Reliability of the Berg Balance Scale as a Clinical Measure of Balance in Community-Dwelling Older Adults with Mild to Moderate Alzheimer Disease: A Pilot Study

Hunter, Susan; Graham, Laura; Montero‐Odasso, Manuel

doi:10.3138/ptc.2014-32

Cited by 42 publications

(35 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, in a systematic review conducted by Menant et al [7], it was reported that single and dual task gait analysis have equal predictive capacity, and therefore, there is no need to include dual task tests in fall risk assessments. This finding is in contrast to the results of a recent review by Muir-Hunter et al [27] which concluded that the association between gait performance and fall risk was stronger under dual-versus single-task conditions. In addition to gait variability, gait speed [28] and movement path variability (tortuosity) [29] have been confirmed to help with fall prediction in cognitively healthy older adults.…”

Section: Introductioncontrasting

confidence: 56%

“…Moreover, at present, the algorithms used to process data from wearable sensors can have difficulty identifying gait episodes that are asymmetric or irregular, which limits their utility in the advanced dementia population. Regarding non-instrumented performance measures which were reported in this review, there are concerns about their reliability and validity in people with dementia, particularly individuals at the advanced stage of disease [10,27]. Most of the studies in this review recruited community-dwelling individuals with mild to moderate dementia (MMSE in the range of [12][13][14][15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

“…One study [12] employed the modified version of the performance assessment tool in order to accommodate for the attention and memory deficit in individuals with dementia. Taken together, it is likely that the performance tests discussed in this review would require some minor modifications or be inappropriate for use depending on the type and severity of the dementia [27].…”

Section: Discussionmentioning

confidence: 99%

“…Although BBS, TUG, Functional Reach Test, 6-min walk test, and PPT are used in people with dementia, their responsiveness to change in performance in longitudinal assessments has not been established. There is some disagreement among researchers and clinicians on the acceptability of performance measures for a dementia population [27,[48][49][50]. Five studies [2,13,26,34,37] identified some difficulties in the administration of the assessment due to the cognitive impairment of the participants.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Quantitative Mobility Assessment for Fall Risk Prediction in Dementia: A Systematic Review

Dolatabadi

Ooteghem

Taati

et al. 2018

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Background: Impairments of gait and balance often progress through the course of dementia, and are associated with increased risk of falls. Summary: This systematic review provides a critical analysis of the evidence linking quantitative measures of gait and balance to fall risk in older adults with dementia. Various instrumented measures of gait and postural stability including gait speed and non-instrumented performance measures including Timed Up and Go were shown to be capable of distinguishing fallers from non-fallers. Key Messages: Existing reviews indicate that impairments of gait and balance are associated with increased risk of falls in cognitively intact older people. There are inconsistencies, however, regarding the characteristics most predictive of a fall. In order to advance fall prevention efforts, there is an important need to understand the relationship between gait, balance, and fall risk, particularly in high-risk populations such as individuals with dementia.

show abstract

Section: Introductioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Quantitative Mobility Assessment for Fall Risk Prediction in Dementia: A Systematic Review

Dolatabadi

Ooteghem

Taati

et al. 2018

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

show abstract

“…Muir-Hunter et al, 2015) showing lowest reliability among studies performed only 15 participants apart from 1 week. Therefore, various factors are eliminated by researches in Reis study.…”

mentioning

confidence: 95%

The Reliability of Balance, Gait, and Muscle Strength Test for the Elderly with Dementia: A Systematic Review

Lee

Park

2017

KSPM

View full text Add to dashboard Cite

PURPOSE: To summarize the evaluation tools of balance [Berg Balance Scale (BBS), timed up and Go (TUG), forward reaching test (FRT)], gait [6 m walking Test (6MWT)], and strength [Chair Stand Test (CST)] for patients with dementia. METHODS: The following databases were searched: Pub MED, Cochrane, Sciences Direct, and Web of Sciences. The inclusion criteria were as follows: 1) repeated measurement design, 2) subjects with dementia, 3) use of testing tools such as the BBS, TUG, FRT, 6MWT, and CST, 4) report the reliability. One reviewer performed the quality assessment of diagnostic accuracy study and two evaluators performed data extraction independently. RESULTS: Six articles and one letter were included. The interrater reliability of 6MWT, TUG, and CST, were acceptable (ICC>.90). However, FRT had unacceptable reliability. In test-retest reliability, only BBS has acceptable reliability (ICC>.90). Others had various reliabilities. The

show abstract

Test-retest reliability of the functional reach test and the hand grip strength test in older adults using nursing home services

2021

View full text Add to dashboard Cite

Objective This study aimed to determine the absolute and relative test-retest reliability of the functional reach test (FRT) and the handgrip strength test (HGST) in older adults using nursing homes. Methods Participants (≥ 65 years old), living in nursing homes or using their day care services, were distributed into a group without cognitive impairment (GWCI, n = 43) and a group with mild cognitive impairment (GCI; n = 22). A 1-week test-retest was performed for the FRT and the HGST. Relative reliability was measured by the intraclass correlation coefficient (ICC 3.1 ), and absolute reliability by the standard error of measurement (SEM), minimal detectable change (MDC 95 ), and Bland-Altman plots. ResultsThe ICC showed high reliability for the FRT (GWCI, ICC = 0.83; GCI, ICC = 0.87) and the HGST (ICC ≥ 0.95 in both hands and participant groups). The absolute reliability was good: FRT, SEM = 2.96/2.29, MDC 95 = 8.20/6.35 for the GWCI and the GCI, respectively; HGST dominant hand SEM = 1.26/0.82, MDC 95 = 3.50/2.29, and HGST non-dominant hand SEM = 1.05/ 0.80, MDC 95 = 2.90/2.21, for the GWCI and the GCI, respectively. Bland-Altman showed that there was not a systematic bias for the tests in both groups. Discussion Findings show that the FRT and the HGST are reliable, have acceptable measurement error, and may be used for research and clinical purposes to assess functional balance and strength of the hands in older adults using nursing homes.

show abstract

Reliability of the Berg Balance Scale as a Clinical Measure of Balance in Community-Dwelling Older Adults with Mild to Moderate Alzheimer Disease: A Pilot Study

Cited by 42 publications

References 36 publications

Quantitative Mobility Assessment for Fall Risk Prediction in Dementia: A Systematic Review

Quantitative Mobility Assessment for Fall Risk Prediction in Dementia: A Systematic Review

The Reliability of Balance, Gait, and Muscle Strength Test for the Elderly with Dementia: A Systematic Review

Test-retest reliability of the functional reach test and the hand grip strength test in older adults using nursing home services

Contact Info

Product

Resources

About