Publication: Comparison of measurement properties of three shortened versions of the balance evaluation system test (BESTest) in people with subacute stroke
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Issued Date
2019
Resource Type
File Type
application/pdf
ISSN
16501977
Other identifier(s)
2-s2.0-85072943456
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Journal of Rehabilitation Medicine. Vol 51, No.9 (2019), p.683-691
Suggested Citation
Winairuk T., Pang M.Y.C., Saengsirisuwan V., Horak F.B., Boonsinsukh R. Comparison of measurement properties of three shortened versions of the balance evaluation system test (BESTest) in people with subacute stroke. Journal of Rehabilitation Medicine. Vol 51, No.9 (2019), p.683-691. doi:10.2340/16501977-2589 Retrieved from: https://hdl.handle.net/20.500.14740/5599
Abstract
Objectives: To examine the reliability, validity and responsiveness of 3 different short versions of the Balance Evaluation Systems Test (BESTest: SBESTest, Brief-BESTest and Mini-BESTest) in patients with subacute stroke. Design: A prospective cohort study. Participants: Patients with subacute stroke. Methods: Patients were assessed using the full BESTest. Scores of 3 short-form BESTests were later extracted. The intra-rater and inter-rater reliability (n = 12) were gathered from 5 raters. Concurrent validity was assessed with the Berg Balance Scale (BBS). Floor/ceiling effect, internal responsiveness and external responsiveness with the BBS (n = 70) were assessed at baseline, 2 weeks and 4 weeks post-rehabilitation. Results and conclusion: All short-form BESTests demonstrated excellent intra-rater and inter-rater reliability (intraclass correlation coefficient (ICC) = 0.95-0.99) and excellent concurrent validity (r = 0.93-0.96). Unlike the Brief-BESTest and Mini-BESTest, the S-BESTest and BESTest had no significant foor/ceiling effects (< 20%). The standardized response mean of all 4 BESTest versions were large, ranging between 1.19 and 1.57, indicating sufficient internal responsiveness. The area under the curve of the S-BESTest and BESTest were significantly higher than the Brief-BESTest and Mini-BESTest, reflecting better accuracy of the S-BESTest and BESTest in identifying patients with subacute stroke who had balance improvement using the minimal clinically important difference of 6 and 16 points, respectively. These findings suggest that the S-BESTest is a short-form BESTest that is appropriate for assessing balance impairments in patients with subacute stroke. © 2019 Foundation of Rehabilitation Information.
Subject(s)
Body equilibrium
Cerebrovascular accident
Disability
Female
Human
Male
Middle aged
Pathology
Physiology
Physiotherapy
Prospective study
Reproducibility
Disability Evaluation
Female
Humans
Male
Middle Aged
Physical Therapy Modalities
Postural Balance
Prospective Studies
Reproducibility of Results
Stroke
Cerebrovascular accident
Disability
Female
Human
Male
Middle aged
Pathology
Physiology
Physiotherapy
Prospective study
Reproducibility
Disability Evaluation
Female
Humans
Male
Middle Aged
Physical Therapy Modalities
Postural Balance
Prospective Studies
Reproducibility of Results
Stroke