Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
Physiother Theory Pract. 2012 Oct;28(7):509-14. doi: 10.3109/09593985.2011.653707. Epub 2012 Jan 30.
Recently, a comprehensive clinical balance test, the balance evaluation systems test (BESTest), was developed to identify the postural control systems causing balance impairments. A short version, the mini-BESTest, was thereafter developed by eliminating redundant and insensitive items. This study aimed to translate the mini-BESTest to Swedish, adapt it and investigate its validity in subjects with Parkinson's disease (PD) or stroke. The Mini-BESTest was translated and back-translated in accordance with Guillemin's guidelines. Discrepancies were discussed and solved by a panel and the test was culturally adapted. Concurrent validity of the final version was explored by correlating well-known clinical tests - the Berg Balance Scale (BBS), the Timed Up and Go (TUG) test and the Falls Efficacy Scale (FES(s)) - with the new mini-BESTest in nine subjects with mild-to-moderate PD (60 years, range 46-85) and nine with chronic stroke (78 years, range 66-90). A high-to-very-high correlation was shown between the mini-BESTest and the BBS (PD: r(s) =0.94, stroke: r(s) =0.86). The mini-BESTest correlated highly with the TUG (PD: r(s) = -0.81, stroke: r(s) = -0.89). In the PD group, a low correlation (r(s) =0.26) was seen between the mini-BESTest and the FES(s). The mini-BESTest has high concurrent validity and is a comprehensive assessment of balance. However, its psychometric properties should be evaluated further.
最近，开发了一种全面的临床平衡测试，平衡评估系统测试（BESTest），用于识别导致平衡障碍的姿势控制系统。此后，通过消除冗余和不敏感的项目，开发了一个简短的版本，即 mini-BESTest。本研究旨在将 mini-BESTest 翻译成瑞典语，对其进行改编，并在帕金森病（PD）或中风患者中研究其有效性。根据 Guillemin 的指南，对 Mini-BESTest 进行了翻译和回译。通过一个小组讨论并解决了分歧，并对测试进行了文化适应。通过将新的 mini-BESTest 与 Berg 平衡量表（BBS）、计时起立行走测试（TUG）和跌倒效能量表（FES(s)）等知名临床测试进行相关性研究，探索了最终版本的同时效度。9 名轻度至中度 PD 患者（60 岁，范围 46-85）和 9 名慢性中风患者（78 岁，范围 66-90）参与了研究。结果显示，mini-BESTest 与 BBS 之间存在高度至非常高的相关性（PD：r(s) = 0.94，中风：r(s) = 0.86）。mini-BESTest 与 TUG 高度相关（PD：r(s) = -0.81，中风：r(s) = -0.89）。在 PD 组中，mini-BESTest 与 FES(s)之间的相关性较低（r(s) = 0.26）。mini-BESTest 具有较高的同时效度，是一种全面的平衡评估方法。然而，其心理测量特性还需要进一步评估。
