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

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.

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The Effect of Balance Training based on the Berg Balance Scale for the Balance Function in Patients with Cerebellar Ataxia

Indian Journal of Science and Technology ◽

10.17485/ijst/2016/v9i35/101769 ◽

2016 ◽

Vol 9 (35) ◽

Author(s):

Jun Su Ahn ◽

Chul Hoon Cho ◽

Jung Hoon Lee ◽

Wang Hun Ahn ◽

Young Cheol Lee ◽

...

Keyword(s):

Cerebellar Ataxia ◽

Balance Training ◽

Berg Balance Scale ◽

Balance Function ◽

Balance Scale

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The relationship between balance ability and walking ability using the Berg Balance Scale in people with transfemoral amputation

Prosthetics and Orthotics International ◽

10.1177/0309364619846364 ◽

2019 ◽

Vol 43 (4) ◽

pp. 396-401 ◽

Cited By ~ 1

Author(s):

Yuji Azuma ◽

Takaaki Chin ◽

Yasushi Miura

Keyword(s):

Rank Correlation ◽

Correlation Coefficients ◽

Berg Balance Scale ◽

Walking Ability ◽

Transfemoral Amputation ◽

Balance Scale ◽

Spearman’S Rank Correlation ◽

Balance Ability ◽

Partial Rank Correlation ◽

The Relationship

Background: Few reports have examined the relationship between balance ability and walking ability in people with transfemoral amputation using the Berg Balance Scale. Objectives: To assess the construct validity (known groups discrimination, convergent validity, and floor/ceiling effects) of Berg Balance Scale for people with transfemoral amputation. Study design: Cross-sectional study Methods: Thirty people with transfemoral amputation participated (age: 54 ± 19 years; range: 18–78 years). Outcome measures (Berg Balance Scale, Timed Up & Go test, Six-Minute Walk Test, and use of ambulatory aids) were compared between the groups requiring and not requiring ambulatory aids by the Mann–Whitney U test, Student’s t-test or Welch’s t-test. Correlations were assessed using Spearman’s rank correlation coefficients and age-corrected Spearman’s partial rank correlation coefficients. Results: The group using ambulatory aids had a significantly lower Berg Balance Scale score (41 ± 5 vs 52 ± 3). Berg Balance Scale score was correlated with Timed Up & Go test, use of aids, and Six-Minute Walk Test using Spearman’s rank correlation coefficients (r =−0.85, p < 0.0001; r =−0.82, p < 0.0001; r = 0.81, p < 0.0001) and age-corrected partial rank correlation coefficients (r =−0.66, p < 0.0001; r =−0.56, p = 0.0017; r = 0.57, p = 0.0012). No ceiling effect of Berg Balance Scale was observed. Conclusions: Balance ability in people with transfemoral amputation could be evaluated using Berg Balance Scale and is correlated with walking ability. Clinical relevance In clinical practice, using Berg Balance Scale for people with transfemoral amputation may adequately enable us to discriminate different groups based on walking ability from the perspective of balance ability. When walking ability is evaluated as low, the improvement of walking ability may be evaluated by Berg Balance Scale improvement during rehabilitation.

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

Journal of Neuro-Oncology ◽

10.1007/s11060-017-2579-5 ◽

2017 ◽

Vol 135 (2) ◽

pp. 335-342 ◽

Cited By ~ 5

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

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

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20220105 ◽

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.

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Evaluation of the balance function before and after total knee arthroplasty using Berg balance scale

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-04233-z ◽

2021 ◽

Author(s):

Masato Kiyohara ◽

Satoshi Hamai ◽

Ken Okazaki ◽

Daisuke Fujiyoshi ◽

Hideki Mizu-uchi ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Berg Balance Scale ◽

Balance Function ◽

Balance Scale ◽

Before And After ◽

Total Knee

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A systematic review and meta-analysis on efficacy of exercise on posture and balance in patients suffering from Diabetic Neuropathy

Current Diabetes Reviews ◽

10.2174/1573399816666200703190437 ◽

2020 ◽

Vol 16 ◽

Author(s):

Neerja Thukral ◽

Jaspreet Kaur ◽

Manoj Malik

Keyword(s):

Diabetes Mellitus ◽

Diabetic Neuropathy ◽

Meta Analysis ◽

Berg Balance Scale ◽

Risk Of Bias ◽

Core Stability ◽

Balance Scale ◽

Eyes Closed ◽

Significant Difference ◽

Eyes Open

Background: Peripheral neuropathy is a major and chronic complication of diabetes mellitus affecting more than 50% of patients suffering from diabetes. There is involvement of both large and small diameter nerve fibres leading to altered somatosensory and motor sensations, thereby causing impaired balance and postural instability. Objective: To assess the effects of exercises on posture and balance in patients suffering from diabetes mellitus. Method: Mean changes in Timed Up and Go test(TUGT), Berg Balance Scale and Postural Sway with eyes open and eyes closed on Balance System were primary outcome measures. RevMan 5.3 software was used for the meta-analyses. Eighteen randomized controlled trials met the selection criteria and were included in the study. All the studies ranked high on PEDro Rating scale. Risk of bias was assessed by Cochrane collaboration tool of risk of bias. Included studies had low risk of bias. Sixteen RCT’s were included for the meta-analysis. Result: Results of meta-analysis showed that there was statistically significant improvement in TUGT with p≤ 0.05 and substantial heterogeneity (I 2 = 84%, p < 0.00001) in experimental group as compared to control group. There was statistically significant difference in Berg Balance Scale scores and heterogeneity of I 2 = 62%, p < 0.00001 and significant changes in postural stability (eyes open heterogeneity of I 2 = 100%, p =0.01 and eyes closed, heteogeneity I 2 = 0%, p =0.01). Sensitivity analysis causes change in heterogeneity. Conclusion: It can be concluded that various exercises like balance training, core stability, Tai-Chi, proprioceptive training etc. have a significant effect in improving balance and posture in diabetic neuropathy.

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Estimating Berg Balance Scale and Mini Balance Evaluation System Test Scores by Using Wearable Shoe Sensors

2019 IEEE EMBS International Conference on Biomedical & Health Informatics (BHI) ◽

10.1109/bhi.2019.8834631 ◽

2019 ◽

Author(s):

Wenlong Tang ◽

George Fulk ◽

Stacey Zeigler ◽

Ting Zhang ◽

Edward Sazonov

Keyword(s):

Test Scores ◽

Evaluation System ◽

Berg Balance Scale ◽

Balance Scale

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Implementierung und erste Effekte Smartphone-unterstützter körperlich-kognitiver Aktivitäten im Wohnquartier zur Förderung der sozialen Teilhabe älterer Menschen

B&G Bewegungstherapie und Gesundheitssport ◽

10.1055/a-0968-1359 ◽

2019 ◽

Vol 35 (05) ◽

pp. 235-245 ◽

Cited By ~ 1

Author(s):

Christian Thiel ◽

Sascha Sommer ◽

Liane Günther ◽

Anke Osterhoff ◽

Oliver Koch ◽

...

Keyword(s):

Dual Task ◽

Körperliche Aktivität ◽

Hot Spots ◽

Ältere Menschen ◽

Berg Balance Scale ◽

Balance Scale

Zusammenfassung Einführung Das Potenzial einer Verschränkung technikgestützten Trainings körperlicher und kognitiver Fähigkeiten zur Förderung der sozialen Teilhabe und Gemeinschaft Älterer im Wohnquartier erscheint beträchtlich. Derartige Ansätze sind aber in der Praxis selten und kaum wissenschaftlich erprobt. Im BMBF-Projekt Quartier Agil – aktiv vor Ort wird ein solches Programm entwickelt und seine Machbarkeit überprüft. Methoden Vorgestellt werden die Ergebnisse aus dem ersten von 2 6-monatigen Interventionszyklen einer explorativen, nicht-kontrollierten Studie. Unterstützt von 2 Teilhabementorinnen, nahmen n = 19 selbstständig im gleichen Ortsteil Bochums lebende ältere Menschen wöchentlich für 90 Minuten an Smartphone-Schulungen, körperlichem und kognitiven Training teil. Teilnehmer wurden mittels Smartphone und spezieller Apps angeregt, weitere individuelle Trainingseinheiten sowie körperlich und geistig aktivierende Angebote mit Bezug zu Identifikationspunkten („hot spots“) im Quartier zu nutzen oder diese selbst zu organisieren. Diverse Indikatoren der Machbarkeit wurden erhoben. Pre / Post-Erhebungen körperlicher und kognitiver Variablen und der Lebensqualität ergänzt durch Selbstbewertungen der sozialen Teilhabe dienten der ersten Einschätzung möglicher Effekte. Ergebnisse Die Teilhabementorinnen investierten wöchentlich ca. 6 Stunden Zeit und schätzten das Programm als gut machbar ein, wenngleich die App / Smartphone-Einweisung mehr Zeit als erwartet in Anspruch nahm. Die durchschnittliche Anwesenheit in den Veranstaltungen lag bei 76 ± 15 %. Insgesamt traten keine adversen Ereignisse auf. Allerdings brachen 2 Teilnehmer / innen die Studie ab, weitere 4 waren bei den Posttests verhindert. Alle Befragten (n = 13) waren mit dem Programm zufrieden, und 9 von 13 sagten, dass Quartier Agil ihre soziale Vernetzung gefördert habe. Die Smartphones generierten großes Interesse und wurden regelmäßig genutzt, trotz durchwachsener Zufriedenheit mit der projekteigenen App. Vom Pre- zum Posttest verbesserten sich Balance (Berg Balance Scale) und 6 Minuten Gehstrecke tendenziell. Die Kraft der unteren Extremität und körperliche Aktivität blieben auf hohem Niveau erhalten. Eine tendenziell effizientere kognitive Verarbeitung zeigte sich bspw. im Bereich der Wortflüssigkeit. Fazit Der Quartier Agil-Ansatz erscheint machbar und bietet Potenzial zur Förderung von sozialer Teilhabe inklusive verbesserter Bindung an das Wohnquartier und Smartphone-Kompetenz sowie zur Aufrechterhaltung körperlicher und kognitiver Funktionen. Organisatorische und methodisch-didaktische Erkenntnisse flossen in die Anpassung des Programms für einen 2. Interventionszyklus ein. In künftigen Studien sollten körperlich und kognitiv weniger inaktive Teilnehmer adressiert werden. Erhebungen des Aktionsradius und der Dual-Task-Fähigkeiten könnten zukünftig eine spezifischere Quantifizierung möglicher Effekte gestatten.

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