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Effect of Leg Selection on the Berg Balance Scale Scores of Hemiparetic Stroke Survivors

KWONG PW; NG SS; LIU TW; CHUNG RC; NG GY
ARCH PHYS MED REHABIL , 2016, vol. 97, n° 4, p. 545-551
Doc n°: 180093
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2015.11.017
Descripteurs : DF11 - POSTURE. STATION DEBOUT, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To examine whether selection of the nonparetic or paretic leg as the
weight-bearing leg in item 13 (standing unsupported one foot in front) and item
14 (standing on one leg) of the Berg Balance Scale (BBS) influences the item
scores, and thus the total score. DESIGN: Cross-sectional study. SETTING: University-based rehabilitation laboratory. PARTICIPANTS:
Community-dwelling
people (N=63, aged >/=50y) with chronic stroke. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: BBS. RESULTS: The 4 BBS total scores ranged from 48.4 to
50.7. The total score was significantly lower when a participant was asked to
step forward with the nonparetic leg in item 13, and stand on the paretic leg in
item 14. Fewer participants received a maximum score with the BBS1 formulation
than the others. In addition, the correlations with walking speed and
Activities-specific Balance Confidence Scale scores were greatest with the BBS1
score. CONCLUSIONS: Our findings suggest that BBS1 was the most challenging
formulation for our participants; this might serve to minimize the ceiling effect
of the BBS. These findings provide a rationale for amending the BBS
administration guidelines with the BBS1 formulation.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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