Berg balance scale and outcome measures in acquired brain injury
Berg balance scale and outcome measures in acquired brain injury
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DOI：
10.1177/154596830101500312
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发表时间：
2001-01-01
影响因子：
4.2
通讯作者：
Jordan, BD
中科院分区：
文献类型：
--
作者：
Feld, JA;Rabadi, MH;Jordan, BD
目的：探讨伯格平衡量表（BBS）与获得性脑损伤后预后的关系。方法：连续 40 名获得性脑损伤患者入院接受多学科康复治疗。通过 BBS 对患者进行评估。 BBS 最初设计用于定量测量社区老年患者的平衡和跌倒风险。 BBS 包含 14 项不同的任务，按 56 分制评分。 BBS 评分小于或等于 42 的社区老年人跌倒的风险 >90%。结果：在我们的研究中，BBS 评分低（小于或等于 42）的患者有 27 例，BBS 评分高（大于或等于 43）的患者有 13 例。与高 BBS 患者 (111.5 +/- 12.5) 相比，低 BBS 患者的出院总功能独立测量 (FIM) 评分较低 (96.4 +/- 21.2) (p < 0.007)。与高 BBS 患者（14.2 +/- 6.1 天；p < 0.000）相比，低 BBS 患者的住院时间（LOS）显着更长（38.9 +/- 18.5 天）。在住院期间发生跌倒的三名患者中，BBS 评分均较低。入院 BBS 分数与入院总 FIM 分数强相关（r = 0.86；p < 0.000），与出院总 FIM 分数（r = 0.56；p < 0.000）和 LOS（r = -0.55；p < 0.000）中度相关。通过多元回归分析，发现入院 FIM 评分是出院 FIM 评分的更好预测因子，受伤后入院时间是 LOS 的更好预测因子。结论：将 BBS 评分与住院急性康复入院时的其他临床测量相结合，可能会增强康复结果的预测。
Objective: To examine the relationship of the Berg Balance Scale (BBS) to outcome after acquired brain injury. Methods: Forty consecutive patients with acquired brain injury were admitted for multidisciplinary rehabilitation. Patients were assessed with the BBS. The BBS was originally designed as a quantitative measure of balance and risk for falls in community-dwelling elderly patients. The BBS comprises 14 different tasks graded on a 56-point scale. Community-dwelling elders with a BBS score of less than or equal to42 have >90% risk for falls. Results: In our study, there were 27 patients with a tow BBS score (less than or equal to42) and 13 patients with a high BBS score (greater than or equal to43). The discharge total Functional Independence Measure (FIM) scores were lower in the low BBS patients (96.4 +/- 21.2) compared with the high BBS patients (111.5 +/- 12.5) (p < 0.007). The length of stay (LOS) was significantly longer in the low BBS patients (38.9 +/- 18,5 days) compared with the high BBS patients (14.2 +/- 6.1 days; p < 0.000). Among the three patients that experienced falls during their hospitalization, all exhibited low BBS scores. The admission BBS score strongly correlated with admission total FIM scores (r = 0.86; p < 0.000) and moderately correlated with discharge total FIM scores (r = 0.56; p < 0.000) and LOS (r = -0.55; p < 0.000). Using a multiple regression analysis, the admission FIM score was found to be the better predictor of discharge FIM scores, and time admitted after injury was the better predictor of LOS. Conclusions: Prediction of rehabilitative outcome might be enhanced by the use of the BBS scores in combination with other clinical measures on admission to inpatient acute rehabilitation.