Psychometric properties of the Berg balance scale in idiopathic Parkinson’ disease in the drug off-phase

ABSTRACT Background: The Berg Balance Scale is widely used to measure balance ability in clinical practice. Recently, the original version was redefined from 14 into 12 items. Its psychometric properties were investigated for different populations. However, for Parkinson disease the new version has not been validated yet. Objective: The purpose of the present study was to evaluate psychometric properties of the 12-item Berg Balance Scale (BBS-12) in a population with Parkinson disease. Methods: Internal consistency was evaluated with Cronbach’s alpha coefficient, whereas reliability was assessed with the intraclass correlation coefficient. For validity analysis, the Pearson correlation coefficient of the BBS-12 was evaluated with the Tinetti Scale and the Physical Activity Scale for the Elderly. Results: The BBS-12 was applied to 50 individuals with a mean age of 65.6 years (SD 11.8). The internal consistency showed a good value (Cronbach's alpha 0.886) and reproducibility reveled very high performances for both inter-rater and intra-rater reliabilities (ICC 0.987 and 0.986, respectively). The validity study demonstrated good linear correlation with the Tinetti Scale (p<0.01) and with the Sport and Home Subscales of the Physical Activity Scale for the Elderly (p<0.01). Conclusions: The present findings revealed the BBS-12 as a reliable and valid assessment tool to measure balance ability in Parkinson disease. Italian health professionals can now use it with more confidence.

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Reliability and validity of the Persian translation of Berg Balance Scale in Parkinson disease

Aging Clinical and Experimental Research ◽

10.1007/s40520-016-0682-7 ◽

2016 ◽

Vol 29 (5) ◽

pp. 857-862 ◽

Cited By ~ 9

Author(s):

Arash Babaei-Ghazani ◽

Hosein Mohammadi ◽

Gholam Ali Shahidi ◽

Seyed Amir Hasan Habibi ◽

Bijan Forogh ◽

...

Keyword(s):

Parkinson Disease ◽

Reliability And Validity ◽

Berg Balance Scale ◽

Balance Scale ◽

Persian Translation

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Psychometric Properties of the Berg Balance Scale in a Community-dwelling Elderly Resident Population in Taiwan

Journal of the Formosan Medical Association ◽

10.1016/s0929-6646(09)60283-7 ◽

2006 ◽

Vol 105 (12) ◽

pp. 992-1000 ◽

Cited By ~ 51

Author(s):

Ching-Yi Wang ◽

Ching-Lin Hsieh ◽

Sharon L. Olson ◽

Chun-Hou Wang ◽

Ching-Fan Sheu ◽

...

Keyword(s):

Psychometric Properties ◽

Berg Balance Scale ◽

Community Dwelling ◽

Resident Population ◽

Balance Scale ◽

Elderly Resident

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Validation of a Russian version of the Berg Balance Scale

Neurology neuropsychiatry Psychosomatics ◽

10.14412/2074-2711-2021-3-12-18 ◽

2021 ◽

Vol 13 (3) ◽

pp. 12-18

Author(s):

N. A. Suponeva ◽

D. G. Yusupova ◽

A. A. Zimin ◽

A. B. Zaitsev ◽

K. A. Yatsko ◽

...

Keyword(s):

Psychometric Properties ◽

Validation Study ◽

Berg Balance Scale ◽

Demyelinating Diseases ◽

Research Center ◽

Balance Scale ◽

Russian Version ◽

Number Of Patients ◽

Risk Of Falls ◽

High Level

Objective: linguistic and cultural adaptation of the original version of Berg Balance Scale (BBS) and assessment its psychometric properties.Patients and methods. The staff of the Validation Center of International Scales and Questionnaires of the Research Center of Neurology received consent from Katherine Berg to validate the BSS in Russia. We carried out the linguocultural ratification during the validation study and prepared a Russian version of the scale. To assess the psychometric properties of the scale (reliability, validity, and sensitivity), we evaluated 55 patients (30 females and 25 males) aged 22–88 years with different neurological disorders (vascular and demyelinating diseases of the central nervous system, peripheral neuropathy, and movement disorders). We analyzed the differences of the total BBS score and the number of patients with high and low risk of falls at the end of rehabilitation compared to baseline to assess the dynamics of changes.Results and discussion. We successfully performed the translation and linguocultural adaptation of the BBS. The scale represents a high level of validity (expert score: 8.6 out of 10 points), reliability (Pearson's correlation coefficient r=0.98, р<0.0001; Cronbach's alpha α=0.94 р<0.001; Cohen's kappa κ=0.71, p<0.0001) and sensitivity (р<0.0001). After a two-week rehabilitation course, the risk of falls significantly decreased (χ2 =4.42; р=0.035); however, the level of independence of movement did not change significantly (F=0.94; р=0.636).Conclusion. The Russian version of the BBS was officially adapted based on the results of the accomplished validation study and is recommended for use both in routine clinical practice and in clinical trials by neurologists and rehabilitologists. The scale is available for downloading by QR code and on the website of Validation Center of International Scales and Questionnaires of the Research Center of Neurology.

