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Developing a short form of the Berg Balance Scale for people with stroke

CHOU CY; CHIEN CW; HSUEH IP; SHEU CF; WANG CH; HSIEH CL
PHYS THER , 2006, vol. 86, n° 2, p. 195-204
Doc n°: 123936
Localisation : Documentation IRR
Descripteurs : DF11 - POSTURE. STATION DEBOUT, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

To improve the utility of the Berg Balance Scale (BBS), the aim of this stud), was to develop a short form
of the BBS (SFBBS) that was psychometrically similar (including test reliability, validity, and responsiveness) to the original BBS for people with stroke. Subjects and Methods. A total of 226 subjects with stroke participated in this prospective stud), at 14 days after their stroke; 167 of these subjects also were examined at 90 days after their stroke. The BBS, Barthel Index, and Fugl-Meyer Motor Test were administered at these 2 time points. By reducing the number of tested items by more than half the number of items in the original BBS (ie, making 4-,,5-, 6-, and 7-item tests) and simplifying the scoring system
of the original BBS (le, collapsing the 5-level scale into a 3-level scale [BBS-3P]), we generated a total of 8 SFBBSs. Results. The distributions of scores for all 8 SFBBSs were acceptable but featured notable floor effects. The 4-item BBS, 5-item BBS, 5-item BBS-3P, and 7-item BBS-3P demonstrated good reliability. The subjects' scores on the C-item BBS, 6-item BBS-3P, 7-item BBS, and 7-item BBS-3P showed excellent agreement with those on the original BBS. The 6-item BBS-3P and 7-item BBS-3P exhibited great responsiveness. Only the 7-item BBS-3P demonstrated similar to those of the both satisfactory and psychometric properties original BBS. Discussion and Conclusion. The 7-item BBS-3P was found to be psychometrically similar to the original BBS. The 7-item BBS-3P, compared with the original BBS,
is simpler and faster to complete in either a clinical or a research setting and is recommended.

Langue : ANGLAIS

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