Walking ability in patients with glioblastoma: prognostic value of the Berg Balance Scale and the 10 meter walk test

2017 ◽  
Vol 135 (2) ◽  
pp. 335-342 ◽  
Author(s):  
Monique Mesot Liljehult ◽  
Lise Buus ◽  
Jacob Liljehult ◽  
Birthe Krogh Rasmussen
Keyword(s):  
Prognostic Value ◽  
Berg Balance Scale ◽  
Walking Ability ◽  
Walk Test ◽  
Balance Scale ◽  
10 Meter Walk Test

scholarly journals Effect of Ankle Kinesio Taping on Dynamic Balance in Stroke Patients- A Pilot Study

2022 ◽  
Vol 12 (1) ◽  
pp. 28-35
Author(s):  
Megha Mohandas ◽  
Rutika Patil ◽  
Ajay Kumar
Keyword(s):  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Test Method ◽  
Balance Function ◽  
Walk Test ◽  
Stroke Patients ◽  
Functional Abnormality ◽  
Kinesio Tape ◽  
Balance Scale ◽  
10 Meter Walk Test

Background: Stroke causes partial brain loss, which leads to a functional abnormality of the brain, which produces a variety of symptoms the most prevalent of which is balance affection. Kinesio tape is a thin, light and elastic material which does not immobilize the joint and allows for free movement irrespective of the tape. It serves to facilitate or inhibit the muscle as needed and provides joint stability which will help improve balance function. It is also used to reduce pain, which is a typical complaint in stroke patients. Objective: To assess for immediate and post effects of kinesio tape in stroke patients using Berg Balance Scale and 10 Meter walk test. Method: A total of 15 participants were chosen based on inclusion and exclusion criteria. Before application of kinesio tape, the Berg balance scale and a 10-meter walk test were performed and recorded. Following the application, the subjects were reassessed, and the outcomes of the 5-day follow-up were recorded. These scores were statistically analyzed. Result: The statistical analysis showed that there is a significant increase in the dynamic balance function post kinesio tape application. An average increase of 5 scores in BBS was noted and average improvement of 5.70 seconds in 10MWT. Conclusion: This study concludes that there is a significant improvement on dynamic balance after application of kinesio tape in stroke patients. Key words: Stroke, kinesio tape, dynamic balance.

scholarly journals Аналіз наявних інструментів оцінювання впливу фізичної терапії на осіб з хворобою Паркінсона

2021 ◽  
pp. 84-91
Author(s):  
В. Брушко ◽  
Р. Баннікова ◽  
А. Ковельська
Keyword(s):  
Dual Task ◽  
Berg Balance Scale ◽  
Walk Test ◽  
Walk Distance ◽  
Timed Up And Go ◽  
Sf 36 ◽  
Minute Walk Distance ◽  
Minute Walk ◽  
Disease Questionnaire ◽  
10 Meter Walk Test

Резюме. Правильний і обґрунтований вибір інструментальних методів оцінювання функціо-нального стану пацієнта є обов’язковою умовою адекватної фізичної терапії. Особливе місце цей аспект займає в системі нейрореабілітації пацієнтів з хворобою Паркінсона в Україні, оскільки на сьогодні кількість осіб, що потребують систематичної фізичної терапії, сягає 23 900 тис. Наростаюча маніфестація моторних і немоторних симптомів при хворобі Паркін-сона, від яких часто вирішальною мірою залежить тяжкість стану пацієнта, негативно впливає на якість його життя. Наявні функціональні порушення, які є самостійними проявами хвороби Паркінсона, вимагають специфічного підходу до комплексного інструментального досліджен-ня цих порушень для визначення диференційно-діагностичних критеріїв та оцінювання впливу фізіотерапевтичного втручання. Мета. Проаналізувати наявні інструменти оцінювання впливу фізичної терапії на осіб з хворобою Паркінсона. Методи. Теоретичний аналіз та узагальнення зарубіжних даних спеціальної науково-методичної літератури з питань застосування інстру-ментів оцінювання при хворобі Паркінсона та їх інформативності і надійності у фізичній терапії. Результати. Представлені дані свідчать, що ефективність запроваджених заходів фізичної терапії при хворобі Паркінсона залежить від правильно підібраних інструментів оцінювання, які дозволяють оцінити моторні і немоторні проблеми через призму життєдіяльності і якості життя пацієнта. Основним інструментом оцінювання для вирішення цього питання вважаєть-ся Уніфікована рейтингова шкала хвороби Паркінсона MDS-UPDRS, яка дозволяє об’єктивно оцінити моторні і немоторні аспекти життя пацієнта і його рухову активність. Оскільки наявні моторні й аксіальні рухові порушення негативно впливають на повсякденну функціональну активність пацієнта, для верифікації цих порушень пропонують використовувати тест для оці-нювання часу підйому і ходьби (Timed Up and Go (TUG)); тест з подвійним завданням (Dual-Task TUG (TUG-DT)) та шкалу рівноваги Берга (Berg Balance Scale (BBS)). Але виходячи з того, що ці тести недостатньо чутливі до невеликих змін у рухливості при хворобі Паркінсона, особливо на середніх і пізніх стадіях захворювання, їх доцільно поєднувати з одним із кількісних тестів для оцінювання ходьби: 10-метровим тестом ходьби (10 Meter Walk Test (10MW)) та 6-хвилинним тестом ходьби (Six Minute Walk Distance (6MWT)). Поняття «життєдіяльність» включає в себе не тільки переміщення, її оцінювання має бути доповнено аналізом ступеня впливу наявних по-рушень на повсякденну діяльність, тобто на якість життя пацієнта. Найбільш інформативними інструментами для проведення цього аналізу є універсальні і специфічні при хворобі Паркінсо-на опитувальники з метою оцінювання стану здоров’я SF-36, EuroQOL (EQ-5D) і PDQ-39 (The Parkinson’s Disease Questionnaire). Результати аналізу та узагальнення даних науково-мето-дичної літератури дають підставу встановити, що маніфестація порушень та їх варіабельність при хворобі Паркінсона стають серйозною проблемою у досягненні кінцевого результату за-проваджених заходів фізичної терапії на всіх стадіях захворювання. Використання в комплексі стандартної експертно-реабілітаційної діагностики спеціальних інструментів оцінювання дозволяє об’єктивізувати оцінювання клінічної інформації та стимулює розроблення особисто-орієнтованих реабілітаційних стратегій із застосуванням заходів фізичної терапії, спрямованих на покращення якості життя пацієнтів з хворобою Паркінсона. Ключові слова: хвороба Паркінсона, фізична терапія, якість життя, інструменти оцінювання, достовірність, надійність, валідність.

scholarly journals Walking Ability Outcome Measures in Individuals with Spinal Cord Injury: A Systematic Review

2021 ◽  
Vol 18 (18) ◽  
pp. 9517
Author(s):  
Isabel Sinovas-Alonso ◽  
Ángel Gil-Agudo ◽  
Roberto Cano-de-la-Cuerda ◽  
Antonio J. del-Ama
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Outcome Measures ◽  
Berg Balance Scale ◽  
Walking Ability ◽  
Walk Test ◽  
Timed Up And Go ◽  
Cord Injury ◽  
Profile Score

Walking function recovery in spinal cord injury (SCI) is tackled through several therapeutic approaches in which precise evaluation is essential. A systematic review was performed to provide an updated qualitative review of walking ability outcome measures in SCI and to analyze their psychometric properties. PubMed, Cochrane, and PEDro databases were consulted until 1 April 2020. Seventeen articles written in English were included. Five of them studied the walking index for SCI, four studied the 10 meter walk test, and two studied the six-minute walk test, the timed Up and go test, and the Berg balance scale. The rest of the articles studied the following metrics: gait profile score, spinal cord injury functional ambulation profile, five times sit-to-stand test, spinal cord injury functional ambulation inventory, spinal cord independence measure (indoors and outdoors mobility items), locomotor stages in spinal cord injury, community balance and mobility scale, and activity-based balance level evaluation scale. The choice of a single or a set of metrics should be determined by the clinician. Based on the results obtained in this review, a combination of outcome measures is proposed to assess walking ability. Future work is required to integrate a more realistic environment for walking assessment.

Abstract 2131: Prediction of Discharge Walking Ability from Initial Assessment in a Stroke IRF Population

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Margurhetta D Bland ◽  
Audra Sturmoski ◽  
Michelle Whitson ◽  
Lisa T Connor ◽  
Robert Fucetola ◽  
...  
Keyword(s):  
Logistic Model ◽  
Walking Speed ◽  
Local Population ◽  
Inpatient Rehabilitation ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Initial Assessment ◽  
Walking Ability ◽  
Balance Scale ◽  
Admission Variables

The purpose of this study was to investigate which physical therapy assessments administered at admission to an inpatient rehabilitation facility (IRF) could predict discharge walking ability in a local population of people with stroke. The sample consisted of 111 IRF participants with stroke who consented to have records stored in the Brain Recovery Core database between January 2010 and January 2011. Independent variables from the admission assessment included: lower extremity Motricity Index, somatosensation, Modified Ashworth Scale, Functional Independence Measure (FIM) locomotor item, Berg Balance Scale, walking speed, age, history of previous stroke, and time from stroke onset to IRF assessment. The dependent variable was discharge walking ability, defined as walking speed on the 10 m Walk Test. Correlational analyses examined relationships with and between the admission variables and discharge walking ability. Step-wise multiple regression was used to determine the most parsimonious combination of variables that could explain variance in discharge walking ability. Logistic regression was used to determine the likelihood of achieving household (< 0.4 m/s) versus community (≥ 0.4 - 0.8, > 0.8 m/s) ambulation categories. Results from the stepwise model indicated that 2 admission variables, Berg Balance score and FIM locomotor score, explained 80% of the variance in discharge walking ability. For the logistic model, the odds ratio of achieving only household ambulation at discharge was 20 (95%CI: 6-63) when the combination of having a Berg Balance < 20 and a FIM locomotor score of 1 or 2 was present. The logistic model correctly classified 92% of subjects achieving only household ambulation and 64% of subjects achieving better than household ambulation. These findings suggest that performance on the Berg Balance Scale and the FIM locomotor item at admission to an IRF can explain most of the variance in discharge walking ability. Having the combination of a Berg Balance score < 20 and a FIM locomotor score of 1 or 2 at admission indicates that a person is highly likely to be only a household ambulator at discharge from the IRF. Knowing at the time of IRF admission that a person with stroke is not likely to achieve limited community or community ambulation status will allow for earlier discharge planning with respect to needed assistance at home, durable-medical equipment, and home modifications.

The benefits of using a vacuum-assisted socket system to improve balance and gait in elderly transtibial amputees

2014 ◽  
Vol 40 (1) ◽  
pp. 83-88 ◽  
Author(s):  
C Beatriz Samitier ◽  
Lluis Guirao ◽  
Maria Costea ◽  
Josep M Camós ◽  
Eulogio Pleguezuelos
Keyword(s):  
Standard Deviation ◽  
Berg Balance Scale ◽  
Activity Level ◽  
Step Test ◽  
Limb Amputation ◽  
Walk Test ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Four Square ◽  
Transtibial Amputees

Background:Lower limb amputation leads to impaired balance, ambulation, and transfers. Proper fit of the prosthesis is a determining factor for successful ambulation. Vacuum-assisted socket systems extract air from the socket, which decreases pistoning and probability of soft-tissue injuries and increases proprioception and socket comfort.Objectives:To investigate the effect of vacuum-assisted socket system on transtibial amputees’ performance-based and perceived balance, transfers, and gait.Study design:Quasi-experimental before-and-after study.Methods:Subjects were initially assessed using their prosthesis with the regular socket and re-evaluated 4 weeks after fitting including the vacuum-assisted socket system. We evaluated the mobility grade using Medicare Functional Classification Level, Berg Balance Scale, Four Square Step Test, Timed Up and Go Test, the 6-Min Walk Test, the Locomotor Capabilities Index, Satisfaction with Prosthesis (SAT-PRO questionnaire), and Houghton Scale.Results:A total of 16 unilateral transtibial dysvascular amputees, mean age 65.12 (standard deviation = 10.15) years. Using the vacuum-assisted socket system, the patients significantly improved in balance, gait, and transfers: scores of the Berg Balance Scale increased from 45.75 (standard deviation = 6.91) to 49.06 (standard deviation = 5.62) ( p < 0.01), Four Square Step Test decreased from 18.18 (standard deviation = 3.84) s to 14.97 (3.9) s ( p < 0.01), Timed Up and Go Test decreased from 14.3 (standard deviation = 3.29) s to 11.56 (2.46) s ( p < 0.01). The distance walked in the 6-Min Walk Test increased from 288.53 (standard deviation = 59.57) m to 321.38 (standard deviation = 72.81) m ( p < 0.01).Conclusion:Vacuum-assisted socket systems are useful for improving balance, gait, and transfers in over-50-year-old dysvascular transtibial amputees.Clinical relevanceThis study gives more insight into the use of vacuum-assisted socket systems to improve elderly transtibial dysvascular amputees’ functionality and decrease their risk of falls. The use of an additional distal valve in the socket should be considered in patients with a lower activity level.

scholarly journals Effect of home-based Tai Chi, Yoga or conventional balance exercise on functional balance and mobility among persons with idiopathic Parkinson’s disease: An experimental study

2020 ◽  
Vol 40 (01) ◽  
pp. 39-49 ◽  
Author(s):  
Arva Khuzema ◽  
A. Brammatha ◽  
V. Arul Selvan
Keyword(s):  
Significant Interaction ◽  
Tai Chi ◽  
Berg Balance Scale ◽  
Walk Test ◽  
Timed Up And Go ◽  
Functional Balance ◽  
Balance Scale ◽  
Home Based ◽  
Balance Exercises ◽  
Main Effect

Background: Individuals with Parkinson’s disease (PD) invariably experience functional decline in a number of motor and non-motor domains affecting posture, balance and gait. Numerous clinical studies have examined effects of various types of exercise on motor and non-motor problems. But still much gap remains in our understanding of various therapies and their effect on delaying or slowing the dopamine neuron degeneration. Recently, Tai Chi and Yoga both have gained popularity as complementary therapies, since both have components for mind and body control. Objective: The aim of this study was to determine whether eight weeks of home-based Tai Chi or Yoga was more effective than regular balance exercises on functional balance and mobility. Methods: Twenty-seven individuals with Idiopathic PD (Modified Hoehn and Yahr stages 2.5–3) were randomly assigned to either Tai Chi, Yoga or Conventional exercise group. All the participants were evaluated for Functional Balance and Mobility using Berg Balance Scale, Timed 10[Formula: see text]m Walk test and Timed Up and Go test before and after eight weeks of training. Results: The results were analyzed using two-way mixed ANOVA which showed that there was a significant main effect for time as F (1, 24) [Formula: see text], [Formula: see text], [Formula: see text] for overall balance in Berg Balance Scale. There was also significant main effect of time on mobility overall as F(1, 24) [Formula: see text], [Formula: see text], [Formula: see text] in Timed up and Go test and F(1, 24) [Formula: see text], [Formula: see text], [Formula: see text] for 10[Formula: see text]m Walk test. There was a significant interaction effect for [Formula: see text] with F(2, 24) [Formula: see text], [Formula: see text], [Formula: see text] for balance. With respect to mobility, the values F(2, 24) [Formula: see text], [Formula: see text], [Formula: see text] in Timed Up and Go test and F(2, 24) [Formula: see text], [Formula: see text], [Formula: see text] in 10[Formula: see text]m Walk test showed a significant interaction. But there was no significant main effect between the groups for both balance and mobility. Conclusion: The findings of this study suggest that Tai Chi as well as Yoga are well adhered and are attractive options for a home-based setting. As any form of physical activity is considered beneficial for individuals with PD either Tai Chi, Yoga or conventional balance exercises could be used as therapeutic intervention to optimize balance and mobility. Further studies are necessary to understand the mind–body benefits of Tai Chi and Yoga either as multicomponent physical activities or as individual therapies in various stages of PD.

Relation between balance function evaluated using berg balance scale and walking ability in transfemoral amputees

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e97-e98
Author(s):  
Y. Azuma ◽  
T. Chin ◽  
I. Takase ◽  
Y. Tezuka ◽  
A. Nakatsuka ◽  
...  
Keyword(s):  
Berg Balance Scale ◽  
Walking Ability ◽  
Balance Function ◽  
Balance Scale ◽  
Transfemoral Amputees

scholarly journals Age- and Gender-Related Test Performance in Community-Dwelling Elderly People: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and Gait Speeds

2002 ◽  
Vol 82 (2) ◽  
pp. 128-137 ◽  
Author(s):  
Teresa M Steffen ◽  
Timothy A Hacker ◽  
Louise Mollinger
Keyword(s):  
Elderly People ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Walk Test ◽  
Clinical Tests ◽  
Balance Scale ◽  
Six Minute Walk Test ◽  
Age Related ◽  
Test Retest Reliability ◽  
Minute Walk

Abstract Background and Purpose. The interpretation of patient scores on clinical tests of physical mobility is limited by a lack of data describing the range of performance among people without disabilities. The purpose of this study was to provide data for 4 common clinical tests in a sample of community-dwelling older adults. Subjects. Ninety-six community-dwelling elderly people (61–89 years of age) with independent functioning performed 4 clinical tests. Methods. Data were collected on the Six-Minute Walk Test (6MW), Berg Balance Scale (BBS), and Timed Up & Go Test (TUG) and during comfortable- and fast-speed walking (CGS and FGS). Intraclass correlation coefficients (ICCs) were used to determine the test-retest reliability for the 6MW, TUG, CGS, and FGS measurements. Data were analyzed by gender and age (60–69, 70–79, and 80–89 years) cohorts, similar to previous studies. Means, standard deviations, and 95% confidence intervals for each measurement were calculated for each cohort. Results. The 6MW, TUG, CGS, and FGS measurements showed high test-retest reliability (ICC [2,1]=.95–.97). Mean test scores showed a trend of age-related declines for the 6MW, BBS, TUG, CGS, and FGS for both male and female subjects. Discussion and Conclusion. Preliminary descriptive data suggest that physical therapists should use age-related data when interpreting patient data obtained for the 6MW, BBS, TUG, CGS and FGS. Further data on these clinical tests with larger sample sizes are needed to serve as a reference for patient comparisons.

scholarly journals Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

2013 ◽  
Vol 15 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Elaine Toomey ◽  
Susan Coote
Keyword(s):  
Multiple Sclerosis ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Berg Balance Scale ◽  
Small Sample ◽  
Walk Test ◽  
Rater Reliability ◽  
Balance Scale ◽  
6 Minute Walk Test ◽  
Minute Walk

This study investigated the between-rater reliability of the Berg Balance Scale (BBS), 6-Minute Walk test (6MW), and handheld dynamometry (HHD) in people with multiple sclerosis (MS). Previous studies that examined BBS and 6MW reliability in people with MS have not used more than two raters, or analyzed different mobility levels separately. The reliability of HHD has not been previously reported for people with MS. In this study, five physical therapists assessed eight people with MS using the BBS, 6MW, and HHD, resulting in 12 pairs of data. Data were analyzed using intraclass correlation coefficients (ICCs), Spearman correlation coefficients (SCCs), and Bland and Altman methods. The results suggest excellent agreement for the BBS (SCC = 0.95, mean difference between raters [d̄] = 2.08, standard error of measurement [SEM] = 1.77) and 6MW (ICC = 0.98, d̄ = 5.22 m, SEM = 24.76 m) when all mobility levels are analyzed together. Reliability is lower in less mobile people with MS (BBS SCC = 0.6, d̄ = −1.83; 6MW ICC = 0.95, d̄ = 20.04 m). Although the ICC and SCC results for HHD suggest good-to-excellent reliability (0.65–0.85), d̄ ranges up to 17.83 N, with SEM values as high as 40.95 N. While the small sample size is a limitation of this study, the preliminary evidence suggests strong agreement between raters for the BBS and 6MW and decreased agreement between raters for people with greater mobility problems. The mean differences between raters for HHD are probably too high for it to be applied in clinical practice.

Sign in / Sign up

Export Citation Format

Share Document