Citation

Marques A, Silva A, Oliveira A, Cruz J, Machado A, Jácome C. J. Geriatr. Phys. Ther. 2016; 40(4): 227-232.

Affiliation

1Lab 3R-Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal. 2Institute for Research in Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal.

Copyright

(Copyright © 2016, American Physical Therapy Association)

DOI

10.1519/JPT.0000000000000109

PMID

27824659

Abstract

BACKGROUND AND PURPOSE: The Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Mini-BESTest, and the Brief-BESTest are useful tests to assess balance; however, their psychometric properties have not been studied well in older adults with type 2 diabetes (T2D). This study compared the validity and relative ability of the BBS, BESTest, Mini-BESTest, and Brief-BESTest to identify fall status in older adults with T2D.

METHODS: This study was a cross-sectional design. Sixty-six older adults with T2D (75 ± 7.6 years) were included and asked to report the number of falls during the previous 12 months and to complete the Activities-specific Balance Confidence scale. The BBS and the BESTest were administered, and the Mini-BESTest and Brief-BESTest scores were computed based on the BESTest performance. Receiver operating characteristics were used to assess the ability of each balance test to differentiate between participants with and without a history of falls.

RESULTS: The 4 balance tests were able to identify fall status (areas under the curve = 0.74-0.76), with similar sensitivity (60%-67%) and specificity (71%-76%).

CONCLUSIONS: The 4 balance tests were able to differentiate between older adults with T2D with and without a history of falls. As the BBS and the BESTest require longer application time, the Brief-BESTest may be an appropriate choice to use in clinical practice to detect fall risk.

Language: en