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Comparison of the Fullerton Advanced Balance Scale, Mini-BESTest, and Berg Balance Scale to Predict Falls in Parkinson Disease.

作者信息

Schlenstedt Christian, Brombacher Stephanie, Hartwigsen Gesa, Weisser Burkhard, Möller Bettina, Deuschl Günther

机构信息

C. Schlenstedt, PhD, Departments of Neurology and Sport Science, Christian-Albrechts University, Kiel, Germany.

S. Brombacher, DiplPsych, Department of Neurology, Christian-Albrechts University.

出版信息

Phys Ther. 2016 Apr;96(4):494-501. doi: 10.2522/ptj.20150249. Epub 2015 Sep 17.


DOI:10.2522/ptj.20150249
PMID:26381806
Abstract

BACKGROUND: The correct identification of patients with Parkinson disease (PD) at risk for falling is important to initiate appropriate treatment early. OBJECTIVE: This study compared the Fullerton Advanced Balance (FAB) scale with the Mini-Balance Evaluation Systems Test (Mini-BESTest) and Berg Balance Scale (BBS) to identify individuals with PD at risk for falls and to analyze which of the items of the scales best predict future falls. DESIGN: This was a prospective study to assess predictive criterion-related validity. SETTING: The study was conducted at a university hospital in an urban community. PATIENTS: Eighty-five patients with idiopathic PD (Hoehn and Yahr stages: 1-4) participated in the study. MEASUREMENTS: Measures were number of falls (assessed prospectively over 6 months), FAB scale, Mini-BESTest, BBS, and Unified Parkinson's Disease Rating Scale. RESULTS: The FAB scale, Mini-BESTest, and BBS showed similar accuracy to predict future falls, with values for area under the curve (AUC) of the receiver operating characteristic (ROC) curve of 0.68, 0.65, and 0.69, respectively. A model combining the items "tandem stance," "rise to toes," "one-leg stance," "compensatory stepping backward," "turning," and "placing alternate foot on stool" had an AUC of 0.84 of the ROC curve. LIMITATIONS: There was a dropout rate of 19/85 participants. CONCLUSIONS: The FAB scale, Mini-BESTest, and BBS provide moderate capacity to predict "fallers" (people with one or more falls) from "nonfallers." Only some items of the 3 scales contribute to the detection of future falls. Clinicians should particularly focus on the item "tandem stance" along with the items "one-leg stance," "rise to toes," "compensatory stepping backward," "turning 360°," and "placing foot on stool" when analyzing postural control deficits related to fall risk. Future research should analyze whether balance training including the aforementioned items is effective in reducing fall risk.

摘要

相似文献

[1]
Comparison of the Fullerton Advanced Balance Scale, Mini-BESTest, and Berg Balance Scale to Predict Falls in Parkinson Disease.

Phys Ther. 2016-4

[2]
Comparing the Fullerton Advanced Balance Scale with the Mini-BESTest and Berg Balance Scale to assess postural control in patients with Parkinson disease.

Arch Phys Med Rehabil. 2014-9-28

[3]
The Mini-Balance Evaluation Systems Test (Mini-BESTest) Demonstrates Higher Accuracy in Identifying Older Adult Participants With History of Falls Than Do the BESTest, Berg Balance Scale, or Timed Up and Go Test.

J Geriatr Phys Ther. 2016

[4]
Psychometric properties of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in community-dwelling individuals with chronic stroke.

Phys Ther. 2013-4-4

[5]
Comparison of reliability, validity, and responsiveness of the mini-BESTest and Berg Balance Scale in patients with balance disorders.

Phys Ther. 2012-9-27

[6]
Reliability, Validity, and Ability to Identify Fall Status of the Balance Evaluation Systems Test, Mini-Balance Evaluation Systems Test, and Brief-Balance Evaluation Systems Test in Older People Living in the Community.

Arch Phys Med Rehabil. 2016-12

[7]
Functional gait assessment and balance evaluation system test: reliability, validity, sensitivity, and specificity for identifying individuals with Parkinson disease who fall.

Phys Ther. 2010-11-11

[8]
The accuracy of individual Berg Balance Scale items compared with the total Berg score for classifying people with chronic stroke according to fall history.

J Neurol Phys Ther. 2009-9

[9]
Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study.

Phys Ther. 2016-7

[10]
Postural instability in idiopathic Parkinson's disease: discriminating fallers from nonfallers based on standardized clinical measures.

J Neurol Phys Ther. 2008-6

引用本文的文献

[1]
The balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest as clinical tools to assess balance control across different populations: A reliability generalization meta-analysis.

PLoS One. 2025-4-3

[2]
Rock Steady Boxing: A qualitative evaluation of a community exercise program for people with Parkinson's disease.

PLoS One. 2024-12-19

[3]
Prognostic factors for falls in Parkinson's disease: a systematic review.

Acta Neurol Belg. 2024-4

[4]
When 'good' is not good enough: a retrospective Rasch analysis study of the Berg Balance Scale for persons with Multiple Sclerosis.

Front Neurol. 2023-6-20

[5]
Differences in fall-related characteristics across cognitive disorders.

Front Aging Neurosci. 2023-6-9

[6]
Control of center of mass motion during walking correlates with gait and balance in people with incomplete spinal cord injury.

Front Neurol. 2023-5-30

[7]
Assessing balance in people with bilateral vestibulopathy using the Mini-Balance Evaluation Systems Test (Mini-BESTest): feasibility and comparison with healthy control data.

J Neurol. 2023-9

[8]
Improvement of Balance, Motor Aspects, and Activities of Daily Living in Parkinson's Disease after a Sequential Multimodal Aquatic- and Land-Based Intervention Program.

Rehabil Res Pract. 2023-1-9

[9]
Mediolateral Postural Control during Gait in Parkinson's Disease.

Prog Rehabil Med. 2022-9-9

[10]
Balance impairment in patients with moderate-to-severe traumatic brain injury: Which measures are appropriate for assessment?

Front Neurol. 2022-8-3

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