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Barthel Index and modified Rankin Scale: Psychometric properties during medication phases in idiopathic Parkinson disease

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2019.08.006 ◽

2020 ◽

Vol 63 (6) ◽

pp. 500-504 ◽

Cited By ~ 4

Author(s):

Ghorban Taghizadeh ◽

Pablo Martinez-Martin ◽

Mahsa Meimandi ◽

Sayed Amir Hasan Habibi ◽

Shamsi Jamali ◽

...

Keyword(s):

Parkinson Disease ◽

Psychometric Properties ◽

Barthel Index ◽

Modified Rankin Scale ◽

Idiopathic Parkinson Disease

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Comparing the Fullerton Advanced Balance Scale With the Mini-BESTest and Berg Balance Scale to Assess Postural Control in Patients With Parkinson Disease

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2014.09.002 ◽

2015 ◽

Vol 96 (2) ◽

pp. 218-225 ◽

Cited By ~ 40

Author(s):

Christian Schlenstedt ◽

Stephanie Brombacher ◽

Gesa Hartwigsen ◽

Burkhard Weisser ◽

Bettina Möller ◽

...

Keyword(s):

Postural Control ◽

Parkinson Disease ◽

Berg Balance Scale ◽

Balance Scale

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Effect of Virtual Reality on Balance in Individuals With Parkinson Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Physical Therapy ◽

10.1093/ptj/pzaa042 ◽

2020 ◽

Vol 100 (6) ◽

pp. 933-945 ◽

Cited By ~ 1

Author(s):

Yi Chen ◽

Qiang Gao ◽

Cheng-Qi He ◽

Rong Bian

Keyword(s):

Virtual Reality ◽

Parkinson Disease ◽

Randomized Controlled Trials ◽

Berg Balance Scale ◽

Controlled Trials ◽

Balance Scale ◽

Randomized Controlled ◽

Functional Gait ◽

Dynamic Gait Index ◽

Dynamic Gait

Abstract Background Virtual reality (VR) is a frequently used intervention for the rehabilitation of individuals with neurological disorders. Purpose The aims of this review were to identify the short-term effect of VR on balance and to compare it with the effect of active interventions in individuals with Parkinson disease (PD). Data Sources Searches for relevant articles available in English were conducted using the MEDLINE (via PubMed), EMBASE, CENTRAL, CINAHL, PsycINFO, and Physiotherapy Evidence Database databases from inception until March 2019. Study Selection All randomized controlled trials comparing the effect of training with VR and the effect of training without VR on balance in individuals with PD were included. Data Extraction Two authors independently extracted data, assessed the methodological quality, and evaluated the evidence quality of the studies. Data Synthesis Fourteen randomized controlled trials including 574 individuals were eligible for qualitative analyses, and 12 of the studies involving 481 individuals were identified as being eligible for meta-analyses. Compared with active interventions, the use of VR improved the Berg Balance Scale score (mean difference = 1.23; 95% CI = 0.15 to 2.31; I2 = 56%). The Dynamic Gait Index and Functional Gait Assessment results were also significant after the sensitivity analyses (mean difference = 0.69; 95% CI = 0.12 to 1.26; I2 = 0%). Both provided moderate statistical evidence. However, the Timed “Up & Go” Test and the Activities-Specific Balance Confidence Scale did not differ significantly. Limitations Publication bias and diversity in the interventions were the main limitations. Conclusions Existing moderate evidence of the effectiveness of VR with the Berg Balance Scale, Dynamic Gait Index, and Functional Gait Assessment for individuals with PD was promising. Although the differences did not reach the clinically important change threshold, VR was comparable to active interventions and could be considered an adjuvant therapy for balance rehabilitation in individuals with PD.

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Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review

Physical Therapy ◽

10.2522/ptj.20070205 ◽

2008 ◽

Vol 88 (5) ◽

pp. 559-566 ◽

Cited By ~ 511

Author(s):

Lisa Blum ◽

Nicol Korner-Bitensky

Keyword(s):

