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Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD

Cristina Jácome, Joana Cruz, Ana Oliveira, Alda Marques
DOI: 10.2522/ptj.20150391 Published 1 November 2016
Cristina Jácome
C. Jácome, PT, PhD, Lab 3R–Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, Aveiro, Portugal.
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Joana Cruz
J. Cruz, PT, MSc, Lab 3R–Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, and Institute for Research in Biomedicine, University of Aveiro.
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Ana Oliveira
A. Oliveira, PT, MSc, Lab 3R–Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, and Institute for Research in Biomedicine, University of Aveiro.
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Alda Marques
A. Marques, PT, PhD, Lab 3R–Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro, Agras do Crasto–Campus Universitário de Santiago, Edifício 30, 3810-193 Aveiro, Portugal, and Institute for Research in Biomedicine, University of Aveiro, Aveiro, Portugal.
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Figures

Figure 2.
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Figure 2.

Bland-Altman plots of (A) Berg Balance Scale (BBS), (B) Balance Evaluation Systems Test (BESTest), (C) Mini-BESTest, and (D) Brief-BESTest between 2 sessions (n=28). The solid line represents the mean difference between sessions 1 and 2, and the dashed lines represent the 95% limits of agreement.

Figure 3.
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Figure 3.

Receiver operating characteristics of the Berg Balance Scale (BBS) and the Brief-Balance Evaluation Systems Test (Brief-BESTest) to differentiate between participants with and without a history of falls. The points corresponding to cutoff points are indicated by arrows.

Figure 1.
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Figure 1.

Scatterplots showing the relationship between the Activities-specific Balance Confidence (ABC) Scale and (A) the Berg Balance Scale (BBS), (B) the Balance Evaluation Systems Test (BESTest), (C) the Mini-BESTest, and (D) the Brief-BESTest (N=46).

Tables

Table 2.
Table 2.

Interrater and Intrarater Reliability of the BBS, BESTest, Mini-BESTest, and Brief-BESTest (n=28)a

  • ↵a BBS=Berg Balance Scale, BESTest=Balance Evaluation Systems Test, ICC=intraclass correlation coefficient, 95% CI=95% confidence interval, 95% LA=95% limits of agreement.

Table 3.
Table 3.

Ability to Identify Fall Status of the Berg Balance Scale (BBS), Balance Evaluation Systems Test (BESTest), Mini-BESTest and the Brief-BESTest (n=46)a

  • ↵a BBS=Berg Balance Scale, BESTest=Balance Evaluation Systems Test, AUC=area under the curve, 95% CI=95% confidence interval, SEM=standard error of measurement.

Table 1.
Table 1.

Participants' Characteristicsa

  • ↵a Values shown as X (SD) or n (%), unless otherwise indicated. ABC=Activities-specific Balance Confidence, BBS=Berg Balance Scale, BESTest=Balance Evaluation Systems Test, BMI=body mass index, FEV1=forced expiratory volume in 1 second, GOLD=Global Initiative for Chronic Obstructive Lung Disease, IQR=interquartile range, M=median, mMRC=modified Medical Research Council dyspnea scale.

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Vol 96 Issue 11 Table of Contents
Physical Therapy: 96 (11)

Issue highlights

  • Physical Therapist Student Loan Debt
  • Exercise for Osteoarthritis of the Hip
  • Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin
  • Understanding the Relationship Between Physical Therapist Participation in Interdisciplinary Rounds and Hospital Readmission Rates: Preliminary Study
  • The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters
  • Icelandic Physical Therapists' Attitudes Toward Adoption of New Knowledge and Evidence-Based Practice: Cross-Sectional Web-Based Survey
  • Objective Gait and Balance Impairments Relate to Balance Confidence and Perceived Mobility in People With Parkinson Disease
  • Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality
  • Physical Rehabilitation Interventions for Post-mTBI Symptoms Lasting Greater Than 2 Weeks: Systematic Review
  • Fitkids Treadmill Test: Age- and Sex-Related Normative Values in Dutch Children and Adolescents
  • Joint-Specific Play Controller for Upper Extremity Therapy: Feasibility Study in Children With Wrist Impairment
  • Three Faces of Fragile X
  • Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats
  • Structural Validity of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in People With Mild to Moderate Parkinson Disease
  • Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD
  • Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain: Systematic Review
  • Outcome Measure Recommendations From the Spinal Cord Injury EDGE Task Force
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Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD
Cristina Jácome, Joana Cruz, Ana Oliveira, Alda Marques
Physical Therapy Nov 2016, 96 (11) 1807-1815; DOI: 10.2522/ptj.20150391

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Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD
Cristina Jácome, Joana Cruz, Ana Oliveira, Alda Marques
Physical Therapy Nov 2016, 96 (11) 1807-1815; DOI: 10.2522/ptj.20150391
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  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
Show more Measurement

Subjects

  • Geriatrics
    • Falls and Falls Prevention
  • Examination/Evaluation
    • Tests and Measurements
  • Cardiovascular/Pulmonary System
    • Chronic Obstructive Pulmonary Disease
  • Neurology/Neuromuscular System
    • Balance

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