Bustamante-Contreras Carolina, Ojeda-Gallardo Yenifer, Rueda-Sanhueza Claudia, Rossel Pedro O, Martínez-Carrasco Claudia
Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Concepción.
Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción.
Int J Rehabil Res. 2020 Jun;43(2):129-134. doi: 10.1097/MRR.0000000000000401.
Balance is affected in numerous neurologic disorders, like stroke, multiple sclerosis and Parkinson's disease contributing to falls, and diminishing quality of life and functionality. The mini-BESTest is one of the most recommended scales to detect balance disorders in people with Parkinson's disease, which has solid psychometric properties. Unfortunately, this scale has not been validated in Chile and there are no other validated scales that can determine balance disorders in patients with Parkinson's disease to date. The study objective was to validate the mini-BESTest scale in Chilean Parkinson's disease patients. The translation and adaptation to Chilean Spanish of the mini-BESTest scale were made following a cross-cultural adaptation process, to then obtain face and content validity by an expert committee. Afterwards, the demographic data and psychometric properties of internal consistency and ceiling and floor effects were measured with a sample of 50 subjects with Parkinson's disease. Furthermore, 10 subjects of the sample were evaluated with the purpose of measuring inter rater reliability. The scale presented a good internal consistency (Cronbach's alpha = 0.845), and an excellent inter rater reliability (intraclass correlation coefficient = 0.97), no ceiling or floor effects were found. The results of the face and content validity and psychometric properties are adequate, achieving the validation of the mini-BESTest scale for balance in Chilean people with Parkinson's disease.
平衡在众多神经系统疾病中会受到影响，如中风、多发性硬化症和帕金森病，这些疾病会导致跌倒，并降低生活质量和功能。迷你BESTest是检测帕金森病患者平衡障碍最推荐的量表之一，它具有可靠的心理测量特性。不幸的是，该量表在智利尚未得到验证，而且迄今为止，尚无其他经过验证的量表可用于确定帕金森病患者的平衡障碍。本研究的目的是在智利帕金森病患者中验证迷你BESTest量表。迷你BESTest量表的翻译和改编为智利西班牙语遵循了跨文化适应过程，随后由一个专家委员会获得表面效度和内容效度。之后，对50名帕金森病患者样本测量了人口统计学数据以及内部一致性、天花板效应和地板效应等心理测量特性。此外，对样本中的10名受试者进行了评估，以测量评分者间信度。该量表呈现出良好的内部一致性（克朗巴哈系数=0.845）和出色的评分者间信度（组内相关系数=0.97），未发现天花板效应或地板效应。表面效度、内容效度和心理测量特性的结果是充分的，实现了迷你BESTest量表在智利帕金森病患者平衡方面的验证。
