Background Balance dysfunction is common in stroke patients. The Berg Scale (BBS) useful for evaluating the balance function of patients, and it can estimate minimal clinically important difference (MCID) balance. BBS scores differ among patients depending on whether they require walking assistance. MCID should thus be estimated separately who assistance those do not.Objectives To individuals have had an early subacute a aid not, to assist clinical determination effectiveness therapy.Methods...

After confirming the measurement properties of Berg Balance Scale (BBS) in patients with stroke by conducting a Rasch analysis, this study sought: (i) to generate keyform as tool for goal-setting and intervention-planning; (ii) determine appropriate strata separating patients' postural balance ability.Methodological analyses cross-sectional data.A pooled sample 156 stroke: mean (standard deviation) age 74.4 (12.9) years.This evaluated BBS's rating scale structure, unidimensionality, accuracy...

To determine the minimal clinically important difference between Berg Balance Scale and comfortable walking speed in acute-phase stroke patients.Multicenter, prospective, longitudinal study.Inpatient acute rehabilitation.Seventy-five patients with stroke, mean (SD) age 71.7 (12.2) years.Inpatients were assessed before after rehabilitation. Physiotherapy was conducted to improve balance gait over a 2-week period: an average of 40 min/day on weekdays 20 weekends holidays.The patients' Scale,...

To identify the Berg Balance Scale (BBS) values that can be used to discriminate use of a walking aid and BBS sub-items reveal differences in aids among hospitalized older adults with hip fracture.The cases 77 (age 80.8 ± 7.5 years) fracture who were able walk independently hospital retrospectively analyzed. A receiver operating characteristic curve (AUC) analysis was scores optimized identification subjects different levels aids. The identifying differing identified by classification...

The aim of the current study was to identify a cut-off value for predicting walking independence at discharge in older adults with hip fracture based on their Berg Balance Scale (BBS) score admission convalescent rehabilitation ward.This retrospective, multicenter, observational 187 fractures (mean age 83.7, range 66-97 years). Data collected patients' age, sex, treatment, and physical function evaluation. An ordinal logistic regression analysis used predictors associated degree discharge....

[Purpose] This study aimed to compare the predictive accuracy of walking ability at discharge among subacute stroke inpatients 6 months post-discharge in terms community ambulation level and establish optimal cut-off values. [Participants Methods] prospective observational included 78 patients who completed follow-up assessments. Patients were classified into three groups based on Modified Functional Walking Category (household/most limited walkers, least unlimited walkers) obtained by...

Objectives: The Berg Balance Scale (BBS) is a core measure of balance function in patients with stroke. Latent rank theory (LRT) statistical method that enables the degree functional impairment to be ranked from sub-items rating scale; each can then characterized. Identification characteristics by would beneficial for interventions improve This study aims use LRT and characterize stroke impairment. Methods: was multicenter retrospective analysis 293 subacute We used BBS estimate optimal...

Purpose The minimal clinically important difference (MCID) is the smallest significant in treatment identified as crucial to patient. There no known MCID for Berg Balance Scale (BBS), which measures balance function patients with hip fractures. We aimed calculate of BBS older adults fractures.Materials and methods This a retrospective multicenter clinical study that included 187 was calculated using functional ambulation categories (FACs), were used anchors change scores between admission...

[Purpose] Accelerometry indices are a promising and simple method to quantify gait stability. However, the long-term relationship between stability walking ability in patients with stroke has not been fully investigated. The purpose of this study was longitudinally examine regularity harmony at admission speed discharge inpatients subacute mild stroke. [Participants Methods] Sixteen (median age, 69.5 years [1st-3rd interquartile range, 58.0-73.8 years]; 13 males) were enrolled study. A...

ABSTRACTBackground A Clinical prediction rule (CPR) for determining multi surfaces walking independence in persons with stroke has not been established.Objectives To develop a CPR stroke.Methods This was multicenter retrospective analysis of 419 stroke. We developed Berg Balance Scale (BBS)-model combining the BBS, comfortable speed (CWS) and cognitive impairment, Mini-Balance Evaluation Systems Test (Mini-BESTest)-model Mini-BESTest, CWS, impairment. logistic regression conducted as...

Vertebral compression fractures, which are commonly associated with older age and osteoporotic have an increased risk of re-fracture. Therefore, improving balance is important to prevent falls. The minimal change (MIC) has been recommended for interpreting clinically meaningful changes in rating scales. MIC the Berg Balance Scale (BBS) use women vertebral fractures not established.

Abstract Gait analysis using inertial measurement units (IMU) provides a multifaceted assessment of gait characteristics, but minimal detectable changes (MDC), the true change beyond error, during in patients hospitalized with subacute stroke has not been clarified. This study aimed to determine MDC IMU-based trunk acceleration indices stroke. Nineteen (mean ± SD, 75.4 10.9 years; 13 males) who could understand instructions, had pre-morbid modified Rankin Scale < 3 and walk straight for...

Abstract Objective No reports on factors or Clinical prediction rules (CPRs) associated with walking independence among patients vertebral compression fractures (VCFs) are available. Evidence regarding epidemiological rates is also sparse. Here, we sought to ( i ) obtain data the probability of inpatients VCFs achieving independence, and ii develop validate a CPR determine in hospitalized VCFs. Patients Methods We conducted retrospective cross‐sectional observational study aged ≥60 years who...

Abstract Background and Purpose Stroke impairs a patient's ability to walk. In patients with acute stroke, 6‐min walking distance (6MWD) is recommended assess function. Minimal clinically important difference (MCID) used determine the effectiveness of rehabilitation; however, MCID for 6MWD has not been adequately validated. This study aimed estimate 6MWD, measure endurance, in stroke using anchor‐based methods. Methods Based on change from baseline follow‐up measurement 2 weeks later, was...

Accurate determination of walking independence in older adults after hip fracture surgery is crucial for selecting appropriate strategies and providing fall prevention guidance. We developed validated a clinical prediction rule (CPR) to determine level-surface community with fractures.

There is insufficient evidence regarding the minimal clinically important difference (MCID) of Mini-Balance Evaluation Systems Test (Mini-BESTest).To determine MCID Mini-BESTest in patients with early subacute stroke.In this prospective cohort study, score 50 stroke was obtained within 1 week their admission, and Global Rating Change Scale (GRCS) scores were at discharge. The GRCS reported by both physical therapists. We evaluated correlation between change determining Spearman's rank...

Introduction Balance impairment occurs after a hip fracture, but the characteristics of are not clear.Objective To investigate uni-dimensionality, fit statistics, and item difficulty Berg Scale (BBS) in older adults with fracture by conducting Rasch analysis.Methods This was an observational cross-sectional study. The 254 participants were all ≥ 65 years old had been hospitalized for rehabilitation unilateral incurred during fall. We collected their BBS scores at time hospital discharge...

The Brief-Balance Evaluation Systems Test (Brief-BESTest) has the potential to be used effectively for interventions on specific balance components. However, it not been utilized acute stroke cases.This study determined characteristics of distribution Brief-BESTest scores patients who suffered and examined its relationship with physical function activities daily living ability.The Brief-BESTest, sub-items Stroke Impairment Assessment Set (SIAS), Functional Independence Measure (FIM) were...

目的:潜在変数の順序性を検討できる潜在ランク理論(latent rank theory:LRT)を用いて,大腿骨近位部骨折患者のバランス能力ステージを明らかにすること.

〔目的〕本研究の目的は，脳卒中患者におけるBrief-Balance Evaluation Systems Test （BESTest）のセクションと歩行速度との関連を検証することであった．〔対象と方法〕対象は歩行可能な脳卒中患者35名であった．評価項目はBrief-BESTestと快適歩行速度（CWS）であった．Brief-BESTestの各セクションおよび合計とCWS間の相関分析を行った．〔結果〕CWSとBrief-BESTestの合計は強い正の相関を認め，セクションⅠ，Ⅲ，Ⅳ，Ⅵとは中等度の正の相関を認めた．Ⅴとは弱い正の相関を認め，Ⅱとは有意な相関を認めなかった．〔結語〕脳卒中患者の歩行速度には，予測的姿勢制御や反応的姿勢制御，歩行安定性などの複数のバランス構成要素が関連していた．