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Titre : | Validity and Reliability of the Berg Balance Scale for Community-Dwelling Persons With Lower-Limb Amputation (2013) |
Auteurs : | Matthew Major ; Stefania Fatone ; Elliot Roth |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/11, 2013) |
Article en page(s) : | pp. 2194-2202 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amputés ; Évaluation de résultat (soins) ; Rééducation et réadaptation |
Mots-clés: | Amputees ; Outcome Assessment (Health Care) ; Postural Balance ; Équilibre postural |
Résumé : |
Objective To evaluate the validity and reliability of the Berg Balance Scale (BBS) for use in people with lower-limb amputation. Design Cross-sectional study. Setting Research laboratory. Participants Individuals (N=30; age, 54+12y; 20 men) with unilateral transtibial (n=13), unilateral transfemoral (n=14), or bilateral (n=3) lower-limb amputation of dysvascular (n=7), traumatic (n=14), infectious (n=6), or congenital (n=3) origin. Interventions Not applicable. Main Outcome Measures BBS, 2-minute walk test, L test, Prosthesis Evaluation Questionnaire-Mobility Subscale, Activities-specific Balance Confidence Scale, and Frenchay Activities Index; self-reported descriptors were also collected, including frequency of prosthesis use, number of falls in 12 months before the visit, fear of falling, and daily mobility aid use. Results The BBS had high interrater reliability (intraclass correlation coefficient =.945) and internal consistency (α=.827). Relations between the BBS scores and those of other outcome measures were all statistically significant (P≤.001). Significant group differences in BBS scores were observed for fear of falling (P=.008) and mobility aid use (P<.001 but not for multiple falls in the previous months bbs items involving reaching forward turning tandem standing and on leg had relatively greater frequencies of lower scores across participants.> Conclusions The BBS appears to be a valid and reliable clinical instrument for assessing balance in individuals with lower-limb amputation, but it may not be able to discriminate between individuals with greater or lesser fall risk. Limitations in prosthetic motion and control may be responsible for the challenges experienced on items of lower performance. Future studies would be useful to assess the responsiveness of the BBS to interventions aimed at improving balance in individuals with lower-limb amputation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |