESTest, and the incidence of falls within 6 months after discharge was investigated. Relationships between falling and balance components were analyzed using the t-test or the Mann-Whitney U test and receiver operating characteristic (ROC) curve analysis. [Results] Five subjects were dropped out before follow-up at 6 months. Falls were reported by 10 of the remaining 46 participants. Scores for two sections (Anticipatory Postural Adjustments and Sensory Orientation) were significantly lower in fallers than in non-fallers with stroke. Four of the six sections (Biomechanical Constraints, Anticipatory Postural Adjustments, Sensory Orientation, and Stability in Gait) showed areas under the ROC curves >0.8 (0.82, 0.83, 0.84, and 0.81, respectively). In patients with a history of fractures, all sections were not significantly different between fallers and non-fallers. [Conclusion] Anticipatory Postural Adjustments and Sensory Orientation sections of the BESTest were related to future occurrence of fall after discharge in self-ambulatory stroke patients.

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“…In adults, the original, or Full-BESTest, has been shown to assist in identifying specific balance deficits [32] and in measuring changes in postural control before and after intervention [33]. In children, one preliminary study involving children with CP has supported the potential use of the Full-BESTest with paediatric populations [34].…”

Section: Introductionmentioning

confidence: 99%

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

et al. 2017

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This study evaluated the intra-rater, inter-rater and test-retest reproducibility of the FullBESTest and Mini-BESTest when assessing postural control in children. Thirty-four children aged 7-17 years participated in intra-rater and inter-rater evaluation, and 22 children repeated assessment six weeks later for evaluation of test-retest reliability.Postural control was assessed using the Full Balance Evaluation Systems Test (FullBESTest) and the short-form Mini-BESTest. Intra-rater, inter-rater and test-retest reproducibility were examined using video assessment. Test-retest reproducibility was also assessed in real-time. Reproducibility was examined by agreement and reliability statistics. Agreement was calculated using percentage of agreement, Limits of Agreement and Smallest Detectable Change. Reliability was calculated using Intra-class Correlation Coefficients. Results showed that the reliability of Total Scores was excellent for the Full-BESTest for all conditions (all ICCs>0.82), whereas the MiniBESTest ranged from fair to excellent (ICC=0.56 to 0.86). Percentage of Domain Scores with good-excellent reliability (ICCs>0.60) was slightly higher for the FullBESTest (66%) compared to the Mini-BESTest (59%). Smallest Detectable Change scores were good to excellent for the Full-BESTest (2% to 6%) and for the BESTest (5% to 10%) relative to total test scores. Both the Full-BESTest and MiniBESTest can discriminate postural control abilities within and between days in schoolaged children. The Full-BESTest has slightly better reproducibility and a broader range of items, which could be the most useful version for treatment planning. We propose minor modifications are recommended to improve reproducibility for children, and indicate the modified version by the title Kids-BESTest. Future psychometric research is recommended for specific paediatric clinical populations.

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The Impaired Balance Systems Identified by the BESTest in Older Patients With Knee Osteoarthritis

Abstract: Most balance systems were impaired in older people with KOA, and this impairment was associated independently with decreased physical ADL.

Cited by 15 publications

References 29 publications

Comparison of measurement properties of three shortened versions of the balance evaluation system test (BESTest) in people with subacute stroke

Comparison of measurement properties of three shortened versions of the balance evaluation system test (BESTest) in people with subacute stroke

Prediction of falling risk after discharge in ambulatory stroke or history of fracture patients using Balance Evaluation Systems Test (BESTest)

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

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