Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke.

Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke.
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DOI:
10.1080/10749357.2017.1366097
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发表时间:
2017-12
影响因子:
2.2
通讯作者:
Bishnoi A
Bishnoi A
中科院分区:
医学3区
文献类型:
--
作者:
Madhavan S;Bishnoi A

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Mini-BESTest是最近开发的平衡评估工具,包含具有挑战性的动态平衡任务。很少有研究将Mini-BESTest的心理测量特性与常用的贝格平衡量表(BBS)进行比较。然而,这些量表与卒中后步行速度的关系的效用尚未被探索。本研究的目的是比较Mini-BESTest和BBS评估中风患者步行速度的敏感性和特异性。回顾性探索性设计。对41例慢性脑卒中患者进行了Mini-BESTest、BBS和10米自选步行试验(10 MWT)评估。根据他们自己选择的步态速度(低于或高于0.8米/秒),参与者被分为慢速和快速步行者。在Mini-BESTest与BBS(r = 0.72,p ≤ 0.001)、Mini-BESTest与10 MWT(r = 0.58,p ≤ 0.001)和BBS与10 MWT(r = 0.30,p = 0.05)之间观察到显著线性相关性。比较慢速和快速步行者的平衡得分的独立t检验显示,Mini-BEST测试的组间差异显著(p =0.003),但BBS测试的组间差异不显著(p = 0.09)。Mini-BESTest与BBS(灵敏度81%,特异性56%)相比,在区分参与者为慢速和快速步行者方面表现出更高的灵敏度(93%)和特异性(64%)。FMLE-M评分未观察到显著结果。Mini-BESTest比BBS具有更大的区分能力,可以将中风患者分类为慢速和快速行走者。
The Mini-BESTest is a recently developed balance assessment tool that incorporates challenging dynamic balance tasks. Few studies have compared the psychometric properties of the Mini-BESTest to the commonly used Berg Balance Scale (BBS). However, the utility of these scales in relationship to post stroke walking speeds has not been explored. The purpose of this study was to compare the sensitivity and specificity of the Mini-BESTest and BBS to evaluate walking speeds in individuals with stroke. A retrospective exploratory design. Forty-one individuals with chronic stroke were evaluated with the Mini-BESTest, BBS, and 10-meter self-selected walk test (10MWT). Based on their self-selected gait speeds (below or above 0.8 m/s), participants were classified as slow and fast walkers. Significant linear correlations were observed between the Mini-BESTest vs. BBS (r = 0.72, p ≤ 0.001), Mini-BESTest vs. 10MWT (r = 0.58, p ≤ 0.001), and BBS vs. 10MWT (r = 0.30, p = 0.05). Independent t-tests comparing the balance scores for the slow and fast walkers revealed significant group differences for the Mini-BESTest (p =0.003), but not for the BBS (p = 0.09). The Mini-BESTest demonstrated higher sensitivity (93%) and specificity (64%) compared to the BBS (sensitivity 81%, specificity 56%) for discriminating participants into slow and fast walkers. No significant results were observed with the FMLE-M scores. The Mini-BESTest has a greater discriminative ability than the BBS to categorize individuals with stroke into slow and fast walkers.
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