Poster 139: Is Computerized Balance Assessment More Useful Than the Berg Balance Scale in Detecting Fall Risk in Multiple Sclerosis Patients?

Background: In the previous psychometric analysis paper in our series for identifying the core set of balance measures for the assessment of balance, we recommended the Berg Balance Scale (BBS) and balance sub-components of the Scale for the assessment and rating of ataxia (SARAbal) as psychometrically sound measures of balance for people with cerebellar ataxia (CA) secondary to multiple sclerosis. Objective: The present study further examined the suitability of BBS and SARAbal for the assessment of balance in CA with regard to psychometric property strength, appropriateness, interpretability, precision, acceptability and feasibility. Methods: Criteria to fulfill each factor was defined according to the framework of Fitzpatrick et al. (1998). Based on the findings of our previous psychometric analysis, each criterion was further analyzed. Results: The psychometric analysis reported good reliability and validity estimates for the BBS and SARAbal recommending them as psychometrically sound measures; they fulfilled both criteria for appropriateness and interpretability, the measures showed evidence for precision and acceptability, and they were found to be feasible in terms of the time and cost involved for the balance assessment. Conclusion: We have provided evidence for the use of the BBS and SARAbal for the assessment of balance among people with CA.

Download Full-text

The functional assessment Berg Balance Scale is better capable of estimating fall risk in the elderly than the posturographic Balance Stability System

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2013000100003 ◽

2013 ◽

Vol 71 (1) ◽

pp. 5-10 ◽

Cited By ~ 12

Author(s):

Vanessa Vieira Pereira ◽

Roberto Alcantara Maia ◽

Sonia Maria Cesar de Azevedo Silva

Keyword(s):

Functional Assessment ◽

Fall Risk ◽

The Elderly ◽

Berg Balance Scale ◽

Old People ◽

Falls Risk ◽

Functional Balance ◽

Balance Scale ◽

Recurrent Falls ◽

Balance Stability

The purpose of this study was to verify which instrument better identifies recurrent falls in the elderly. Ninety-eight old people, with an average age of 80±4 years, were submitted to an assessment of balance and fall risk by means of the Berg Balance Scale (BBS) and the posturographic Balance Stability System (BSS). The BBS was correlated with the BSS (r=-0.27; p=0.008), age (r=-0.38; p<0.001) and number of falls (r=-0.25; p=0.013) and the analysis of logistical regression showed that the elderly classified with fall risk on the BBS presented 2.5 (95%CI 1.08-5.78) more chance of identifying who had two falls or more over the last year. The BBS identified that the greater the age the worse the functional balance and demonstrated a greater capacity to identify falls risk suffered over the last year when compared with the BSS.

Download Full-text

Clinical Evidence Based Nursing (EBNP) Penggunaan Berg Balance Scale Untuk Mengkaji Keseimbangan Pada Pasien Stroke

JKEP ◽

10.32668/jkep.v6i2.836 ◽

2021 ◽

Vol 6 (2) ◽

pp. 219-231

Author(s):

Dwi Kartika Rahayuningtyas ◽

Ratna Sitorus ◽

I Made Kariasa ◽

Yunisar Gultom

Keyword(s):

Clinical Evidence ◽

Balance Training ◽

Berg Balance Scale ◽

The Body ◽

Balance Assessment ◽

Stroke Patients ◽

Static State ◽

Dynamic Conditions ◽

Balance Scale ◽

Evidence Based Nursing

Stroke can affect balance. Balance is the ability to maintain the body in a balanced position both in static and dynamic conditions. However, the assessment of the existing balance is only done in a static state in stroke patients. The balance assessment describes the balance of stroke patients so that they can be written on asessment form and the transfer record and can determine the need for balance training as one of the rehabilitation of stroke patients. This EBN application aims to find out the use of Berg Balance Scale to assess the balance of both static and dynamic conditions in stroke patients. The method used is conducting PICO analysis, searching database, critical appraisal, and determining relevant journals. EBN implementation was carried out on 10 people who had a stroke in zone A on the 5th floor of Building A RSUPN Dr. Cipto Mangunkusumo. This study uses the Berg Balance Scale scale in Indonesian. The analysis showed that stroke patients who experienced balance disorders were 7 people and did not experience a balance of 3 people BBS can assess the balance of stroke patients in accordance with existing evidence. BBS can be used as a balance assessment in stroke patients.

Download Full-text

Clinical features in adult multiple sclerosis patients

Slovenian Nursing Review ◽

10.14528/snr.2020.54.2.3016 ◽

2020 ◽

Vol 54 (2) ◽

pp. 104-112

Author(s):

Matej Koprivnik ◽

Tanja Hojs Fabjan

Keyword(s):

Multiple Sclerosis ◽

Negative Correlation ◽

Berg Balance Scale ◽

Cross Sectional Study ◽

Cross Sectional ◽

Positive Correlation ◽

Disability Status ◽

Serial Addition ◽

Multiple Sclerosis Patients ◽

Eq Vas

Introduction: The purpose of the study was to identify possible correlations between the quality of life, neurological disability, and functional ability in patients with multiple sclerosis.Methods: 258 patients with multiple sclerosis were included in the cross-sectional study. They were assessed with the Expanded Disability Status Scale (EDSS), the Berg Balance Scale (BBS), the Timed 25-Foot Walk Test (T25-FW), the 9-Hole Peg Test (9HPT), the Paced Auditory Serial Addition Test (PASAT-3) and the EQ visual analogue scale (EQ-VAS). Inferential statistics were used.Results: A positive correlation between the EQ-VAS and the BBS (r = 0.43, p < 0.01 ) and the PASAT-3 (r =¸0.19, p < 0.01), and a negative correlation between the EQ-VAS and the T25FW (r = –0.42, p < 0.01) and the 9-HPT (r = –0.40, p < 0.01) were shown. A negative correlation was also observed between the EDSS and the BBS (r = –0.77, p < 0.05) as well as the EDSS and the PASAT-3 (r = –0.25, p < 0.01), and a positive correlation between the EDSS and the 9 HPT (r = 0.67, p < 0.01) and the T25-FW (r = 0.80, p < 0.01).Discussion and conclusion: Associations between the variables indicate the need for complex, personalized and rational monitoring of patients with multiple sclerosis.

Download Full-text

Community Delivery of a Comprehensive Fall-Prevention Program in People with Multiple Sclerosis

International Journal of MS Care ◽

10.7224/1537-2073.2014-086 ◽

2016 ◽

Vol 18 (1) ◽

pp. 42-48 ◽

Cited By ~ 7

Author(s):

Cinda L. Hugos ◽

Debra Frankel ◽

Sara A. Tompkins ◽

Michelle Cameron

Keyword(s):

Multiple Sclerosis ◽

Fall Prevention ◽

Berg Balance Scale ◽

Timed Up And Go ◽

Balance Confidence ◽

Balance Scale ◽

Scale Scores ◽

The Impact ◽

Confidence Scale

Background: People with multiple sclerosis (MS) fall frequently. In 2011, the National Multiple Sclerosis Society launched a multifactorial fall-prevention group exercise and education program, Free From Falls (FFF), to prevent falls in MS. The objective of this study was to assess the impact of participation in the FFF program on balance, mobility, and falls in people with MS. Methods: This was a retrospective evaluation of assessments from community delivery of FFF. Changes in Activities-specific Balance Confidence scale scores, Berg Balance Scale scores, 8-foot Timed Up and Go performance, and falls were assessed. Results: A total of 134 participants completed the measures at the first and last FFF sessions, and 109 completed a 6-month follow-up assessment. Group mean scores on the Activities-specific Balance Confidence scale (F1,66 = 17.14, P < .05, η2 = 0.21), Berg Balance Scale (F1,68 = 23.39, P < .05, η2 = 0.26), and 8-foot Timed Up and Go (F1,79 = 4.83, P < .05, η2 = 0.06) all improved significantly from the first to the last session. At the 6-month follow-up, fewer falls were reported (χ2 [4, N = 239] = 10.56, P < .05, Phi = 0.21). Conclusions: These observational data suggest that the FFF group education and exercise program improves balance confidence, balance performance, and functional mobility and reduces falls in people with MS.

Download Full-text

Effects of application of texture insoles on the balance of subjects with Multiple Sclerosis

ConScientiae Saúde ◽

10.5585/conssaude.v16n1.6860 ◽

2017 ◽

Vol 16 (1) ◽

pp. 9-16

Author(s):

Wildja De Lima Gomes ◽

Thais Botossi Scalha ◽

Lucas Brino Mota ◽

Viviane Almeida Kuroda ◽

Juliana Cintra Garrafa ◽

...

Keyword(s):

Multiple Sclerosis ◽

Dynamic Balance ◽

Step Length ◽

Berg Balance Scale ◽

Measuring Instruments ◽

Balance Scale ◽

Functional Gait ◽

Dynamic Gait Index ◽

Dynamic Gait ◽

Gait Index

Objective: The aim of this study was to evaluate the effects on static and dynamic balance after the use of textured insoles. Method: Fifteen subjects with multiple sclerosis were evaluated before using the insoles, after using them for 1 month, and after 2 months without using, them using the following measuring instruments: the Berg Balance Scale, Dynamic Gait Index, and 10-meter Walk Test, a means of functional gait assessment. Results: Improvement was observed in the Berg Balance Scale and Dynamic Gait Index scores, walking time, number of steps and step length after using the insoles for 1 month. The improvement in Berg Balance Scale score remained after two months without the insoles and there were no changes in gait speed. Conclusion: The use of textured insoles was effective as an intervention to improve static and dynamic balance in patients with multiple sclerosis.

Download Full-text