Discriminant analysis for predictor of falls in stroke patients by using the Berg Balance Scale

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.

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A Comparison of the Falls Efficacy Scale-International with Berg Balance Scale to Evaluate the Risk of Falls in Post Stroke Patients

Journal of Neurology & Stroke ◽

10.15406/jnsk.2015.03.00089 ◽

2015 ◽

Vol 3 (3) ◽

Author(s):

Md Monoarul Haque

Keyword(s):

Berg Balance Scale ◽

Stroke Patients ◽

Post Stroke ◽

Balance Scale ◽

Risk Of Falls

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Effects of Lower-Leg Kinesiology Taping on Balance Ability in Stroke Patients with Foot Drop

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2015/125629 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 6

Author(s):

Young-Hyeon Bae ◽

Hyeong Geun Kim ◽

Kyung Sam Min ◽

Suk Min Lee

Keyword(s):

Scale Score ◽

Dynamic Balance ◽

Berg Balance Scale ◽

Lower Leg ◽

Foot Drop ◽

Stroke Patients ◽

Balance Scale ◽

Balance Ability ◽

Experimental Group ◽

Over Time

Objective. The purpose of this study was to observe the effects of lower-leg kinesiology taping on balance ability in stroke patients with foot drop.Design. Randomized controlled trial study.Method. Thirty stroke patients with foot drop were randomly divided into two groups. The experimental group underwent kinesiology taping, and the control group underwent placebo taping. Balance ability was assessed before and after taping in both groups.Results. No difference was observed over time in the Berg Balance Scale score between the two groups, and a significant difference in the Berg Balance Scale score was observed only in the experimental group. Additionally, there were significant differences in the center of pressure area and limits of stability over time.Conclusion. Kinesiology taping temporarily improved static balance ability in stroke patients. However, its effect on dynamic balance was not verified. Therefore, further research on the influence of long-term kinesiology taping on dynamic balance and gait ability is suggested.

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The Validity of the Modified Postural Assessment Scale for Stroke and Berg Balance Scale in Predicting Fall of Subacute Stroke Patients

JOURNAL OF SPECIAL EDUCATION & REHABILITATION SCIENCE ◽

10.15870/jsers.2014.09.53.3.1 ◽

2014 ◽

Vol 53 (3) ◽

Cited By ~ 1

Author(s):

Chang Sik Park

Keyword(s):

Berg Balance Scale ◽

Assessment Scale ◽

Stroke Patients ◽

Balance Scale ◽

Subacute Stroke ◽

Postural Assessment

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The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke

Medicina ◽

10.3390/medicina57060556 ◽

2021 ◽

Vol 57 (6) ◽

pp. 556

Author(s):

Wen-Ling Liao ◽

Chiung-Wen Chang ◽

Pi-Yu Sung ◽

Wei-Nung Hsu ◽

Ming-Wei Lai ◽

...

Keyword(s):

Operating Characteristic ◽

Area Under The Curve ◽

Berg Balance Scale ◽

Cerebrovascular Diseases ◽

Stroke Patients ◽

Balance Scale ◽

Six Minute Walk Test ◽

Community Ambulation ◽

Admission Status ◽

Minute Walk

Background and Objectives: To regain the ability of community ambulation is a meaningful goal for stroke patients. Recent research recommended that the distance accomplished during the six-minute walk test (≥205 m in 6MWT) is the fittest for defining community ambulation. Until now, there are few studies that have used the updated definition to investigate the related predictors. The aim of this study was to investigate the association between the admission clinical parameters and community ambulation measured by the 6MWT at discharge. The other aim was to find the admission Berg Balance Scale (BBS) cut-off score to discriminate between household or community ambulators. Materials and Methods: This cohort study collected the data of patients who entered the post-acute Care Cerebrovascular Diseases program. Multivariate logistic regression was used to identify significant predictors measured at admission that are associated with community ambulation, and a receiver operating characteristic was adopted to calculate the cut-off value for admission status. There were 120 participants included in this study, and 25% (n = 30) of them regained the ability of community ambulation at discharge. The BBS on admission was identified as the only significant predictor for community ambulation (odds ratio 1.06). Results: The optimal cut-off score for the BBS at admission was 29, and the area under the curve for BBS scores on admission when discriminating between household and community ambulators at discharge was 0.74. Conclusions: The admission BBS scores could be used to predict household and community ambulators at discharge in stroke patients. The results of this study could help clinical physicians set appropriate discharge goals early.

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Responsiveness of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke

Physical Therapy ◽

10.2522/ptj.20150621 ◽

2016 ◽

Vol 96 (10) ◽

pp. 1638-1647 ◽

Cited By ~ 21

Author(s):

Butsara Chinsongkram ◽

Nithinun Chaikeeree ◽

Vitoon Saengsirisuwan ◽

Fay B. Horak ◽

Rumpa Boonsinsukh

Keyword(s):

