Use of a Short Version of the Activities-specific Balance Confidence Scale in Multiple Sclerosis

Wood, Tyler; Wajda, Douglas A.; Sosnoff, Jacob J.

doi:10.7224/1537-2073.2017-047

Cited by 12 publications

(9 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ABC-16 has the highest explanatory value, whereas performance-based tests could not adequately explain falls in those without clinical disability (10). Few studies were reported; however, ABC-6 also has good sensitivity in distinguishing fallers or participants with high risk fall in Parkinson's disease (71.4%) and pwMS (95%), and values are similar to the ABC-16 (12,29). Depression, fatigue, and cognitive processing speed assessed using SDMT were determinants of the ABC-16.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Further Validity of the Short Version of the Activities-Specific Balance Confidence Scale in Patients with Multiple Sclerosis

Abasıyanık¹,

Kahraman²,

Yiğit³

et al. 2021

JMSR

View full text Add to dashboard Cite

Objective: There is scarce data on the utility of the short version of the Activities-specific Balance Confidence Scale in persons with multiple sclerosis (pwMS). Thus, this study aimed to expand the validity of the ABC-6 scale and compare it with the original version of the 16-item ABC scale (ABC-16) in pwMS.Materials and Methods: In total, 156 patients were included (median age: 35 years, 73.1% female and 26.9% male) in this study. The ABC-16 and ABC-6, timed up-and-go test (TUG), TUG-cognitive, six-minute walk test, timed 25-foot walk, MS walking scale, single-leg stance test, modified fatigue impact scale (MFIS), brief international cognitive assessment for multiple sclerosis, Beck depression inventory-II (BDI-II), and epworth sleepiness scale (ESS) were assessed. Validity was assessed in terms of criterion, convergent, discriminant, and known-group validity. Results:The correlation coefficient between the ABC-6 and ABC-16 was 0.974 (p<0.001). The ABC-16 and ABC-6 were strongly correlated with measures of the expanded disability status scale, all walking and balance tests, and physical and psychosocial subscores of MFIS (rs =-0.520 to -0.811, p<0.05). Moderate correlations were found with a cognitive subscore of fatigue, cognitive processing speed, visuospatial memory, and BDI-II (rs =-0.321 to -0.446, p<0.05). Low correlations were found in verbal memory and ESS scores (rs =-0.160 to -0.246, p<0.05). PwMS with a moderatesevere disability had significantly lower ABC-6 scores than that of patients with mild disability (p<0.001). Conclusion:The ABC-6 demonstrated high validity for measuring balance confidence in pwMS. Our findings strengthen the clinical utility of the ABC-6 in pwMS.

show abstract

Section: Discussionmentioning

confidence: 94%

“…Wood et al (12) reported moderate convergent validity and good internal consistency of the ABC-6 in pwMS. They also revealed that both the ABC-6 and ABC-16 had good sensitivity and specificity in distinguishing between pwMS with high fall risk and controls, whereas were less accurate at differentiating low and high fall risk of pwMS.…”

Section: Introductionmentioning

confidence: 99%

Further Validity of the Short Version of the Activities-Specific Balance Confidence Scale in Patients with Multiple Sclerosis

Abasıyanık¹,

Kahraman²,

Yiğit³

et al. 2021

JMSR

View full text Add to dashboard Cite

show abstract

“…Steady-MS consists of 2 components: the first includes 25 questions targeting demographic information and MS symptoms ( Multimedia Appendix 1 ). These questions include age, sex, past history of falls, type of MS, history of MS, the 12-item Multiple Sclerosis Walking Scale (MSWS-12) [ 24 ], and the short form of the Activities Balance Confidence Scale (ABC-6; Figure 1 ) [ 25 ]. These questions were specifically chosen because they are associated with falls in people with MS [ 17 , 26 - 28 ].…”

Section: Methodsmentioning

confidence: 99%

Usability of a Fall Risk mHealth App for People With Multiple Sclerosis: Mixed Methods Study