Systematic Review ◽

Psychometric Properties ◽

Stroke Rehabilitation ◽

Intraclass Correlation ◽

Functional Independence ◽

Berg Balance Scale ◽

Balance Scale ◽

Stroke Population ◽

Functional Reach Test ◽

Ceiling Effects

Background In a recent study of 655 physical therapists working with a stroke population, the Berg Balance Scale (BBS) was identified as the most commonly used assessment tool across the continuum of stroke rehabilitation. Given the widespread popularity of the BBS, it is important to critically appraise the BBS for its use with a stroke population. Objective The purposes of this study were to conduct a systematic review of the psychometric properties of the BBS specific to stroke and to identify strengths and weaknesses in its usefulness for stroke rehabilitation. Results Twenty-one studies examining the psychometric properties of the BBS with a stroke population were retrieved. Internal consistency was excellent (Cronbach alpha=.92–.98) as was interrater reliability (intraclass correlation coefficients [ICCs]=.95–.98), intrarater reliability (ICC=.97), and test-retest reliability (ICC=.98). Sixteen studies focused on validity and generally found excellent correlations with the Barthel Index, the Postural Assessment Scale for Stroke Patients, Functional Reach Test, the balance subscale of Fugl-Meyer Assessment, the Functional Independence Measure, the Rivermead Mobility Index (except for weight shift and step-up items), and gait speed. Berg Balance Scale scores predicted length of stay, discharge destination, motor ability at 180 days poststroke, and disability level at 90 days, but these scores were not predictive of falls. Eight studies focused on responsiveness; all reported moderate to excellent sensitivity. Three studies found floor or ceiling effects. Discussion and Conclusion The BBS is a psychometrically sound measure of balance impairment for use in poststroke assessment. Given the floor and ceiling effects, clinicians may want to use the BBS in conjunction with other balance measures.

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Psychometric properties of the Chinese version of the Trunk Impairment Scale in people with a stroke

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01730-y ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Jie Zhao ◽

Janita Pak Chun Chau ◽

Yuli Zang ◽

Kai Chow Choi ◽

Rong He ◽

...

Keyword(s):

Psychometric Properties ◽

Barthel Index ◽

Intraclass Correlation ◽

Berg Balance Scale ◽

Chinese Version ◽

Convenience Sample ◽

Balance Scale ◽

Subacute Stroke ◽

Sitting Balance ◽

Significant Difference

Abstract Background The Trunk Impairment Scale (TIS) has been translated into Chinese, but the psychometric properties of the Chinese version of the TIS (TIS-C) have not yet been established. We aimed to examine the reliability and validity of the TIS-C for assessing sitting balance among Chinese people with a stroke. Methods A descriptive, cross-sectional design was used. We recruited a convenience sample of 170 subacute stroke patients aged 18 years or over from the neurology departments of four traditional Chinese medicine hospitals in China. Patients completed the TIS-C, the Berg Balance Scale and the Modified Barthel Index. The psychometric properties of the TIS-C were examined to establish test–retest reliability, internal consistency, equivalence, and content, criterion, and construct validity. Results Intraclass correlation coefficients for inter-rater and intra-rater reliability ranged from 0.75 to 0.89 and from 0.90 to 0.97, respectively. The TIS-C Cronbach α was 0.86. The strong correlation between the total score of the TIS-C and the Berg Balance Scale (rs = 0.81, p < 0.001) or Modified Barthel Index (rs = 0.84, p < 0.001) suggested good concurrent and convergent validity, respectively. Known-group validity was supported by the significant difference (p < 0.001) in TIS-C scores between participants with mild and moderate stroke. Conclusions The TIS-C is a valid and reliable tool for assessing static and dynamic sitting balance as well as coordination of trunk movement among stroke survivors with mild and moderate stroke.

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Efeitos funcionais da prática de dança em idosos

Revista Brasileira de Fisiologia do Exercício ◽

10.33233/rbfe.v13i1.3288 ◽

2014 ◽

Vol 13 (1) ◽

pp. 43

Author(s):

Paulo Costa Amaral

Keyword(s):

Parkinson Disease ◽

Rating Scale ◽

Berg Balance Scale ◽

Balance Scale ◽

Disease Rating

Objetivo: O presente estudo analisou os efeitos funcionais da prática de dança em idosos abordados na literatura científica. Métodos: Foram utilizadas as palavras-chave “elderly” combinação com os termos “dance” e “functional effects”, na base de dados Pubmed, para o levantamento científico. O período considerado para essas buscas foi de 2003 a 2013. Resultados: A partir de oito artigos selecionados, verificou-se que a prática de dança estava presente nos estudos relacionados à Doença de Parkinson (DP), predominando a utilização dos testes de Escala Unificada de Avaliação da Doença de Parkinson (Unified Parkinson Disease Rating Scale-Motor) e Escala de Equilíbrio de Berg (Berg Balance Scale), destacando melhoras significativas no equilíbrio dos participantes dos programas de dança, e a predominância do ritmo tango na maioria dos estudos. Conclusão: Programas de dança voltados aos idosos provocam melhoras significativas na capacidade funcional de seus participantes, principalmente aos idosos portadores da Doença de Parkinson, destacando a variável equilíbrio.Palavras-chave: idoso, dança, doença de Parkinson.

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