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Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study

Lorena R.S. Almeida, Guilherme T. Valenca, Nádja N. Negreiros, Elen B. Pinto, Jamary Oliveira-Filho
DOI: 10.2522/ptj.20150168 Published 1 July 2016
Lorena R.S. Almeida
L.R.S. Almeida, PT, MSc, Movement Disorders and Parkinson's Disease Clinic, Roberto Santos General Hospital/SESAB, Rua Direta do Saboeiro, s/n-Cabula, 41180-780, Salvador, Bahia, Brazil; Postgraduate Program in Health Sciences, School of Medicine, Federal University of Bahia, Salvador, Bahia, Brazil; and Behavior and Motor Learning Research Group, Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil.
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Guilherme T. Valenca
G.T. Valenca, MD, PhD, Movement Disorders and Parkinson's Disease Clinic, Roberto Santos General Hospital/SESAB, and Health Sciences Center, Federal University of Reconcavo of Bahia, Santo Antônio de Jesus, Bahia, Brazil.
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Nádja N. Negreiros
N.N. Negreiros, RN, Movement Disorders Clinic, State of Bahia Health Attention Center for the Elderly/SESAB, Salvador, Bahia, Brazil.
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Elen B. Pinto
E.B. Pinto, PT, PhD, Bahiana School of Medicine and Public Health.
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Jamary Oliveira-Filho
J. Oliveira-Filho, MD, MS, PhD, Postgraduate Program in Health Sciences, School of Medicine, Federal University of Bahia.
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Figures

Figure 1.
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Figure 1.

Flowchart showing recruitment and follow-up of participants with Parkinson disease (PD).

Figure 2.
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Figure 2.

Receiver operating characteristic (ROC) curves for the Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Functional Reach Test (FRT), Falls Efficacy Scale–International (FES-I), Activities-specific Balance Confidence Scale (ABC), and Timed “Up & Go” Test (TUG). AUC=area under the curve, CI=confidence interval.

Tables

Table 2.
Table 2.

Analysis of Individual Self-Report and Performance-Based Balance Measures for the 12-Month Follow-up Perioda

  • ↵a AIC=Akaike information criterion, AUC=area under the curve, CI=confidence interval, LR+=likelihood ratio for a positive test result, LR−=likelihood ratio for a negative test result, BBS=Berg Balance Scale, DGI=Dynamic Gait Index, FRT=Functional Reach Test, FES-I=Falls Efficacy Scale–International, TUG=Timed “Up & Go” Test, ABC=Activities-specific Balance Confidence Scale, BESTest=Balance Evaluation Systems Test, N/A=not applicable, Mini-BESTest=condensed version of the BESTest, FGA=Functional Gait Assessment, Brief-BESTest=shortened version of the BESTest.

  • b The pretest probability of being a recurrent faller was 32.5%.61,62 Data were from previous prospective studies and include values for a 6-month follow-up period.

  • c “63%” and “46%” were defined by Duncan et al as “percentage score determined from raw score to ease comparison to the BESTest.”61(p548)

  • d Confidence intervals were not reported.

Table 3.
Table 3.

Analysis of Two-Test Modelsa

  • ↵a AIC=Akaike information criterion, CI=confidence interval, LR+=likelihood ratio for a positive test result, LR−=likelihood ratio for a negative test result, FES-I=Falls Efficacy Scale–International, BBS=Berg Balance Scale, DGI=Dynamic Gait Index, TUG=Timed “Up & Go” Test, ABC=Activities-specific Balance Confidence Scale, FRT=Functional Reach Test.

  • b Number of people with positive test result in each condition.

Table 4.
Table 4.

Analysis of Three-Test Modelsa

  • ↵a AIC=Akaike information criterion, CI=confidence interval, LR+=likelihood ratio for a positive test result, LR−=likelihood ratio for a negative test result, FES-I=Falls Efficacy Scale–International, BBS=Berg Balance Scale, DGI=Dynamic Gait Index, TUG=Timed “Up & Go” Test, FRT=Functional Reach Test, ABC=Activities-specific Balance Confidence Scale.

  • b Number of people with positive test result in each condition.

Table 1.
Table 1.

Demographic and Disease-Specific Characteristics and Balance-Related Measures for Recurrent Fallers and Nonrecurrent Fallersa

  • ↵a Participants were classified as recurrent fallers if they reported 2 or more falls in the 12-month follow-up period and as nonrecurrent fallers if they reported no fall or 1 fall. CI=confidence interval, LED=levodopa equivalent dose, UPDRS=Unified Parkinson Disease Rating Scale, ADL=activities of daily living, BBS=Berg Balance Scale, DGI=Dynamic Gait Index, FRT=Functional Reach Test, ABC=Activities-specific Balance Confidence Scale, FES-I=Falls Efficacy Scale–International, H&Y=modified Hoehn and Yahr stage, TUG=Timed “Up & Go” Test.

  • b Values are reported as mean (SD) unless otherwise indicated.

  • c Pearson chi-square test.

  • d t test.

  • e Mann-Whitney U test.

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Vol 96 Issue 7 Table of Contents
Physical Therapy: 96 (7)

Issue highlights

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  • Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity
  • Treatment-Based Classification System for Low Back Pain: Revision and Update
  • Interdisciplinary Management of Complex Regional Pain Syndrome of the Face
  • Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study
  • Therapists' Perceptions of Application and Implementation of AM-PAC “6-Clicks” Functional Measures in Acute Care: Qualitative Study
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Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study
Lorena R.S. Almeida, Guilherme T. Valenca, Nádja N. Negreiros, Elen B. Pinto, Jamary Oliveira-Filho
Physical Therapy Jul 2016, 96 (7) 1074-1084; DOI: 10.2522/ptj.20150168

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Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study
Lorena R.S. Almeida, Guilherme T. Valenca, Nádja N. Negreiros, Elen B. Pinto, Jamary Oliveira-Filho
Physical Therapy Jul 2016, 96 (7) 1074-1084; DOI: 10.2522/ptj.20150168
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  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
  • Predictors of Reduced Frequency of Physical Activity 3 Months After Injury: Findings From the Prospective Outcomes of Injury Study
  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
Show more Measurement

Subjects

  • Examination/Evaluation
    • Tests and Measurements
  • Geriatrics
    • Falls and Falls Prevention
  • Neurology/Neuromuscular System
    • Parkinson Disease and Parkinsonian Disorders
    • Balance

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