University Rehabilitation Institute, Republic of Slovenia.
University of Ljubljana, Faculty of Medicine, Ljubljana.
Int J Rehabil Res. 2021 Jun 1;44(2):185-188. doi: 10.1097/MRR.0000000000000469.
Berg balance scale (BBS) is a widely used outcome measure in rehabilitation. We wanted to check if it can discriminate among levels of use of walking aid in patients with Guillain-Barré syndrome or polyneuropathy. A retrospective audit of 109 such patients (aged 16-85 years) who had completed inpatient rehabilitation in the period 2012-2017 was conducted. Receiver operating characteristic curve analysis was used to estimate the thresholds that optimise the prediction of the patient's walking aid. Statistically, significant threshold BBS score was estimated for the ability to walk without walking aid (≥49 points, yielding 88% sensitivity, 68% specificity and 83% classification accuracy) and the necessity to walk with a walker (≤37 points, yielding 62% sensitivity, 83% specificity and 78% classification accuracy). BBS score thresholds can therefore help clinicians choose the appropriate walking aid for patients with Guillain-Barré syndrome or polyneuropathy undergoing rehabilitation.
伯格平衡量表(BBS)是康复领域广泛使用的一种结果测量工具。我们想验证它是否可以区分格林-巴利综合征或多发性神经病患者使用助行器的程度。对 2012 年至 2017 年期间在住院康复中完成的 109 名此类患者(年龄 16-85 岁)进行了回顾性审核。使用受试者工作特征曲线分析来估计最佳预测患者助行器使用的阈值。统计学上,对无助行器行走能力(≥49 分,灵敏度为 88%,特异性为 68%,分类准确率为 83%)和使用助行器行走的必要性(≤37 分,灵敏度为 62%,特异性为 83%,分类准确率为 78%)分别估计了有统计学意义的 BBS 评分阈值。因此,BBS 评分阈值可以帮助临床医生为接受康复治疗的格林-巴利综合征或多发性神经病患者选择合适的助行器。