How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people.

@article{Donoghue2009HowMC,
  title={How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people.},
  author={Declan Donoghue and Emma K. Stokes},
  journal={Journal of rehabilitation medicine},
  year={2009},
  volume={41 5},
  pages={
          343-6
        }
}
OBJECTIVE To determine the minimum detectable change at 95% confidence for the Berg Balance Scale in a group of elderly people, undergoing physiotherapy rehabilitation. DESIGN Multi-centre, test-retest design. SUBJECTS Cross-sectional sample of convenience of people over 65 years (n = 118) without a previous history of stroke, Parkinson's disease or recent hip arthroplasty. RATERS: Physiotherapists working with elderly people, drawn from the Physiotherapy Research into Older People group… 

Figures and Tables from this paper

Responsiveness of the Berg Balance Scale in patients early after stroke
TLDR
It is shown that a change of 6 BBS point or more can be considered an important change for patients in the sub-acute phase after stroke, which also represents an 80% probability of exceeding the measurement error.
The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: a multicenter, retrospective, observational study
TLDR
For early subacute stroke patients who require assistance to walk, a 5-point improvement in the BBS score is a useful indicator for reducing the amount of assistance.
Minimal clinically important difference of the Berg Balance Scale score in older adults with hip fractures.
TLDR
The effectiveness of meaningful rehabilitation is possible to determine by clarifying the minimal clinically important difference in balance function, which is important for the acquisition of gait, by calculating the MCID of the Berg Balance Scale in older adults with hip fractures.
Minimal Detectable Change for Balance Measurements in Patients With COPD
TLDR
The TUG, UST, BBS, the Tinetti Test, and the ABC scale are reliable outcome measures for use with people with COPD, recognizing that individual variability of performance is high.
Sensitivity to Change and Responsiveness of Four Balance Measures for Community-Dwelling Older Adults
TLDR
Important limitations, including ceiling effects and relatively low sensitivity to change and responsiveness, were noted across all balance measures, highlighting their limited utility across the full spectrum of the community-dwelling elderly population.
A comparison of the ceiling effect between Berg Balance Scale and Mini-BESTest in a group of balance trained community-dwelling older adults
TLDR
The MBT presents a significantly smaller ceiling effect and is therefore more suitable for assessing balance even for balance trained older adults and may be used as a short screening tool.
Impairments in balance discriminate fallers from non-fallers in COPD.
Measurement properties of the Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES)
TLDR
The Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES) has high absolute and relative reliability and is suggested to be a useful tool to evaluate quality of movement in the upper extremity of stroke patients.
Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
TLDR
This Tai Chi intervention has potential to reduce the incidence of falls and improve quality of life among community-dwelling PWD and the feasibility of a definitive trial on falls prevention is investigated.
...
...

References

SHOWING 1-10 OF 26 REFERENCES
Detecting change in patients with stroke using the Berg Balance Scale.
  • T. Stevenson
  • Medicine, Psychology
    The Australian journal of physiotherapy
  • 2001
A review of balance instruments for older adults.
  • S. Whitney, J. Poole, S. Cass
  • Medicine, Education
    The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 1998
TLDR
Familiarity with balance instruments can be helpful in selecting the one most appropriate for clinical setting and clients in order to institute appropriate prevention programs, such as environmental modifications and lifestyle adaptations.
Measuring balance in the elderly: preliminary development of an instrument
TLDR
The goal for this study was to develop a measure of balance appropriate for elderly individuals and there was a high degree of internal consistency, a Cronbach's alpha of .96, which indicates the movements reflect a single underlying dimension.
Concurrent validity of the Berg Balance Scale and the Dynamic Gait Index in people with vestibular dysfunction.
  • S. Whitney, D. Wrisley, J. Furman
  • Medicine
    Physiotherapy research international : the journal for researchers and clinicians in physical therapy
  • 2003
TLDR
The Dynamic Gait Index appears to be a more sensitive assessment tool in identifying people with vestibular disorders who are at increased risk for falling, based on currently published criteria.
Analysis and Comparison of the Psychometric Properties of Three Balance Measures for Stroke Patients
TLDR
The Postural Assessment Scale for Stroke Patients showed slightly better psychometric characteristics than the other 2 measures, and showed very acceptable levels of reliability, validity, and responsiveness for both clinicians and researchers.
Clinical and laboratory measures of postural balance in an elderly population.
TLDR
The Balance Scale was the most efficient measure to statistically discriminate between subjects according to their use of each type of mobility aide (walker, cane, no aids) and supports the validity of the Balance Scale in this geriatric population.
Defining the minimum level of detectable change for the Roland-Morris questionnaire.
TLDR
The magnitude of CSEMs is sufficiently small to detect change in patients with initial scores in the central portion of the scale (4-20 RMQ points); however, the magnitude is too large to detect improvement in Patients with scores of less than 4 and deterioration in patients who have scores greater than 20.
Berg Balance Scale: Intrarater Test-Retest Reliability Among Older People Dependent in Activities of Daily Living and Living in Residential Care Facilities
TLDR
Investigation of the absolute and relative intrarater test-retest reliability of data obtained with the Berg Balance Scale found that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities.
Testing functional performance in people with Parkinson disease.
TLDR
Because the BBS scores correlate both with UPDRS scores and with scores of all other tests of functional performance, the B BS appears to be a good overall measure of function in this population of people with PD.
The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke.
TLDR
The results support the use of the Balance Scale in these groups and show strong internal consistency within the same rater at two points in time.
...
...