Reliability and Validity of the Japanese Version of the Mini-balance Evaluation Systems Test in Patients with Subacute Stroke

Oyama, Chisato; Otaka, Yohei; Onitsuka, Katsuya; Takagi, Hideyuki; Tan, Emiko; Otaka, Eri

doi:10.2490/prm.20180015

Cited by 12 publications

(8 citation statements)

References 22 publications

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“…The weighted kappa statistics for single item agreement have not been elicited for item 1 (sit to stand) and item 7 (stand on a firm surface), which may be due to the fact that similarly high scores were given by both raters at both times for all participants. This explanation is consistent with the results of a previous study in which almost perfect scores in these items from all raters were reported, as well as with the finding that these results were likely to be influenced by the ease of the task [ 35 ].…”

Section: Discussionsupporting

confidence: 92%

Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy

Phyu

Peungsuwan

Puntumetakul

et al. 2022

IJERPH

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Type 2 diabetic peripheral neuropathy is known to cause balance limitations in static, dynamic, and functional activity. The Mini-BESTest, a shortened version of BESTest, was evolved to identify balance disorders within a short duration. No prior studies have yet been conducted to assess the usefulness of Mini-BESTest in the diagnosis of type 2 diabetic peripheral neuropathy. The current study aimed to examine the reliability and discriminant validity by comparing the Mini-BESTest scores between type 2 diabetic patients with peripheral neuropathy, divided into two 2 groups based on reporting scores of <4 and ³4 in the MNSI questionnaire, respectively. Therefore, a cross-sectional study design was conducted including 44 type 2 diabetic patients (4 males and 40 females; aged 56.61 ± 7.7 years old). Diabetic peripheral neuropathy was diagnosed by physical assessment using the Michigan Neuropathy Screening Instrument (MNSI). Inter-rater (two physiotherapists) and intra-rater (7–0 days) reliability of the Mini-BESTest were explored with intraclass correlation coefficients (ICC2,1) and (ICC3,1). The Mini-BESTest presented an excellent inter-rater reliability (ICC2,1= 0.95, 95% CI = 0.91–0.97, SEM = 0.61) and an excellent intra-rater reliability (ICC3,1 = 0.93, 95% CI = 0.87–0.96, SEM = 0.66), with confirmation by a good agreement presented by the Bland–Altman plots. The internal consistency measured with the overall Cronbach’s alpha showed an acceptable agreement (0.73). The MDC was 2.16. In addition, the Mini-BESTest scores in the type 2 diabetic neuropathy patients reporting MNSI questionnaire scores <4 was found to be significantly higher when compared with those reporting scores ³4. The Mini-BESTest can be used as a highly reliable and valid clinical application in the population with type 2 diabetic peripheral neuropathy.

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Section: Discussionsupporting

confidence: 92%

Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy

Phyu

Peungsuwan

Puntumetakul

et al. 2022

IJERPH

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“…As a result, we conclude that the Mini-BESTest can be used in the BVP population, as has been shown with other patient populations such as people with balance disorders, 49 , Parkinson's disease, 50,52 chronic stroke 51 and subacute stroke. 53 While feasible, there is currently no data on the reliability of the Mini-BESTest in the BVP population, which future work should address.…”

Section: Discussionmentioning

confidence: 99%

Assessing Balance in People with Bilateral Vestibulopathy using the Mini-Balance Evaluation Systems Test (Mini-BESTest)

Zhu¹,

Stiphout²,

Karabulut³

et al. 2023

Preprint

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Background and aim: Bilateral Vestibulopathy (BVP) leads to unsteadiness when walking, which worsens in darkness or on uneven ground, as well as oscillopsia during head or body movement. A previous review concluded that clinical balance tests that challenge multiple aspects of balance should be investigated, since simple tests struggle to distinguish between BVP and healthy participants. Our aim was (1) to test if the more comprehensive Mini-BESTest is feasible in BVP, (2) to examine how participants perform in terms of their overall and subcomponent scores and (3) to compare these scores with healthy reference data from the literature.Methods: Fifty participants with BVP completed the Mini-BESTest as part of a larger study. The Mini-BESTest has 4 components: anticipatory, reactive postural control, sensory orientation and dynamic gait. It comprises 14 items with a maximum score of 28. Falls incidence in the previous 12 months was obtained by questionnaire. To compare the overall and sub-scores between our participants with BVP and those of healthy participants from the literature (n=327; obtained via PubMed searches and contacting authors), Mann-Whitney U tests were used. Sub scores within the BVP group were also compared. Spearman correlations were used to investigate the relationships between Mini-BESTest score and age.Results: No floor or ceiling effects were observed. Participants with BVP had significantly lower Mini-BESTest total scores than the healthy group (BVP mean=20.8, Healthy mean=24.2, U(NBVP=49, NHealthy=327)=4564.00, p<0.001, d=0.52). Three sub scores of the Mini-BESTest (anticipatory, reactive postural control, sensory orientation) were significantly lower in BVP (U(NBVP=50, NHealthy=190)=2364.50, p<0.001, d=0.75; U(NBVP=49, NHealthy=190)=3737.00, p=0.028, d=0.3; U(NBVP=50, NHealthy=190)=1223.50, p<0.001, d=1.22, respectively), while the dynamic gait sub scores were not significantly different (U(NBVP=50, NHealthy=190)=4374.50, p=0.367, d=0.11). A stronger negative Spearman correlation between age and Mini-BESTest total score was found in the BVP group (ρ = -0.67; 95% CI: -0.74 to -0.35; p < 0.001) than in the healthy group (ρ = -0.32; 95% CI: -0.32 to -0.11; p < 0.001). Mini-BESTest total scores were not significantly different between participants with BVP who had and had not experienced a fall in the previous 12 months.Conclusions: Our findings illustrate that the Mini-BESTest can be used with people with BVP and confirm the commonly reported balance deficits in BVP. The negative association between age and balance was stronger in BVP, perhaps related to the age-related decline in the remaining functional sensory systems with which people with BVP compensate.

