Feld J A, Rabadi M H, Blau A D, Jordan B D
Brain Injury Program, The Burke Rehabilitation Hospital, White Plains, NY 10605, USA.
Neurorehabil Neural Repair. 2001;15(3):239-44. doi: 10.1177/154596830101500312.
To examine the relationship of the Berg Balance Scale (BBS) to outcome after acquired brain injury.
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 different tasks graded on a 56-point scale. Community-dwelling elders with a BBS score of < or = 42 have > 90% risk for falls.
In our study, there were 27 patients with a low BBS score (< or = 42) and 13 patients with a high BBS score (> or = 43). The discharge total Functional Independence Measure (FIM) scores were lower in the low BBS patients (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.
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 rehabilitation.
探讨伯格平衡量表（BBS）与脑损伤后康复结局的关系。
连续收治40例脑损伤患者进行多学科康复治疗。采用BBS对患者进行评估。BBS最初设计用于定量评估社区居住老年患者的平衡能力和跌倒风险。BBS包含14项不同任务，评分范围为0至56分。社区居住老年人BBS评分≤42分者跌倒风险>90%。
本研究中，27例患者BBS评分低（≤42分），13例患者BBS评分高（≥43分）。低BBS评分患者出院时的功能独立性测量（FIM）总分（96.4±21.2）低于高BBS评分患者（111.5±12.5）（p<0.007）。低BBS评分患者的住院时间（LOS）（38.9±18.5天）显著长于高BBS评分患者（14.2±6.1天；p<0.000）。在住院期间发生跌倒的3例患者中，均表现为BBS评分低。入院时BBS评分与入院时FIM总分显著相关（r = 0.86；p<0.000），与出院时FIM总分中度相关（r = 0.56；p<0.000），与住院时间（r = -0.55；p<0.000）中度相关。多元回归分析显示，入院时FIM评分是出院时FIM评分的更好预测指标，受伤后入院时间是住院时间的更好预测指标。
在急性住院康复入院时，将BBS评分与其他临床指标结合使用，可能会提高对康复结局预测的准确性。
