Article

OBJECTIVES: To assess whether the 16-item Activities-specific Balance Confidence
scale (ABC-16) and short-form 6-item Activities-specific Balance Confidence scale
(ABC-6) could predict future recurrent falls in people with Parkinson disease
(PD) and to validate the robustness of their predictive capacities. DESIGN:
Twelve-month prospective cohort study. SETTING: General community. PARTICIPANTS:
People with idiopathic PD (N=79). INTERVENTIONS: Clinical tests were conducted to
assess symptom severity, balance confidence, and medical history. Over the
subsequent 12 months, participants recorded any falls on daily fall calendars,
which they returned monthly by reply paid post. MAIN OUTCOME MEASURES: Logistic
regression and receiver operating characteristic analyses estimated the
sensitivities and specificities of the ABC-16 and ABC-6 for predicting future
recurrent falls in this cohort, and "leave-one-out" validation was used to assess
their robustness. RESULTS:
Of the 79 patients who completed follow-up, 28 (35.4%)
fell more than once during the 12-month period. Both the ABC-16 and ABC-6 were
significant predictors of future recurrent falls, and moderate sensitivities
(ABC-16: 75.0%; ABC-6: 71.4%) and specificities (ABC-16: 76.5%; ABC-6: 74.5%)
were reported for each tool for a cutoff score of 77.5 and 65.8, respectively.
CONCLUSIONS: The results have significant implications and demonstrate that the
ABC-16 and ABC-6 independently identify patients with PD at risk of future
recurrent falls.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS