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

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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Validation of a Russian version of the Berg Balance Scale

Neurology neuropsychiatry Psychosomatics ◽

10.14412/2074-2711-2021-3-12-18 ◽

2021 ◽

Vol 13 (3) ◽

pp. 12-18

Author(s):

N. A. Suponeva ◽

D. G. Yusupova ◽

A. A. Zimin ◽

A. B. Zaitsev ◽

K. A. Yatsko ◽

...

Keyword(s):

Psychometric Properties ◽

Validation Study ◽

Berg Balance Scale ◽

Demyelinating Diseases ◽

Research Center ◽

Balance Scale ◽

Russian Version ◽

Number Of Patients ◽

Risk Of Falls ◽

High Level

Objective: linguistic and cultural adaptation of the original version of Berg Balance Scale (BBS) and assessment its psychometric properties.Patients and methods. The staff of the Validation Center of International Scales and Questionnaires of the Research Center of Neurology received consent from Katherine Berg to validate the BSS in Russia. We carried out the linguocultural ratification during the validation study and prepared a Russian version of the scale. To assess the psychometric properties of the scale (reliability, validity, and sensitivity), we evaluated 55 patients (30 females and 25 males) aged 22–88 years with different neurological disorders (vascular and demyelinating diseases of the central nervous system, peripheral neuropathy, and movement disorders). We analyzed the differences of the total BBS score and the number of patients with high and low risk of falls at the end of rehabilitation compared to baseline to assess the dynamics of changes.Results and discussion. We successfully performed the translation and linguocultural adaptation of the BBS. The scale represents a high level of validity (expert score: 8.6 out of 10 points), reliability (Pearson's correlation coefficient r=0.98, р<0.0001; Cronbach's alpha α=0.94 р<0.001; Cohen's kappa κ=0.71, p<0.0001) and sensitivity (р<0.0001). After a two-week rehabilitation course, the risk of falls significantly decreased (χ2 =4.42; р=0.035); however, the level of independence of movement did not change significantly (F=0.94; р=0.636).Conclusion. The Russian version of the BBS was officially adapted based on the results of the accomplished validation study and is recommended for use both in routine clinical practice and in clinical trials by neurologists and rehabilitologists. The scale is available for downloading by QR code and on the website of Validation Center of International Scales and Questionnaires of the Research Center of Neurology.

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Post-Stroke Patients with Moderate Function Have the Greatest Risk of Falls: A National Cohort Study

10.21203/rs.2.10380/v1 ◽

2019 ◽

Author(s):

Wycliffe Enli Wei ◽

Deidre Anne De Silva ◽

Hui Meng Chang ◽

Jiali Yao ◽

David Bruce Matchar ◽

...

Keyword(s):

Cohort Study ◽

Fall Risk ◽

Primary Outcome Measure ◽

National Registry ◽

Stroke Patients ◽

Functional Level ◽

Stroke Registry ◽

Post Stroke ◽

National Cohort ◽

Risk Of Falls

Abstract Background Stroke patients have increased risks of falls. We examined national registry data to evaluate the association between post-stroke functional level and the risk of low falls among post-stroke patients. Methods This retrospective cohort study analyzed data from national registries to examine the risk factors for post-stroke falls. Data for patients who suffered ischemic strokes and survived the index hospital admission was obtained from the Singapore National Stroke Registry and matched to the National Trauma Registry, from 2011 to 2015. The primary outcome measure was a low fall (fall height ≤0.5m). Competing risk analysis was performed to examine the association between functional level (by modified Rankin score [mRS] at discharge) and the risk of subsequent low falls. Results In all, 2,255 patients who suffered ischemic strokes had recorded mRS. The mean age was 66.6 years and 58.5% were men. By the end of 2015, 54 (2.39%) had a low fall while 93 (4.12%) died. After adjusting for potential confounders, mRS was associated with fall risk with an inverted U-shaped relationship. Compared to patients with a score of zero, the sub-distribution hazard ratio (SHR) increased to a maximum of 3.42 (95%CI:1.21-9.65, p=0.020) for patients with a score of 2. The SHR then declined to 2.45 (95%CI:0.85-7.12, p=0.098), 2.86 (95%CI:0.95-8.61, p=0.062) and 1.93 (95%CI:0.44-8.52, p=0.38) for patients with scores of 3, 4 and 5 respectively. Conclusions An inverted U-shaped relationship between functional status and fall risk was observed. This is consistent with the complex interplay between decreasing mobility (hence decreased opportunity to fall) and increasing susceptibility to falls. Fall prevention intervention could be targeted accordingly.

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Gambaran Funtional Electrical Stmulation (FES) Untuk Memperbaiki Drop Foot Gait Pasca Stroke: Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.836 ◽

2021 ◽

Vol 1 ◽

pp. 1362-1372

Author(s):

Delia Andini ◽

Wahyu Ersila

Keyword(s):

Electrical Stimulation ◽

Literature Review ◽

Functional Electrical Stimulation ◽

Berg Balance Scale ◽

Lower Limbs ◽

Google Scholar ◽

Drop Foot ◽

Post Stroke ◽

Balance Scale ◽

Post Test

Abstract Stroke sufferers who survive experience gait disorders because of damage to brain blood vessels that occurs when the arteries that supply blood to the brain are blocked, so that brain cells lose their oxygen supply which can lead to complaints of feeling weak in the lower limbs and the legs tend to wither or drop foot. . The Drop Foot Gait Rehabilitation Program is essential for improving muscle strength and muscle contraction. One of the Rehabilitation for Drop Foot Gait Post Stroke is FES. This study aims to analyze the effect of Functional Electrical Stimulation to correct Drop Foot Gait post stroke from various references. Selection of articles on literature review it uses PICO. Article writing using search literature through PubMed, Science Direct and Google Scholar with the inclusion criteria and exclusion criteria that have been determined. Literature restricted from 2010 – 2020. From result literature review The five articles show that the results of the characteristics of the respondents based on the gender of male 54.9% and female 45.1%, the results of the characteristics of the respondents based on the age of 100% less than 50 years, and the results of 4 articles of the characteristics of the respondents based on increasing gait using Berg Balance Scale measuring instrument is the average value of pre-test 5.40 and post-test average of 3.57 with a difference of 1.83. The results of a literature review of 1 article using a measuring toolElectroencephalogram that is with the results of the pre-test score of 5.5 and the post-test average of 0.8 with a difference of 4.7. So there is an increase in the patient's gaitDrop Foot Gait Post Stroke using Functional Electrical Stimulation (FES). Functional Electrical Stimulation has an effect on improving the gait of Drop Foot patients after stroke. As a basis for further research, especially regarding. Functional Electrical Stimulation to improve Drop Foot Gait after stroke.Keywords : strokes; post stroke;berg balance scale; drop foot gaitpost stroke Abstrak Penderita Stroke yang bertahan hidup mengalami gangguan berjalan akibat terjadinya kerusakan pembuluh darah otak yang terjadi ketika arteri yang memasok darah ke otak tersumbat, sehingga sel sel otak kehilangan suplai oksigen yang mengakibatkan keluhan merasa lemah pada anggota gerak bawah dan kaki cenderung layuh atau Drop Foot. rogram Rehabilitasi Drop Foot Gait sangat penting untuk meningkatkan kekuatan otot dan kontraksi otot. Salah satu Rehabilitasi untuk Drop Foot Gait Pasca Stroke adalah Functional Electrical Stimulation. Penelitian ini bertujuan untuk menganalisa pengaruh Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dari berbagai referensi. Pemilihan artikel pada literature review ini menggunakan PICO. Penulisan artikel menggunakan penelusuran literature melalui PubMed, Science Direct dan Google Scholar dengan kriteria inklusi dan kriteria eksklusi yang telah ditentukan. Literature diberi batasan dari tahun 2010 – 2020. Dari hasil literature review kelima artikel menunjukan bahwa hasil dari karakteristik responden berdasarkan jenis kelamin laki-laki 54,9% dan perempuan 45,1%, hasil dari karakteristik responden berdasarkan usia dari 4 artikel yaitu dengan rentang usia 20-80 tahun dan 1 artikel dengan rata-rata usia 60,7 tahun, hasil 4 artikel dari karakteristik responden berdasarkan peningkatan gaya berjalan menggunakan alat ukur Berg Balance Scale yaitu nilai rata-rata pre test 5,40 dan rata-rata post-test 3,57 dengan selisih 1,83. Hasil literature review 1 artikel menggunakan alat ukur Electroensefalogram mendapatkan hasil nilai pre test 5,5 dan post test 0,8 dengan selisih 4,7. Sehingga ada peningkatan gaya berjalan pada pasien Drop Foot Gait Pasca Stroke menggunakan Functional Electrical Stimulation (FES). Functional Electrical Stimulation berpengaruh untuk memperbaiki gaya berajalan pasien Drop Foot pasca stroke. sebagai dasar untuk penelitian-penelitian lebih lanjut khususnya mengenai Functional Electrical Stimulation untuk memperbaiki Drop Foot Gait pasca stroke dan direkomendasikan untuk profesi fisioterapi sebagai bahan literasi untuk pemberian intervensi pada kasus Drop Foot Gait Pasca Stroke menggunakan FES.Kata Kunci : stroke; pasca stroke; berg balance scale; drop foot gait post stroke.