Berg Balance Scale ◽

Assessment Scale ◽

Balance Performance ◽

Stroke Patients ◽

Evaluation Systems ◽

Balance Scale ◽

Subacute Stroke ◽

Ceiling Effects ◽

External Responsiveness ◽

Postural Assessment

AbstractBackgroundThe reliability and convergent validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke have been established, but its responsiveness to rehabilitation has not been examined.ObjectiveThe study objective was to compare the responsiveness of the BESTest with those of other clinical balance tools in people with subacute stroke.DesignThis was a prospective cohort study.MethodsForty-nine people with subacute stroke (mean age=57.8 years, SD=11.8) participated in this study. Five balance measures—the BESTest, the Mini-BESTest, the Berg Balance Scale, the Postural Assessment Scale for Stroke Patients, and the Community Balance and Mobility Scale (CB&M)—were used to measure balance performance before and after rehabilitation or before discharge from the hospital, whichever came first. The internal responsiveness of each balance measure was classified with the standardized response mean (SRM); changes in Berg Balance Scale scores of greater than 7 were used as the external standard for determining the external responsiveness. Analysis of the receiver operating characteristic curve was used to determine the accuracy and cutoff scores for identifying participants with balance improvement.ResultsParticipants received 13.7 days (SD=9.3, range=5–44) of physical therapy rehabilitation. The internal responsiveness of all balance measures, except for the CB&M, was high (SRM=0.9–1.2). The BESTest had a higher SRM than the Mini-BESTest and the CB&M, indicating that the BESTest was more sensitive for detecting balance changes than the Mini-BESTest and the CB&M. In addition, compared with other balance measures, the BESTest had no floor, ceiling, or responsive ceiling effects. The results also indicated that the percentage of participants with no change in scores after rehabilitation was smaller with the BESTest than with the Mini-BESTest and the CB&M. With regard to the external responsiveness, the BESTest had higher accuracy, sensitivity, specificity, and posttest accuracy than the Postural Assessment Scale for Stroke Patients and the CB&M for identifying participants with balance improvement. Changes in BESTest scores of 10% or more indicated changes in balance performance.LimitationsA limitation of this study was the difference in the time periods between the first and the second assessments across participants.ConclusionsThe BESTest was the most sensitive scale for assessing balance recovery in participants with subacute stroke because of its high internal and external responsiveness and lack of floor and ceiling effects.

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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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Psychometric Properties of 2 Simplified 3-Level Balance Scales Used for Patients With Stroke

Physical Therapy ◽

10.1093/ptj/84.5.430 ◽

2004 ◽

Vol 84 (5) ◽

pp. 430-438 ◽

Cited By ~ 32

Author(s):

Chun-Hou Wang ◽

I-Ping Hsueh ◽

Ching-Fan Sheu ◽

Grace Yao ◽

Ching-Lin Hsieh

Keyword(s):

Psychometric Properties ◽

Predictive Validity ◽

Convergent Validity ◽

Berg Balance Scale ◽

Assessment Scale ◽

Stroke Patients ◽

Yield Data ◽

Balance Scale ◽

High Responsiveness ◽

Postural Assessment

Abstract Background and Purpose. To determine if the 3-level scales yield data as reliable and valid as data obtained for the original scales, 2 simplified 3-level measures of balance—a modified Berg Balance Scale (BBS-3P) and a modified Postural Assessment Scale for Stroke Patients (PASS-3P)—were proposed by the researchers, and psychometric properties of each were compared with those of the original measures (the Berg Balance Scale [BBS] and the Postural Assessment Scale for Stroke Patients [PASS], respectively) in patients with stroke. Subjects and Methods. The study consisted of 2 parts. The first part examined the reliability and concurrent and convergent validity of measurements obtained with these instruments. A total of 77 patients participated in this part of the study. The 3 levels in the center of the BBS were collapsed to a single level (ie, 0–2–4) to form the BBS-3P. Similarly, the 2 middle scores of the center of the PASS were averaged (ie, 0–1.5–3) to form the PASS-3P. In the second part of the study, the predictive validity and responsiveness of these measures were examined. The BBS and PASS scores of 226 patients were retrieved from the records of participants in the Quality of Life After Stroke Study, and these scores were converted into the proposed BBS-3P and PASS-3P scores. Results. The BBS-3P and PASS-3P showed high concurrent validity with the BBS and PASS, good predictive validity for disability, and moderate to high responsiveness. Importantly, the psychometric properties of the BBS-3P and PASS-3P were essentially identical to those of the original BBS and PASS. Discussion and Conclusion. The psychometric properties of both simplified 3-level balance measures were comparable to those of the full, nontruncated scales. Future study is needed to investigate how much meaningful utility can be gained from the scheme of simplification of scaling.

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Predicting the Probability for Fall Incidence in Stroke Patients Using the Berg Balance Scale

Journal of International Medical Research ◽

10.1177/147323000903700313 ◽

2009 ◽

Vol 37 (3) ◽

pp. 697-704 ◽

Cited By ~ 58

Author(s):

N Maeda ◽

J Kato ◽

T Shimada

Keyword(s):

Logistic Model ◽

Functional Independence Measure ◽

Length Of Hospital Stay ◽

Functional Independence ◽

Berg Balance Scale ◽

Stroke Patients ◽

Balance Scale ◽

Patients At Risk ◽

The Relationship ◽

State Examination

This observational study investigated the relationship between balance, mobility and falls in 72 hemiplegic stroke inpatients, with the aim of developing a model for predicting fall risk. Fall history was recorded by interview, balance was assessed using the Berg Balance Scale (BBS) and activities of daily living were evaluated using the Functional Independence Measure (FIM). Variables differing between fallers and non-fallers were identified, and a stepwise regression analysis was performed to identify a combination of variables that effectively predicted fall status. Fallers (occasional and repeat; n = 27) had a shorter time from stroke onset, lower FIM scores on admission and discharge, lower BBS and Mini-Mental State Examination scores, a greater age and longer length of hospital stay compared with non-fallers (all differences were significant). A logistic model for predicting falls showed that BBS at admission was significantly related to falls, with fallers having lower BBS scores at admission (cut-off ≤ 29; sensitivity 80%; specificity 78%). These data suggest BBS is a sensitive and specific measure for identifying stroke patients at risk of falling.

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