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“…Also, other indicators related to CRF, including FRT and BBS were worse in patients with stroke. FRT and BBS are widely used as assessment tools for both static and dynamic balance in clinical settings ( 67 ). The balance represents the ability to control the center of mass concerning the base of support ( 68 ).…”

Section: Discussionmentioning

confidence: 99%

Exploring Alternative Measurements of Cardiorespiratory Fitness in Patients With Mild Ischemic Stroke at Acute Phase

Zhu

Wang

et al. 2022

Front. Neurol.

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BackgroundWhile emerging studies have suggested an association of cardiorespiratory fitness (CRF) with stroke risk and overall health outcomes, little is known regarding the optimum methods of CRF measurement in patients with mild acute ischemic stroke.ObjectiveThe aim of this study was to explore the association between the 6-min walk distance (6MWD) and other measurements related to CRF in patients with mild ischemic stroke at the acute stage.MethodsA total of 30 patients with stroke and 71 healthy subjects matched for age and grip strength (GS) were prospectively recruited. All patients were within 14 days after stroke onset and presented mild motor impairment (with a full score of Fugl-Meyer Motor Assessment). Demographic data of both groups and clinical information of the stroke group were documented, and the CRF comparison between the two groups was conducted. Each participant underwent a one-time assessment of 6MWD and a series of measurements related to CRF, including GS, 10-m walk test (10mWT), five-times sit-to-stand time (FTSST), functional reaching test (FRT), Berg Balance Scale (BBS), and waistline. Pearson's product-moment correlation coefficient test and multiple linear regression were performed to explore the indicators of CRF.ResultsSignificant moderate correlations (0.3 < r <0.6) were found between 6MWD and GS of left hand (GS-left) (r = 0.573, p = 0.001), GS of right hand (GS-right) (r = 0.524, p = 0.003), FTSST (r = −0.551, p = 0.002), 10mWT (r = 0.554, p = 0.001), and FRT (r = 0.449, p = 0.021) in the patient group. While 6MWD displayed significant moderate correlations with waistline (r = 0.364, p = 0.002), 10mWT (r = 0.512, p < 0.001), FTSST (r = −0.573, p < 0.001), and FRT (r = 0.550, p < 0.001) in the healthy group. All these dependent variables were entered into a stepwise multiple linear regression analysis to evaluate their values in estimating CRF as measured by 6MWD in each group. Analyses suggested that GS-left (p = 0.002) and FTSST (p = 0.003) were the indicators of CRF in the patient group with stroke and explained 51.4% of the variance of 6MWD (R2 = 0.514); FTSST (p < 0.001), 10mWT (p < 0.001), and FRT (p = 0.021) were the indicators of CRF in the healthy group and explained 58.9% of variance of 6MWD (R2 = 0.589).ConclusionsOur data confirmed that CRF is impaired in patients with mild ischemic stroke at the acute phase. Moreover, GS-left may be an optional indicator of CRF in patients with mild acute ischemic stroke, but not in healthy people.Clinical Trial Registrationwww.chictr.org.cn, identifier: ChiCTR2000031379.

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Reliability and Validity of the Japanese Version of the Mini-balance Evaluation Systems Test in Patients with Subacute Stroke

Cited by 12 publications

References 22 publications

Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy

Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy

Assessing Balance in People with Bilateral Vestibulopathy using the Mini-Balance Evaluation Systems Test (Mini-BESTest)

Exploring Alternative Measurements of Cardiorespiratory Fitness in Patients With Mild Ischemic Stroke at Acute Phase

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