Hsieh¹,

Fanning²,

Frechette³

et al. 2021

JMIR Hum Factors

View full text Add to dashboard Cite

Background Multiple sclerosis (MS) is a chronic, neurodegenerative disease that causes a range of motor, sensory, and cognitive symptoms. Due to these symptoms, people with MS are at a high risk for falls, fall-related injuries, and reductions in quality of life. There is no cure for MS, and managing symptoms and disease progression is important to maintain a high quality of life. Mobile health (mHealth) apps are commonly used by people with MS to help manage their health. However, there are limited health apps for people with MS designed to evaluate fall risk. A fall risk app can increase access to fall risk assessments and improve self-management. When designing mHealth apps, a user-centered approach is critical for improving use and adoption. Objective The purpose of this study is to undergo a user-centered approach to test and refine the usability of the app through an iterative design process. Methods The fall risk app Steady-MS is an extension of Steady, a fall risk app for older adults. Steady-MS consists of 2 components: a 25-item questionnaire about demographics and MS symptoms and 5 standing balance tasks. Data from the questionnaire and balance tasks were inputted into an algorithm to compute a fall risk score. Two iterations of semistructured interviews (n=5 participants per iteration) were performed to evaluate usability. People with MS used Steady-MS on a smartphone, thinking out loud. Interviews were recorded, transcribed, and developed into codes and themes. People with MS also completed the System Usability Scale. Results A total of 3 themes were identified: intuitive navigation, efficiency of use, and perceived value. Overall, the participants found Steady-MS efficient to use and useful to learn their fall risk score. There were challenges related to cognitive overload during the balance tasks. Modifications were made, and after the second iteration, people with MS reported that the app was intuitive and efficient. Average System Usability Scale scores were 95.5 in both iterations, representing excellent usability. Conclusions Steady-MS is the first mHealth app for people with MS to assess their overall risk of falling and is usable by a subset of people with MS. People with MS found Steady-MS to be usable and useful for understanding their risk of falling. When developing future mHealth apps for people with MS, it is important to prevent cognitive overload through simple and clear instructions and present scores that are understood and interpreted correctly through visuals and text. These findings underscore the importance of user-centered design and provide a foundation for the future development of tools to assess and prevent scalable falls for people with MS. Future steps include understanding the validity of the fall risk algorithm and evaluating the clinical utility of the app.

show abstract

“…An Arabic version of the short, six-question version of the ABC scale was used (ABC-6), as it takes less time than the original 16-items ABC scale, it includes only six items out of the original 16-item scale which are the most balance-challenging tasks (1-standing on tiptoes reaching for something above your head, 2-standing on a chair reaching for something, 3-bumped into by people as you walk through the mall, 4-walking onto or off an escalator while holding onto a railing, 5-walking onto or off an escalator while holding onto parcels such that you cannot hold onto the railing, and 6-walking outside on an icy sidewalk) with less time-consuming to administer. 35 , 36 Patients were instructed to record their response for each item of the (ABC-6) scale. Higher scores of ABC indicating better balance confidence, and a score of <67% indicating a risk for falls.…”

Section: Methodsmentioning

confidence: 99%

Low Vibrational Training as an Additional Intervention for Postural Balance, Balance Confidence and Functional Mobility in Type 2 Diabetic Patients with Lower Limb Burn Injury: A Randomized Clinical Trial

Ibrahim

Ali

Moawd

et al. 2021

DMSO

View full text Add to dashboard Cite

Purpose Burn injury with pre-existing diabetes has poorer outcomes and complications. Balance and functional mobility are disturbed in diabetic patients with burn injury which increase the risk of total morbidity. The aim of the current study was to evaluate the impact of vibrational training as an additional intervention on postural balance, balance confidence and functional mobility in type 2 diabetic patients with lower limb burn injury. Patients and Methods Thirty-eight type 2 diabetic patients of both sexes with healed lower limb burn were randomly assigned into two equal groups: the vibration group and the control group. The vibration group received whole body vibration (WBV), 3 sessions a week for 8 weeks, in addition to the selected exercise program (balance exercises and resisted exercises), while the control group only received the selected exercise program. Biodex Balance System was used to assess the dynamic balance score, the Activities-specific Balance Scale to assess balance confidence and the timed up and go test to assess the functional mobility. All measurements were obtained before and at the end of the study after 8 weeks of treatment. Results Marked improvement in all dynamic balance indices; overall stability index, antero-posterior stability index and medio-lateral stability index, balance confidence and the functional mobility were obtained in both the vibration and the control groups (P< 0.05), whereas post-treatment comparison between groups revealed a statistically significant difference in favor of the vibration group in all measured variables. Conclusion Based on the results of the current study, it is possible to conclude that adding WBV training for an 8-week duration to a selected exercise program (balancing and resisted exercises) seems to be effective; in improving postural balance, balance confidence, as well as improving the functional mobility in type 2 diabetic patients with lower limb burn injury.

show abstract

Use of a Short Version of the Activities-specific Balance Confidence Scale in Multiple Sclerosis

Cited by 12 publications

References 26 publications

Further Validity of the Short Version of the Activities-Specific Balance Confidence Scale in Patients with Multiple Sclerosis

Further Validity of the Short Version of the Activities-Specific Balance Confidence Scale in Patients with Multiple Sclerosis

Usability of a Fall Risk mHealth App for People With Multiple Sclerosis: Mixed Methods Study

Low Vibrational Training as an Additional Intervention for Postural Balance, Balance Confidence and Functional Mobility in Type 2 Diabetic Patients with Lower Limb Burn Injury: A Randomized Clinical Trial

Contact Info

Product

Resources

About