Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review

Blum, Lisa M.; Korner‐Bitensky, Nicol

doi:10.2522/ptj.20070205

Cited by 955 publications

(710 citation statements)

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“…In addition, the tendency for low or high scores shown by the sign of the correlation was consistent with previous research [26,27]. The limited correlation values (overall in the directional control measures), motivated by the different nature of the tests, indicated that the WBB-based posturography assessment can provide additional data not reflected in clinical tests and scales, thus supporting its use for complementing the balance assessment in individuals with stroke [28].…”

Section: Discussionsupporting

confidence: 87%

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Posturography using the Wii Balance Board™

et al. 2016

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ElsevierLlorens Rodríguez, R.; Grau Latorre, J.; Noe, E.; Keshner, EA. (2015). Posturography using the Wii Balance Board. A feasibility study with healthy adults and adults post-stroke. Gait and Posture. 43:228-232. doi:10.1016/j.gaitpost.2015.10 Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. FundingThis study was funded by project NeuroVR (TIN2013-44741-R) of the Ministerio de Economía y Competitividad (Madrid, Spain). 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 Abstract Background

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Section: Discussionsupporting

confidence: 87%

“…Moderate correlations have been reported not only between posturography and clinical tests [26], but also among clinical scales [27]. Previous correlations of COP measures using the WBB and clinical scale have been shown to support our results [11].…”

Section: Discussionsupporting

confidence: 87%

Posturography using the Wii Balance Board™

et al. 2016

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“…The maximum score indicates good balance, and a score below 45 indicates increased fall risk in the elderly population. 24 The BBS is a reliable and valid measure of functional balance in the stroke population, 25 with excellent inter-rater reliability (intraclass correlation coefficient (ICC)=0.98). 23 The Chedoke-McMaster Stroke Assessment (CMSA) 26 leg and foot sub-scales of the impairment inventory were used to determine participants' motor recovery.…”

Section: Data Collectionmentioning

confidence: 99%

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Wong

Brooks

Inness

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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“…However, common clinical balance measures such as the Functional Reach Test and Single Leg Stance, are single‐task measurements which could not assess multiple domains of balance and thus have limited value in directing treatment. The Berg Balance Scale (BBS) is a multi‐item generic balance measure, but its ceiling effects have been well documented when administered to individuals even as early as three months post‐stroke (Blum & Korner‐Bitensky, 2008; Mao, Hsueh, Tang, Sheu, & Hsieh, 2002). Postural Assessment Scale for Stroke Patients (PASS) is a stroke‐specific, multi‐item clinical assessment of balance (Benaim, Perennou, Villy, Rousseaux, & Pelissier, 1999).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of Brief‐Balance Evaluation Systems Test (Brief‐BESTest) in evaluating balance performance in individuals with chronic stroke

Huang

Pang

2017

Brain and Behavior

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ObjectiveTo examine the psychometric properties of the Brief‐Balance Evaluation Systems Test (Brief‐BESTest) in individuals with chronic stroke.Materials and MethodsThis was an observational study with repeated measurements involving 50 participants with chronic stroke [mean (SD) age: 59.2 (7.3) years]. Each participant with stroke was evaluated with the Brief‐BESTest, Berg balance scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), Fugl‐Meyer Motor Assessment (FMA), Chedoke‐McMaster Stroke Assessment (CMSA), Montreal Cognitive Assessment (MoCA), and Geriatric Depression Scale (GDS). Two raters (rater 1 and 2) provided the Brief‐BESTest scores of the first 27 participants independently to establish inter‐rater reliability. After 15 min of rest, the same 27 participants were evaluated with the Brief‐BESTest again by rater 1 to establish intra‐rater reliability. The Brief‐BESTest scores of the stroke group were also compared with those of the control group [n = 27, mean (SD) age: 56.7 (7.7) years].ResultsThe Brief‐BESTest had no substantial floor and ceiling effects, good intra‐rater (ICC 2,1 = 0.974) and inter‐rater (ICC 2,1 = 0.980) reliability and internal consistency (Cronbach's alpha = 0.818). The minimal detectable change at 95% confidence level was 2 points. The Brief‐BESTest showed moderate to very strong correlations with other balance (BBS and PASS) and motor impairment (FMA, CMSA) measures (r s = .547–.911, p < .001), thus revealing good concurrent and convergent validity. Its correlation with measures that evaluated other constructs was weaker (MoCA: r s = .437, p = .002) or non‐significant (GDS: r s = −0.152, p = .292), thus showing good discriminant validity. Good known‐groups validity was established, as the Brief‐BESTest was effective in distinguishing participants with stroke from controls (cutoff score: <18, area under curve: 0.942), and individuals with stroke who required assistive device for their outdoor mobility from those who did not (cutoff score <14, area under curve: 0.810).ConclusionsThe Brief‐BESTest has good reliability and validity in assessing balance function in individuals with chronic stroke.

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Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review

Abstract: The BBS is a psychometrically sound measure of balance impairment for use in poststroke assessment. Given the floor and ceiling effects, clinicians may want to use the BBS in conjunction with other balance measures.

Cited by 955 publications

References 33 publications

Posturography using the Wii Balance Board™

Posturography using the Wii Balance Board™

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Psychometric properties of Brief‐Balance Evaluation Systems Test (Brief‐BESTest) in evaluating balance performance in individuals with chronic stroke

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