The Mini-BESTest: a review of psychometric properties

Carlo, Silvia Di; Bravini, Elisabetta; Vercelli, Stefano; Massazza, Giuseppe; Ferriero, Giorgio

doi:10.1097/mrr.0000000000000153

Cited by 83 publications

(71 citation statements)

References 39 publications

(143 reference statements)

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“…22 Since the first publication of the Mini-BESTest in 2011, many studies have examined the psychometric properties of the Mini-BESTest, providing support for its reliability and validity in individuals with Parkinson’s disease and stroke. 23 Tsang et al (2013) reported the Mini-BESTest to be an instrument with high reliability and validity with no floor or ceiling effects in community dwelling stroke survivors. 14 Only few studies have compared the responsiveness of the Mini-BESTest with standard scales such as the BBS, 13,24 and to the best of our knowledge none have compared the performance of both instruments in individuals with chronic stroke especially in the context of walking recovery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke

Madhavan

Bishnoi

2017

Topics in Stroke Rehabilitation

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Background The Mini-BESTest is a recently developed balance assessment tool that incorporates challenging dynamic balance tasks. Few studies have compared the psychometric properties of the Mini-BESTest to the commonly used Berg Balance Scale (BBS). However, the utility of these scales in relationship to post stroke walking speeds has not been explored. Objectives The purpose of this study was to compare the sensitivity and specificity of the Mini-BESTest and BBS to evaluate walking speeds in individuals with stroke. Design A retrospective exploratory design. Methods Forty-one individuals with chronic stroke were evaluated with the Mini-BESTest, BBS, and 10-meter self-selected walk test (10MWT). Based on their self-selected gait speeds (below or above 0.8 m/s), participants were classified as slow and fast walkers. Results Significant linear correlations were observed between the Mini-BESTest vs. BBS (r = 0.72, p ≤ 0.001), Mini-BESTest vs. 10MWT (r = 0.58, p ≤ 0.001), and BBS vs. 10MWT (r = 0.30, p = 0.05). Independent t-tests comparing the balance scores for the slow and fast walkers revealed significant group differences for the Mini-BESTest (p =0.003), but not for the BBS (p = 0.09). The Mini-BESTest demonstrated higher sensitivity (93%) and specificity (64%) compared to the BBS (sensitivity 81%, specificity 56%) for discriminating participants into slow and fast walkers. No significant results were observed with the FMLE-M scores. Conclusions The Mini-BESTest has a greater discriminative ability than the BBS to categorize individuals with stroke into slow and fast walkers.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke

Madhavan

Bishnoi

2017

Topics in Stroke Rehabilitation

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“…The Mini-BESTest and the 10MWT are found to be reliable and valid in persons with PD [9,26,27,32,33,40]. The revised version of the ST used in the present study still needs to be examined with regard to reliability and validity for persons with PD.…”

Section: Discussionmentioning

confidence: 81%

“…In individuals with PD the Mini-BESTest has excellent inter-rater reliability with an interclass correlation (ICC) ranging between 0.91 and 0.99 [9,26] as well as excellent test-retest reliability (ICC=0.92 to 0.98 [9,26]. The test is valid [27] and can predict fallers among persons with PD [9,28].…”

Section: Measurementsmentioning

confidence: 98%

Dynamic balance and gait speed improve in persons with Parkinson´s disease after Lee Silverman Voice Treatment (LSVT)-BIG training: a single subject experimental design study