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

Singapore Medical Journal ◽

10.11622/smedj.2015033 ◽

2015 ◽

Vol 56 (05) ◽

pp. 280-283 ◽

Cited By ~ 17

Author(s):

N Maeda ◽

Y Urabe ◽

M Murakami ◽

K Itotani ◽

J Kato

Keyword(s):

Discriminant Analysis ◽

Berg Balance Scale ◽

Stroke Patients ◽

Balance Scale

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Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke

Topics in Stroke Rehabilitation ◽

10.1080/10749357.2017.1366097 ◽

2017 ◽

Vol 24 (8) ◽

pp. 579-584 ◽

Cited By ~ 8

Author(s):

Sangeetha Madhavan ◽

Alka Bishnoi

Keyword(s):

Walking Speed ◽

Berg Balance Scale ◽

Motor Recovery ◽

Post Stroke ◽

Balance Scale

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Pengaruh latihan core-strengthening terhadap stabilitas trunkus dan keseimbangan pasien pasca stroke

JURNAL BIOMEDIK (JBM) ◽

10.35790/jbm.8.1.2016.12334 ◽

2016 ◽

Vol 8 (1) ◽

Author(s):

Paulina E. Wowiling ◽

Lidwina S. Sengkey ◽

Julius H. Lolombulan

Keyword(s):

