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

2009 ◽  
Vol 37 (3) ◽  
pp. 697-704 ◽  
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.

scholarly journals The relationship between energy expenditure and physical functions in patients hospitalised for stroke

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kota Hobo ◽  
Hideaki Kurita ◽  
Kimito Momose
Keyword(s):  
Energy Expenditure ◽  
Physical Function ◽  
Walking Speed ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Acceleration Sensor ◽  
Physical Ability ◽  
Physical Functions ◽  
The Relationship

AbstractWe assessed the relationship between energy expenditure (EE) and Functional Independence Measure motor items (FIM-M) score, Berg Balance Scale (BBS) score, and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for the first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2 ± 10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, several patients were unable to achieve an appropriate EE for their level of physical function.

scholarly journals The Relationship Between Energy Expenditure and Physical Functions in Patients Hospitalised For Stroke

2021 ◽  
Author(s):  
Kota Hobo ◽  
Hideaki Kurita ◽  
Kimito Momose
Keyword(s):  
Energy Expenditure ◽  
Physical Function ◽  
Walking Speed ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Acceleration Sensor ◽  
Physical Ability ◽  
Physical Functions ◽  
The Relationship

Abstract We assessed the relationship between energy expenditure (EE) and functional independence measure (FIM-M) score, Berg Balance Scale (BBS), and comfortable walking speed (CWS) in patients hospitalised for stroke. The total EE per day (TEE), EE during rehabilitation (REE), and EE during activities other than rehabilitation (OEE) were measured using a single-axis acceleration sensor in 36 patients hospitalised for a first stroke episode. In addition, the relationships between each type of EE and FIM-M, BBS, and CWS were investigated. In these patients (mean age 66.2±10.6 years), the median values of TEE, REE, and OEE were 41.8 kcal, 18.5 kcal, and 16.6 kcal, respectively. Correlations were observed between each EE type and all physical function indices. Following the stratification of patients into two groups (high and low) based on the level of physical function, a significant correlation between EE type and physical function was observed only in the low BBS group. EE was correlated with overall physical function indices, but the trend differed depending on physical ability. When patients were stratified based on ability, there were several groups with no significant correlation. Therefore, many patients were unable to achieve an appropriate EE for their level of physical function.

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.

scholarly journals Postural control in blind subjects

2011 ◽  
Vol 9 (4) ◽  
pp. 470-476 ◽  
Author(s):  
Antonio Vinicius Soares ◽  
Cláudia Silva Remor de Oliveira ◽  
Rodrigo José Knabben ◽  
Susana Cristina Domenech ◽  
Noe Gomes Borges Junior
Keyword(s):  
Postural Control ◽  
Visual Loss ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Compensatory Mechanisms ◽  
Balance Scale ◽  
Brazilian Version ◽  
Congenitally Blind ◽  
The Mean

ABSTRACT Objective: To analyze postural control in acquired and congenitally blind adults. Methods: A total of 40 visually impaired adults participated in the research, divided into 2 groups, 20 with acquired blindness and 20 with congenital blindness − 21 males and 19 females, mean age 35.8 ± 10.8. The Brazilian version of Berg Balance Scale and the motor domain of functional independence measure were utilized. Results: On Berg Balance Scale the mean for acquired blindness was 54.0 ± 2.4 and 54.4 ± 2.5 for congenitally blind subjects; on functional independence measure the mean for acquired blind group was 87.1 ± 4.8 and 87.3 ± 2.3 for congenitally blind group. Conclusion: Based upon the scale used the results suggest the ability to control posture can be developed by compensatory mechanisms and it is not affected by visual loss in congenitally and acquired blindness.

scholarly journals Effects of Aquatic Exercise and Land-Based Exercise on Cardiorespiratory Fitness, Motor Function, Balance and Functional Independence in Stroke Patients—A Meta-Analysis of Randomized Controlled Trials

2021 ◽  
Vol 11 (8) ◽  
pp. 1097
Author(s):  
Daxin Li ◽  
Ping Chen
Keyword(s):  
Motor Function ◽  
Cardiorespiratory Fitness ◽  
Meta Analysis ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Peak Oxygen Uptake ◽  
Aquatic Exercise ◽  
Stroke Patients ◽  
Randomized Controlled

