Responsiveness of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke

Butsara Chinsongkram; Nithinun Chaikeeree; Vitoon Saengsirisuwan; Fay B. Horak; Rumpa Boonsinsukh

doi:10.2522/ptj.20150621

Figures

Figure.

Receiver operating characteristic curve plot of score changes for the Balance Evaluation Systems Test (BESTest), Mini-BESTest, Postural Assessment Scale for Stroke Patients (PASS), and Community Balance and Mobility Scale (CB&M). The arrows indicate the cutoff points for identifying participants who showed balance improvement with the balance measures.

Tables

Table 1.

Participant Demographic and Clinical Characteristics of (N=49)^{^a}

↵^a MMSE=Mini-Mental State Examination, BI=Barthel Index, FM-Motor=Fugl-Meyer Assessment motor subscale.

Table 3.

Internal Responsiveness and Score Distribution of the Balance Evaluation Systems Test (BESTest) and Other Balance Measures^{^a}

↵^a SRM=standardized response mean, CI=confidence interval, BBS=Berg Balance Scale, PASS=Postural Assessment Scale for Stroke Patients, CB&M=Community Balance and Mobility Scale.
^b Significant difference between value before rehabilitation and value after rehabilitation at P<.01.
^c Significant difference between BESTest and Mini-BESTest at P<.001.
^d Significant difference between CB&M and all other tests (BESTest, Mini-BESTest, BBS, and PASS) at P<.01.

Table 4.

Balance Evaluation Systems Test (BESTest) Item Scores and Changes in Scores After Rehabilitation^{^a}

↵^a ME=median; IQR=interquartile range; %N=percentages of participants achieving minimum item score (Min), achieving maximum item score (Max), with improved item score, and with no change in item score after rehabilitation; SRM=standardized response mean; CI=confidence interval; CoM=center of mass; ROM=range of motion; FR=functional reach; EO=eyes open; EC=eyes closed; TUG=Timed “Up & Go” Test.
^b Significant difference between value before rehabilitation and value after rehabilitation at P<.01.
^c This item was used to evaluate both right and left sides, but only data for the right side are presented because of similar scores for both sides.

Table 2.

Floor, Ceiling, and Responsive Ceiling Effects of the Balance Evaluation Systems Test (BESTest) and Other Balance Measures^{^a}

↵^a Values represent numbers (percentages) of participants. BBS=Berg Balance Scale, PASS=Postural Assessment Scale for Stroke Patients, CB&M=Community Balance and Mobility Scale.
^b Significant floor or responsive ceiling effect (>20%).
^c P<.001 for comparison of Mini-BESTest with all other tests (BESTest, BBS, PASS, and CB&M).
^d P<.01 for comparison of BBS with BESTest, Mini-BESTest, and CB&M.
^e P<.01 for comparison of PASS with BESTest, Mini-BESTest, and CB&M.
^f P<.001 for comparison of CB&M with all other tests (BESTest, Mini-BESTest, BBS, and PASS).

Table 5.

Cutoff Scores and Associated Sensitivity, Specificity, LRs, and AUCs of Various Tests for Classifying Participants With Balance Improvement^{^a}

↵^a LRs=likelihood ratios, AUCs=areas under the curve, BESTest=Balance Evaluation Systems Test, PASS=Postural Assessment Scale for Stroke Patients, CB&M=Community Balance and Mobility Scale, CI=confidence interval, LR+=positive likelihood ratio, LR−=negative likelihood ratio.
^b Significant difference in AUCs between BESTest and PASS at P<.05.
^c Significant difference in AUCs between BESTest and CB&M at P<.01.

this is the JCORE Reference site slogan

Responsiveness of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke

Figures

Tables

Issue highlights

Citation Manager Formats

Related Articles

Cited By...

More in this TOC Section

Subjects