Dynamic Balance ◽

Berg Balance Scale ◽

Wilcoxon Test ◽

Inclusion Criteria ◽

Timed Up And Go ◽

Trunk Stability ◽

Group Design ◽

Post Stroke ◽

Balance Scale ◽

Strengthening Exercise

Abstract: This study aimed to analyze whether core-strengthening exercise could correct trunk stability and increase balance in post stroke patients. This was an experimental study with a pretest – posttest group design. Subjects were trained to perform the core strengthening exercise for 12 sessions. The trunk stability was evaluated with trunk impairment scale (TIS) and the balance was evaluated with Berg balance scale (BBS) and timed up and go test (TUG). Data were analyzed with the paired T-test and the Wilcoxon test. The results showed that there were 23 subjects that met the inclusion criteria. Of the 23 subjects, only 19 subjects completed the 12 sessions of exercise. The statistical analysis showed that there were significant increases of TIS (P <0.0001), BBS (P <0.0001), and TUG (P <0.0001) after the whole exercise. Conclusion: Core-strengthening exercise improved trunk stability as wel as static and dynamic balance in post stroke patients.Keywords: core-strengthening exercise, trunk stability, static and dynamic balanceAbstrak: Penelitian ini bertujuan untuk menganalisis sejauh mana latihan core-strengthening memperbaiki stabilitas trunkus dan meningkatkan keseimbangan pada pasien pascastroke. Jenis penelitian ini ialah eksperimental dengan pretest–posttest group design. Subjek penelitian ialah 23 pasien pasca stroke yang memenuhi kriteria inklusi. Perlakuan yang diberikan ialah latihan core-strengthening sebanyak12 sesi. Penilaian stabilitas trunkus menggunakan trunk impairment scale (TIS) sedangkan keseimbangan diukur dengan Berg balance scale (BBS) dan timed up and go test (TUG). Data dianalisis menggunakan uji T berpasangan dan uji Wilcoxon. Hasil penelitian memperlihatkan dari 23 subjek penelitian hanya 19 yang menyelesaian 12 sesi latihan, Analisis statistik menunjukkan bahwa setelah dilakukan latihan penguatan trunkus sebanyak 12 sesi didapatkan peningkatan bermakna dari TIS (P <0,0001), BBS (P <0,0001), dan TUG (P <0,0001). Simpulan: Latihan core-strengthening dapat memperbaiki stabilitas trunkus serta keseimbangan statik dan dinamik pada pasien pasca stroke.Kata kunci: Latihan core-strengthening, stabilitas trunkus, keseimbangan statik dan dinamik

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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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Post-Stroke Patients with Moderate Function Have the Greatest Risk of Falls: A National Cohort Study

10.21203/rs.2.10380/v3 ◽

2019 ◽

Author(s):

Wycliffe Enli Wei ◽

Deidre Anne De Silva ◽

Hui Meng Chang ◽

Jiali Yao ◽

David Bruce Matchar ◽

...

Keyword(s):

Cohort Study ◽

Fall Risk ◽

Primary Outcome Measure ◽

National Registry ◽

Stroke Patients ◽

Functional Level ◽

Stroke Registry ◽

Post Stroke ◽

National Cohort ◽

Risk Of Falls

Abstract Background Stroke patients have increased risks of falls. We examined national registry data to evaluate the association between post-stroke functional level and the risk of low falls among post-stroke patients. Methods This retrospective cohort study analyzed data from national registries to examine the risk factors for post-stroke falls. Data for patients who suffered ischemic strokes and survived the index hospital admission was obtained from the Singapore National Stroke Registry and matched to the National Trauma Registry, from 2011 to 2015. The primary outcome measure was a low fall (fall height ≤0.5m). Competing risk analysis was performed to examine the association between functional level (by modified Rankin score [mRS] at discharge) and the risk of subsequent low falls. Results In all, 2,255 patients who suffered ischemic strokes had recorded mRS. The mean age was 66.6 years and 58.5% were men. By the end of 2015, 54 (2.39%) had a low fall while 93 (4.12%) died. After adjusting for potential confounders, mRS was associated with fall risk with an inverted U-shaped relationship. Compared to patients with a score of zero, the sub-distribution hazard ratio (SHR) increased to a maximum of 3.42 (95%CI:1.21-9.65, p=0.020) for patients with a score of 2. The SHR then declined to 2.45 (95%CI:0.85-7.12, p=0.098), 2.86 (95%CI:0.95-8.61, p=0.062) and 1.93 (95%CI:0.44-8.52, p=0.38) for patients with scores of 3, 4 and 5 respectively. Conclusions An inverted U-shaped relationship between functional status and fall risk was observed. This is consistent with the complex interplay between decreasing mobility (hence decreased opportunity to fall) and increasing susceptibility to falls. Fall prevention intervention could be targeted accordingly.

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