The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: a multicenter, retrospective, observational study

Tamura, Shuntaro; Miyata, Kazuhiro; Kobayashi, Sota; Takeda, Ren; Iwamoto, Hiroaki

doi:10.1080/10749357.2021.1943800

Cited by 35 publications

(35 citation statements)

References 26 publications

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“…The meta-analysis revealed no statistically significant results ( p = 1.00; mean difference = −0.01, 95% confidence interval (CI) = −3.24, 3.26) (see Figure 4 a). Considering the estimated minimal clinically important difference (MCID) of the BBS score for individuals with subacute stroke [ 33 ], the results of this quantitative analysis did not reveal any considerable clinical improvement worthwhile for the sample as the lower limit in the effect size was lower than the MCID. Lastly, the I 2 value was equal to 0% for heterogeneity.…”

Section: Resultsmentioning

confidence: 99%

“…It is interesting that, in both studies, in addition to ADL enhancement, significant improvements in balance were also reported. Further investigations are needed to assess if a direct relationship between balance and ADL improvements due to o-RAGT is present in the stroke population [ 33 ]. The meta-analysis was conducted on three out of four RCTs that were focused on ADL evaluation, of which only one reported a significant change due to the EksoGT device plus CT.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

et al. 2022

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Strokes often lead to a deficit in motor control that contributes to a reduced balance function. Impairments in the balance function severely limit the activities of daily living (ADL) in stroke survivors. The present systematic review and meta-analysis primarily aims to explore the efficacy of overground robot-assisted gait training (o-RAGT) on balance recovery in individuals with stroke. In addition, the efficacy on ADL is also investigated. This systematic review identified nine articles investigating the effects of o-RAGT on balance, four of which also assessed ADL. The results of the meta-analysis suggest that o-RAGT does not increase balance and ADL outcomes more than conventional therapy in individuals after stroke. The data should not be overestimated due to the low number of studies included in the meta-analysis and the wide confidence intervals. Subgroup analyses to investigate the influence of participant’s characteristics and training dosage were not performed due to lack of data availability. Further well-designed randomized controlled trials are needed to investigate the efficacy of o-RAGT on balance in individuals with stroke.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

et al. 2022

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“…The minimum clinically important differences (MCID) of each outcome measurement was considered to be as follows: 0.16 m/s in walking speed ( 44 ), 5 points in the BBS ( 45 ), 9.25% (1.85/20 points) in the BI ( 46 ), and 22 points in the FIM ( 47 ). In addition, changes in the TCT above the cut-off score of 40 was considered clinically meaningful ( 40 ), and an improvement of at least 1 point in the FAC was considered to be clinically meaningful ( 45 ). Based on the above considerations, the improvements in each outcome were as follows: those in functional mobility were reported in 10 of 15 cases, with improvements in the FAC in 6 cases ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Knee–Ankle–Foot Orthosis on Functional Mobility and Activities of Daily Living in Patients with Stroke: A Systematic Review of Case Reports

Kobayashi¹,

Hiratsuka²,

Haruna

et al. 2022

JRM

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Objective: To synthesize available evidence from case reports regarding the efficacy of knee–ankle–foot orthosis (KAFO) on functional mobility and activities of daily living (ADL) in patients with stroke.Methods: The following databases were searched, based on the Population Intervention Comparison Outcome (PICO) model: PubMed, CINAHL, Scopus, Cochrane Central Register of Controlled Trials, PEDro, Web of Science, and Igaku Chuo Zassi (in Japanese). Methodological quality was assessed using the CARE checklist.Results: A total of 14 articles, including 15 cases, were selected. Clinically meaningful improvement in functional mobility was reported in 10 of 15 cases, measured using the Functional Ambulatory Category, Trunk Control Test, walking speed, and Berg Balance Scale. Clinically meaningful improvement in ADL was reported in 9 of 15 cases, measured using the Barthel Index and Functional Independent Measure. However, the methodological quality of the reviewed articles was low, with missing information on limitations of management, adverse events, and patient-reported outcomes.Conclusion: This systematic review of case reports found limited evidence of the efficacy of KAFO in terms of improvement in functional mobility and ADL. Of value, this study revealed the optimal outcomes for measuring the efficacy of KAFO.

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“…BBS scale was used to evaluate balance function through 14 items, which ask the subject to maintain a specific position, to carry out specific motor tasks and postural transitions [21]. A significant difference (six points) between total BBS score in T1 and T10, higher than values of minimal clinically significant difference cited in literature, emerged at final evaluation [22,23]. An increase of single scores of BBS items was pointed out in:…”

Section: Resultsmentioning

confidence: 99%

Robot Assisted Gait Training in a Patient with Ataxia

Lamberti

Sesenna²,

Marina

et al. 2022

Neurology International

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Background: Ataxia is a neurological sign characterized by motor coordination during gait/voluntary limb movements impairment. Ataxic gait leads to disability and worsening of quality of life; physiotherapy intervention is recommended to improve motor function. Recent studies showed benefits due to repetitive robotized assisted gait training using a static exoskeleton in patients affected by acquired ataxias. The aim of the study was to perform a preliminary evaluation of the short-term effects of overground UAN.GO®-assisted gait training in an adult patient with ataxia but with no clear genetic pattern. Methods: This case report study was conducted on a single male adult patient, who presented ataxic spastic gait, posterior chain tightness, pes cavus, and unstable standing position. The patient underwent two preliminary sessions to take part in the study. Treatment protocol planned 10 sessions and each one lasted 80 min, 60 of which were spent in gait training using the mobile overground exoskeleton UAN.GO®. At T1 (start of the study) and T10 (final evaluation) assessments using the Scale for the Assessment and Rating of Ataxia, Berg Balance Scale, 6-Minute Walking Test, and Likert Scale were administered. Space-time parameters of gait cycle were also evaluated: left and right step length, stance and swing percentages. Results: improvements on the Scale for the Assessment and Rating of Ataxia, Berg Balance Scale, and in the distance travelled at 6-Minute Walking Test emerged. The patient gave a positive opinion towards the treatment, showed by Likert Scale results. Kinematic gait analysis showed more physiological step length, stance and swing percentages, joint angles. The patient completed the training program with an excellent compliance. Discussion: Since these encouraging outcomes were obtained, it is possible to consider robot-assisted gait training performed with UAN.GO® as a therapeutic option to improve motor and functional performance in patients with ataxic gait.

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The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: a multicenter, retrospective, observational study

Cited by 35 publications

References 26 publications

Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

Efficacy of Knee–Ankle–Foot Orthosis on Functional Mobility and Activities of Daily Living in Patients with Stroke: A Systematic Review of Case Reports

Robot Assisted Gait Training in a Patient with Ataxia

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