Objective: The aim of this study was to evaluate the efficacy of aquatic exercise (AE) and land-based exercise (LE) on cardiorespiratory fitness, motor function, balance, and functional independence in stroke patients. Design: Through searching PubMed, Embase, Cochrane Library, Web of Science, CNKI, VIP and Wanfang Database, only randomized controlled trials (RCTs) were collected to study the effects of AE and LE on cardiorespiratory fitness, motor function, balance, and functional independence in patients with stroke. The included studies were evaluated for methodological quality by the Cochrane bias risk assessment tool, and statistical analysis was carried out by the Review Manage 5.3 and Stata 15.1 software. Results: The RCTs were collected between the earliest available date and April 2021. Eleven RCTs were included, including five studies with low risk and six studies with moderate risk. The total sample size used in the study was 369, which included 187 patients undertaking AE and 182 patients undertaking LE. The results of the meta-analysis showed that AE can significantly improve patients’ Berg Balance Scale (BBS) (MD = 5.19, 95% CI: 2.66 to 7.71, p < 0.0001), peak oxygen uptake (VO2peak) (MD = 3.49, 95% CI: 0.17 to 6.8, p = 0.04), Fugl–Meyer Assessment (FMA) (MD = 3.84, 95% CI: 1.64 to 6.04, p = 0.0006), and Functional Independence Measure (FIM) (MD = 6.1, 95% CI: 4.05 to 8.15, p < 0.00001). However, there was no statistically significant difference between the two exercise modes in the Timed Up and Go Test (TUGT) (MD = −2.52, 95% CI: −5.95 to 0.91, p = 0.15) or the Functional Ambulation Category scale (FAC) (MD = 0.28, 95% CI: −0.21 to 0.76, p = 0.26). Conclusion: Based on the improvement in the Berg Balance Scale, peak oxygen uptake, Fugl–Meyer Assessment, and Functional Independence Measure, we can state that aquatic exercise offers better advantages than land-based exercise for patients’ balance, motor function, cardiorespiratory fitness, and functional independence.

Berg Balance Scale and Outcome Measures in Acquired Brain Injury

2001 ◽  
Vol 15 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Jody A. Feld ◽  
Meheroz H. Rabadi ◽  
Alan D. Blau ◽  
Barry D. Jordan
Keyword(s):  
Brain Injury ◽  
Functional Independence Measure ◽  
Quantitative Measure ◽  
Acquired Brain Injury ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Strongly Correlated ◽  
Balance Scale ◽  
Clinical Measures

Objective: To examine the relationship of the Berg Balance Scale (BBS) to out come after acquired brain injury. Methods: Forty consecutive patients with acquired brain injury were admitted for multidisciplinary rehabilitation. Patients were assessed with the BBS. The BBS was originally designed as a quantitative measure of balance and risk for falls in community-dwelling elderly patients. The BBS comprises 14 dif ferent tasks graded on a 56-point scale. Community-dwelling elders with a BBS score of ≤42 have >90% risk for falls. Results: In our study, there were 27 patients with a low BBS score (≤42) and 13 patients with a high BBS score (≥43). The discharge total Functional Independence Measure (FIM) scores were lower in the low BBS pa tients (96.4 ± 21.2) compared with the high BBS patients (111.5 ± 12.5) (p < 0.007). The length of stay (LOS) was significantly longer in the low BBS patients (38.9 ± 18.5 days) compared with the high BBS patients (14.2 ± 6.1 days; p < 0.000). Among the three patients that experienced falls during their hospitalization, all exhibited low BBS scores. The admission BBS score strongly correlated with admission total FIM scores (r = 0.86; p < 0.000) and moderately correlated with discharge total FIM scores (r = 0.56; p < 0.000) and LOS (r = -0.55; p < 0.000). Using a multiple regression analysis, the admission FIM score was found to be the better predictor of discharge FIM scores, and time admitted after injury was the better predictor of LOS. Conclusions: Prediction of rehabilitative outcome might be enhanced by the use of the BBS scores in combination with other clinical measures on admission to inpatient acute rehabil itation. Key Words: Functional Independence Measure—Berg Balance Scale—Ac quired brain injury.

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