Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke
© 2014 American Physical Therapy Association. Background. The Balance Evaluation Systems Test (BESTest) is a new clinical balance assessment tool, but it has never been validated in patients with subacute stroke.Objective. The purpose of this study was to examine the reliability and validity of the...
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th-mahidol.339282018-11-09T09:20:19Z Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke Butsara Chinsongkram Nithinun Chaikeeree Vitoon Saengsirisuwan Nitaya Viriyatharakij Fay B. Horak Rumpa Boonsinsukh Srinakharinwirot University Mahidol University Oregon National Primate Research Center Rangsit University Health Professions © 2014 American Physical Therapy Association. Background. The Balance Evaluation Systems Test (BESTest) is a new clinical balance assessment tool, but it has never been validated in patients with subacute stroke.Objective. The purpose of this study was to examine the reliability and validity of the BESTest in patients with subacute stroke.Design. This was an observational reliability and validity study.Methods. Twelve patients participated in the interrater and intrarater reliability study. Convergent validity was investigated in 70 patients using the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PASS), Community Balance and Mobility Scale (CB&M), and Mini-BESTest. The receiver operating characteristic curve was used to calculate the sensitivity, specificity, and accuracy of the BESTest, Mini- BESTest, and BBS in classifying participants into low functional ability (LFA) and high functional ability (HFA) groups based on Fugl-Meyer Assessment motor subscale scores.Results. The BESTest showed excellent intrarater reliability and interrater reliability (intraclass correlation coefficient=.99) and was highly correlated with the BBS (Spearman r=.96), PASS (r=.96), CB&M (r=.91), and Mini-BESTest (r=.96), indicating excellent convergent validity. No floor or ceiling effects were observed with the BESTest. In contrast, the Mini-BESTest and CB&M had a floor effect in the LFA group, and the BBS and PASS demonstrated responsive ceiling effects in the HFA group. In addition, the BESTest showed high accuracy as the BBS and Mini-BESTest in separating participants into HFA and LFA groups.Limitation. Whether the results are generalizable to patients with chronic stroke is unknown.Conclusion. The BESTest is reliable, valid, sensitive, and specific in assessing balance in people with subacute stroke across all levels of functional disability. 2018-11-09T02:20:19Z 2018-11-09T02:20:19Z 2014-11-01 Article Physical Therapy. Vol.94, No.11 (2014), 1632-1643 10.2522/ptj.20130558 15386724 00319023 2-s2.0-84908408867 https://repository.li.mahidol.ac.th/handle/123456789/33928 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84908408867&origin=inward |
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Health Professions Butsara Chinsongkram Nithinun Chaikeeree Vitoon Saengsirisuwan Nitaya Viriyatharakij Fay B. Horak Rumpa Boonsinsukh Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke |
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© 2014 American Physical Therapy Association. Background. The Balance Evaluation Systems Test (BESTest) is a new clinical balance assessment tool, but it has never been validated in patients with subacute stroke.Objective. The purpose of this study was to examine the reliability and validity of the BESTest in patients with subacute stroke.Design. This was an observational reliability and validity study.Methods. Twelve patients participated in the interrater and intrarater reliability study. Convergent validity was investigated in 70 patients using the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PASS), Community Balance and Mobility Scale (CB&M), and Mini-BESTest. The receiver operating characteristic curve was used to calculate the sensitivity, specificity, and accuracy of the BESTest, Mini- BESTest, and BBS in classifying participants into low functional ability (LFA) and high functional ability (HFA) groups based on Fugl-Meyer Assessment motor subscale scores.Results. The BESTest showed excellent intrarater reliability and interrater reliability (intraclass correlation coefficient=.99) and was highly correlated with the BBS (Spearman r=.96), PASS (r=.96), CB&M (r=.91), and Mini-BESTest (r=.96), indicating excellent convergent validity. No floor or ceiling effects were observed with the BESTest. In contrast, the Mini-BESTest and CB&M had a floor effect in the LFA group, and the BBS and PASS demonstrated responsive ceiling effects in the HFA group. In addition, the BESTest showed high accuracy as the BBS and Mini-BESTest in separating participants into HFA and LFA groups.Limitation. Whether the results are generalizable to patients with chronic stroke is unknown.Conclusion. The BESTest is reliable, valid, sensitive, and specific in assessing balance in people with subacute stroke across all levels of functional disability. |
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Srinakharinwirot University |
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Srinakharinwirot University Butsara Chinsongkram Nithinun Chaikeeree Vitoon Saengsirisuwan Nitaya Viriyatharakij Fay B. Horak Rumpa Boonsinsukh |
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Article |
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Butsara Chinsongkram Nithinun Chaikeeree Vitoon Saengsirisuwan Nitaya Viriyatharakij Fay B. Horak Rumpa Boonsinsukh |
author_sort |
Butsara Chinsongkram |
title |
Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke |
title_short |
Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke |
title_full |
Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke |
title_fullStr |
Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke |
title_full_unstemmed |
Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke |
title_sort |
reliability and validity of the balance evaluation systems test (bestest) in people with subacute stroke |
publishDate |
2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/33928 |
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1763494269733044224 |