A Comparison of the Responsiveness of the Postural Assessment Scale for Stroke and the Berg Balance Scale in Patients With Severe Balance Deficits After Stroke

2019 ◽  
Vol 43 (4) ◽  
pp. 194-198 ◽  
Author(s):  
Yi-Jing Huang ◽  
Gong-Hong Lin ◽  
Shih-Chieh Lee ◽  
Ching-Lin Hsieh
Keyword(s):  
Berg Balance Scale ◽  
Assessment Scale ◽  
Balance Scale ◽  
Balance Deficits ◽  
Postural Assessment

Group- and Individual-Level Responsiveness of the 3-Point Berg Balance Scale and 3-Point Postural Assessment Scale for Stroke Patients

2018 ◽  
Vol 99 (3) ◽  
pp. 529-533 ◽  
Author(s):  
Yi-Jing Huang ◽  
Gong-Hong Lin ◽  
Shih-Chieh Lee ◽  
Yi-Miau Chen ◽  
Sheau-Ling Huang ◽  
...  
Keyword(s):  
Berg Balance Scale ◽  
Assessment Scale ◽  
Stroke Patients ◽  
Individual Level ◽  
Balance Scale ◽  
Postural Assessment

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

2016 ◽  
Vol 96 (10) ◽  
pp. 1638-1647 ◽  
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.

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

2004 ◽  
Vol 84 (5) ◽  
pp. 430-438 ◽  
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.

scholarly journals Post-stroke motor and functional evaluations: a clinical correlation using Fugl-Meyer assessment scale, Berg balance scale and Barthel index

2006 ◽  
Vol 64 (3b) ◽  
pp. 731-735 ◽  
Author(s):  
Roberta de Oliveira ◽  
Enio Walker Azevedo Cacho ◽  
Guilherme Borges
Keyword(s):  
Barthel Index ◽  
Clinical Performance ◽  
Chronic Phase ◽  
Qualitative Evaluation ◽  
Berg Balance Scale ◽  
Motor Dysfunction ◽  
Assessment Scale ◽  
Motor Disability ◽  
Balance Scale

Stroke is one of the major causes of morbidity and mortality. Sequels deriving from this event may lead to motor disability and from mild to severe deficits. In order to better classify sensory-motor dysfunction, balance and ability to perform activities of daily living, quantitative and qualitative evaluation scales have been used. OBJECTIVE: To correlate the scales Fugl-Meyer assessment scale, Berg balance scale and Barthel index. Twenty subjects with sequel after a single, unilateral stroke in chronic phase (>6 months post ictus) were evaluated for about one hour. RESULTS: Barthel scale was statistically related to the total motor score of Fugl-Meyer assessment (r=0.597, p=0.005). The lower limb section at Fugl-Meyer had positive correlation with Berg scale (r=0.653, p=0.002) and with the balance section of Fugl-Meyer own scale (r=0.449, p=0.047). Both balance scales were correlated one with other (r=0.555, p=0.011). Statistical divergence appeared when Barthel's Index was correlated with Berg's Scale (r=0.425, p=0.062), and it is not statistically significant. CONCLUSION: The use of both quantitative and qualitative scales was shown to be a good measuring instrument for the classification of the general clinical performance of the patient, especially when positively related joint evaluations are applied.

scholarly journals Comparing the Mini-BESTest with the Berg Balance Scale to Evaluate Balance Disorders in Parkinson's Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Laurie A. King ◽  
Kelsey C. Priest ◽  
Arash Salarian ◽  
Don Pierce ◽  
Fay B. Horak
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rating Scale ◽  
Berg Balance Scale ◽  
Postural Response ◽  
Balance Scale ◽  
Promising Tool ◽  
Balance Deficits ◽  
Highly Correlated ◽  
Sensitivity Specificity

Objective. The purpose of this study was to explore the usefulness of the Mini-BESTest compared to the Berg Balance Scale in evaluating balance in people with PD of varying severity. We evaluated (1) the distribution of patients scores to look for ceiling effects, (2) concurrent validity with severity of disease, and (3) the sensitivity/specificity of separating people with or without postural response deficits.Subjects. Ninety-seven people with PD were tested for balance deficits using the Berg, Mini-BESTest, Unified Parkinson’s Disease Rating Scale (UPDRS) III and the Hoehn & Yahr (H&Y) disease severity classification.Setting. Clinical research facility at Oregon Health & Science University.Results. The Mini-BESTest is highly correlated with the Berg (r=0.79,P<0.001), but avoids the ceiling compression effect of the Berg for mild PD (skewness −2.30 Berg, −0.93 Mini-BESTest). Consequently, the Mini-BESTest is more effective than the Berg for predicting UPDRS Motor score (P<0.001Mini-BESTest versusP=0.86Berg), and for discriminating between those with and without postural response deficits as measured by the H&Y (ROC differentialP=0.06).Conclusion. The Mini-BESTest is a promising tool for discerning balance deficits in patients with PD, most importantly those with more subtle deficits.

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

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.

Sign in / Sign up

Export Citation Format

Share Document