INSERM UMR1093-CAPS, Université Bourgogne Franche-Comté, UFR Des Sciences Du Sport, Dijon F-21000, France.
Institut De Formation Des Métiers De La Santé, Hôpital Nord Franche-Comté, 2 Rue Du Docteur Flamand, Montbéliard 25200, France.
Clin Interv Aging. 2020 Jul 30;15:1249-1262. doi: 10.2147/CIA.S247332. eCollection 2020.
The Balance Evaluation System Test (BESTest) and the Mini-BESTest were developed to assess the complementary systems that contribute to balance function. These tests include functional tasks involving several high-level exercises to assess the balance function, which may be even more difficult in case of frailty. The Frail'BESTest has been developed to make it possible to include frail older adults in systemic assessment. In this first paper, the objective is to present the Frail'BESTest and to describe the usefulness and complementarity of each system and to test the inter-rater reliability of the score measurements in two health centers.
In the first center, 192 frail and non-frail older patients were enrolled to test I) the contribution of each system, II) internal consistency, and III) the threshold and ceiling effects. The scores of 32 patients from center 1 and 32 patients recruited in another center (center 2) were used to measure the inter-rater reliability of the measurements by means of Kendall's tau coefficients.
The internal consistency was moderate to good for five systems and limited for "biomechanical constraints". The distribution of the Frail'BESTest was more centered than that of the Tinetti and Mini-Motor tests. The Kendall's tau showed strong concordance in center 1 for all systems and only for 4 on 6 systems in center 2.
Completing a systemic evaluation, the therapist may prioritize the patient's needs identifying the most challenging systems. This paper presents the Frail'BESTest and confirms the psychometric properties at a first step level.
平衡评估系统测试（BESTest）和 Mini-BESTest 是为评估有助于平衡功能的互补系统而开发的。这些测试包括涉及多项高级运动的功能任务，以评估平衡功能，而在虚弱的情况下可能更加困难。Frail'BESTest 的开发是为了使虚弱的老年人能够纳入系统评估。在第一篇论文中，目的是介绍 Frail'BESTest，并描述每个系统的有用性和互补性，并在两个健康中心测试评分测量的组内信度。
在第一个中心，招募了 192 名虚弱和非虚弱的老年人，以测试 I）每个系统的贡献，II）内部一致性，和 III）阈值和上限效应。来自中心 1 的 32 名患者和另一个中心（中心 2）招募的 32 名患者的分数用于通过 Kendall's tau 系数测量测量的组内信度。
五个系统的内部一致性为中等至良好，而“生物力学限制”则有限。Frail'BESTest 的分布比 Tinetti 和 Mini-Motor 测试更为集中。Kendall's tau 在中心 1 对所有系统均显示出较强的一致性，而在中心 2 仅对 6 个系统中的 4 个系统显示出较强的一致性。
完成系统评估后，治疗师可以通过确定最具挑战性的系统来优先考虑患者的需求。本文介绍了 Frail'BESTest，并在第一步水平上确认了心理测量学特性。
