Use of the Berg balance test to predict falls in elderly persons
Use of the Berg balance test to predict falls in elderly persons
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DOI：
10.1093/ptj/76.6.576
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发表时间：
1996-06-01
期刊：
影响因子：
3.2
通讯作者：
Newton, RA
中科院分区：
文献类型：
--
作者：
Thorbahn, LDB;Newton, RA
背景和目的。这项研究的目的是确定伯格平衡测试是否可以用来预测老年人跌倒的风险。受试者。两个独立生活照料社区的66名居民，年龄在69岁到94岁之间(X=79.2，SD=6.2)。方法：研究方法。受试者完成了一份关于他们跌倒历史和活动水平的问卷。然后进行伯格平衡测试，包括14个功能子测试。六个月后，受试者再次完成问卷调查。结果。日常生活能力的表现预测了受试者43%的分数。容易摔倒的受试者和不容易摔倒的受试者之间存在差异，但测试显示出对预测谁会摔倒的敏感度很低。该试验具有很强的特异性。使用辅助设备对伯格平衡测试的表现有很强的预测力。在伯格平衡测试中，没有发现年龄增加和表现下降之间的关系。结论和讨论。尽管Berg Balance测试只显示了53%的敏感性，但结果支持测试开发人员的Sue(满分为56分)，因为测试中的一般截止分数比那些得分低于截止分数的成年人更不可能下降。然而，分数下降并不预示摔倒频率的增加。必须谨慎看待结果，因为自我报告是记录秋季历史的唯一手段。
Background and Purpose. The purpose of this study was to determine whether the Berg balance test could be used to predict an elderly person's risk of falling. Subjects. Sixty-six residents of two independent life-care communities, aged 69 to 94 years (X = 79.2, SD = 6.2), participated. Methods. Subjects completed a questionnaire pertaining to their fall history and activity level. The Berg balance test, consisting of 14 functional subtests, was then administered. Six months later, subjects again completed the questionnaire. Results. Performance of activities of daily living predicted 43% of the subjects' scores. There was a difference between the subjects who were prone to falling and those who were not prone to falling, but the test demonstrated poor sensitivity for predicting who would fall. The specificity of the test was very strong. The use of an assistive device was a strong predictor of performance on the Berg balance test. No relationship was noted between increasing age and decreasing performance on the Berg balance test. Conclusion and Discussion. Although the Berg balance test demonstrated only 53% sensitivity, the results support the test developers' sue of 45 (out of 56) as a generalized cutoff score on the test were less likely to fall than were those adults who scored below the cutoff score. Decreased scores, however, did not predict increased frequency of falls. Results must be viewed cautiously because self-report was the sole means of documenting fall history.