scholarly journals Clinical Evidence Based Nursing (EBNP) Penggunaan Berg Balance Scale Untuk Mengkaji Keseimbangan Pada Pasien Stroke

JKEP ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 219-231
Author(s):  
Dwi Kartika Rahayuningtyas ◽  
Ratna Sitorus ◽  
I Made Kariasa ◽  
Yunisar Gultom

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.

2015 ◽  
Vol 28 (2) ◽  
pp. 241-249
Author(s):  
Fabiane Maria Klitzke dos Santos ◽  
Franciely Voltolini Mendes ◽  
Simone Suzuki Woellner ◽  
Noé Gomes Borges Júnior ◽  
Antonio Vinicius Soares

Introduction Hemiparetic Stroke patients have their daily activities affected by the balance impairment. Techniques that used visual information for training this impairment it seems to be effective. Objective To analyze the effects of the unstable balance board training and compare two ways of visual feedback: the biomechanical instrumentation and the mirror. Materials and methods Eight chronic hemiparetic Stroke patients participated in the research, randomized in two groups. The first group (G1) accomplished the training with biomechanical instrumentation, and the second group (G2) trained in front of the mirror. Sixteen training sessions were done with feet together, and feet apart. The evaluation instruments that were used before and after the period of training were the Time Up and Go Test (TUGT), Berg Balance Scale (BBS) and the Instrumented Balance Board (IBB), that quantified the functional mobility, the balance and the posture control respectively. Results The TUGT showed significant results (p < 0.05) favorable to G1. Despite the results of BBS were significant for G2, the intergroup comparison did not reveal statistical significance. Both groups obtained decrease in levels of IBB oscillation, what can indicate a higher stability, however the results did not indicate statistical significance (p > 0.05). A strong correlation between all the applied tests was observed in this research. Conclusion Although the advantages found were different between the groups, in both it could be observed that the training brought benefits, with the transference to the functional mobility.


2018 ◽  
Vol 99 (3) ◽  
pp. 529-533 ◽  
Author(s):  
Yi-Jing Huang ◽  
Gong-Hong Lin ◽  
Shih-Chieh Lee ◽  
Yi-Miau Chen ◽  
Sheau-Ling Huang ◽  
...  

2018 ◽  
Vol 10 (1) ◽  
pp. 95-100
Author(s):  
So Yeon Kim ◽  
Su Jin Park ◽  
Ye Eun Lee ◽  
Eun Ha Lee ◽  
Hwa Yeong Lim ◽  
...  

Summary Study aim: The purpose of this study was to confirm the effectiveness of tele-rehabilitation mental practice (TRMP) on balanc­ing performance for patients with hemiplegia. Material and methods: This study included five stroke patients, and all participants were trained to help to recover balancing performance. TRMP was applied for a total of 15 training sessions for 3 weeks, and pre- and post-intervention evaluations were carried out during this study. The Berg Balance Scale was used to confirm the balance ability, the Modified Falls Efficacy Scale to confirm the falls efficacy, and the Wii program to confirm the right and left weight distribution ratio. Results: As a result of this study, we could not confirm a significant difference between pre- and post-intervention balance ca­pacity and fall efficacy. However, weight distribution showed a significant difference after the intervention. Conclusion: TRMP may be applied in novel balance training for stroke patients.


2015 ◽  
Vol 56 (05) ◽  
pp. 280-283 ◽  
Author(s):  
N Maeda ◽  
Y Urabe ◽  
M Murakami ◽  
K Itotani ◽  
J Kato

Author(s):  
Brunelli Stefano ◽  
Gentileschi Noemi ◽  
Iosa Marco ◽  
Fusco Francesca Romana ◽  
Grossi Valerio ◽  
...  

Background: Along with conventional therapy, novel tools are being developed in balance training for the rehabilitation of persons with stroke sequelae. The efficacy of Computerized Balance Training thus far been the object of studies only in persons with chronic stroke. Objective: To investigate the effects of an early Computerized Balance Training on balance, walking endurance and independence in activities of daily living, in persons with mild hemiparesis in subacute phase. Methods: Thirty-two persons with a recent hemiparesis (within 4 weeks from stroke onset), able to maintain a standing position for at least 30 seconds were randomly assigned to an experimental or control group. The control group (CG) were administered conventional physiotherapy of 40 minutes twice a day, five times a week for 4 weeks, while the experimental group (EG) underwent conventional physiotherapy 40 minutes once a day and Computerized Balance Training once a day, 5 times a week for 4 weeks. Outcomes were evaluated by means of Berg Balance scale (BBS), Tinetti Balance Scale (TBS), Two Minutes Walk Test (2MWT), Barthel Index (BI) and stabilometric tests. Results: Twelve participants for each group completed the training. Each group experienced 8 dropouts. The mean age (years) was 58.1±20.4 for EG and 59.7±14,7 for CG; the days from stroke were respectively 27.9±15.5 and 20±11.7. The difference between the two groups was statistically significant in experimental group for BBS (p = 0.003), for TBS (p = 0.028), for Sensory Integration and Balance tests performed with closed eyes on steady (p = 0.009) or instable surface (p = 0.023). and for 2MWT (p = 0.008). Conclusions: Computerized Balance Training is an effective therapeutic tool for balance and gait endurance improvement in persons with stroke in subacute phase.


Author(s):  
Felicity Langley ◽  
Shylie Mackintosh

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before January 2007, assessing the use of these functional balance tests with community dwelling adults aged 65 years or above were included. The CINAHL, MEDLINE, Ageline, Amed, PubMed, Cochrane library, PEDro and Joanna Briggs Institute databases were searched. The methodological quality of studies was assessed using a checklist criteria adapted from the Cochrane Working Group for Screening and Diagnostic Tests. Results: Eight databases were searched and 21 studies were included. The majority of studies demonstrated low to moderate methodological quality scores. Despite limitations reported for clinical application with community dwelling older adults, the Berg Balance Scale and the Timed Up and Go Test have been most rigorously tested. Reliability and concurrent validity of the Balance Screening Tool and the Fullerton Advanced Balance Scale had also been established in this population, however only one study was retrieved for each. Conclusion: The Berg Balance Scale and Timed Up and Go Test have published reliability, validity with community dwelling older adults. Further testing of other functional balance tests is required to establish their reliability and validity in this target population.


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