Kleppang

Jørgensen

2019

European Journal of Physiotherapy

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BACKGROUND: Parkinson ś disease (PD) is characterized by small, slow movements affecting balance and gait. Lee-Silverman-Voice-Treatment-(LSVT)-BIG is an intensive intervention aiming to restore normal amplitudes of movements. This study aimed to examine whether LSVT-BIG influences dynamic balance and gait in persons with PD. METHODS: We used a Single-Subject-Experimental-Design with three phases; phase A (2 weeks) with no treatment, phase B (4 weeks) with LSVT-BIG-treatment and LSVT-BIG-hometraining, and phase C (7-8 weeks) with LSVT-BIG-home-training. Two persons with PD participated. Outcome measures included the Mini-Balance-Evaluation-Systems-Test (Mini-BESTest) with its four subcomponents ("anticipatory postural adjustments", "postural responses", "sensory orientation", "balance during gait"), the Step-Test (ST) and 10-Meter-Walk-Test-fast (10MWT-fast). The participants were assessed 6, 4 and 8 times during phase A, B and C, respectively. During phase B, they received 16 individual 1-hour LSVT-BIG-treatment sessions and completed between 28 and 39 1-hour sessions LSVT-BIG-home-training. During phase C, they were encouraged to complete one session of home-training every day. RESULTS: The Mini-BESTest-total-score, "balance during gait", ST and 10MWT-fast improved significantly in both participants. One participant demonstrated improved "postural responses". Two of the Mini-BESTest subcomponents were not sensitive to possible improvements. CONCLUSION: LSVT-BIG may have a positive effect on dynamic balance and gait-speed in persons with PD.

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“…The reliability of the Mini-BESTest, both inter-rater and test-retest reliability, is reported to be excellent, with ICCs of 0.98 (0.97–0.99) and 0.96 (0.94–0.99), respectively [ 30 ]. The content validity is also reported to be high [ 24 , 31 ]. The minimal clinically important difference (MCID) is 4 points [ 30 ].…”

Section: Methodsmentioning

confidence: 99%

Dynamic balance in patients with degenerative lumbar spinal stenosis; a cross-sectional study

Thornes¹,

Robinson²,

Vøllestad³

2018

BMC Musculoskelet Disord

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BackgroundDegenerative lumbar spinal stenosis (LSS) is a prevalent condition in adults over the age of 55 years. The condition is associated with activity limitations that are related to increased pain when engaging in weight-bearing activities, such as walking and standing, and release of pain while sitting down or bending forward. The limitation on ambulation is also associated with impaired balance although the types of balance problems are sparsely described in this patient group. The purpose of this study was to assess dynamic balance in persons with LSS by the Mini-BESTest and explore the associations with self-reported balance and functional disability.MethodsSixty two participants were included in this cross-sectional study. The main outcome measure was the Mini-BESTest, providing a total score and sub-scores for 4 balance control systems (Anticipatory Adjustment, Reactive Response, Sensory Orientation, Stability of Gait). The Swiss Spinal Stenosis Questionnaire provided sub-scores for self-reported balance problems and walking function (FUNC).ResultsThe participants showed large inter-individual variation in all measures of balance. The Mini-BESTest score ranged from very good to poor and the mean value was 22.8 (SD 3.5). Nineteen participants (31%) reported having frequent balance problems. Logistic regression analyses showed that both the total Mini-BESTest score (OR (95% CI) 1.6 (1.2, 2.0)(P = .001) and 3 of the 4 balance control systems (Anticipatory Adjustment, Sensory Orientation, Stability in Gait) were significantly associated with self-reported balance problems (.001 ≤ P ≤ .01). The strongest association was seen between Sensory Orientation and balance problems, implying that it is 4.4 times more likely that persons would have no or occasional balance problems with each unit of increase in Sensory Orientation. The total score for the Mini-BESTest was significantly associated with FUNC (P = .042).ConclusionsThe dynamic balance of persons with LSS showed a large heterogeneity with a large fraction of the participants displaying no balance impairments. The test results were associated with the participants’ self-reported balance problems and walking function. The Mini-BESTest thus appears to provide additional information to self-reported disability, and by identifying different kind of balance control impairments, the Mini-BESTest could be useful for physiotherapists working with person-centered rehabilitation in persons with LSS.Electronic supplementary materialThe online version of this article (10.1186/s12891-018-2111-x) contains supplementary material, which is available to authorized users.

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The Mini-BESTest: a review of psychometric properties

Cited by 83 publications

References 39 publications

Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke

Comparison of the Mini-Balance Evaluations Systems Test with the Berg Balance Scale in relationship to walking speed and motor recovery post stroke

Dynamic balance and gait speed improve in persons with Parkinson´s disease after Lee Silverman Voice Treatment (LSVT)-BIG training: a single subject experimental design study

Dynamic balance in patients with degenerative lumbar spinal stenosis; a cross-sectional study

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