@article{ref1,
title="The Mini-Balance Evaluation Systems Test (Mini-BESTest) demonstrates higher accuracy in identifying older adult participants with history of falls than do the BESTest, Berg Balance Scale, or Timed Up and Go Test",
journal="Journal of geriatric physical therapy",
year="2015",
author="Yingyongyudha, Anyamanee and Saengsirisuwan, Vitoon and Panichaporn, Wanvisa and Boonsinsukh, Rumpa",
volume="39",
number="2",
pages="64-70",
abstract="BACKGROUND AND PURPOSE: Balance deficit is a significant predictor of falls in older adults. The Balance Evaluation Systems Test (BESTest) and the Mini-Balance Evaluation Systems Test (Mini-BESTest) are tools that may predict the likelihood of a fall, but their capabilities and accuracies have not been adequately addressed. Therefore, this study aimed at examining the capabilities of the BESTest and Mini-BESTest for identifying older adult with history of falls and comparing the participants with history of falls identification accuracies of the BESTest and Mini-BESTest to those of the Berg Balance Scale (BBS) and the Timed Up and Go Test (TUG). <br><br>METHODS: Two hundred healthy older adults with a mean age of 70 years were classified into participants with and without history of fall groups on the basis of their 12-month fall history. Their balance abilities were assessed using the BESTest, Mini-BESTest, BBS, and TUG. An analysis of the resulting receiver operating characteristic curves was performed to calculate the area under the curve (AUC), sensitivity, specificity, cutoff score, and posttest accuracy of each. <br><br>RESULTS: The Mini-BESTest showed the highest AUC (0.84) compared with the BESTest (0.74), BBS (0.69), and TUG (0.35), suggesting that the Mini-BESTest had the highest accuracy in identifying older adult with history of falls. At the cutoff score of 16 (out of 28), the Mini-BESTest demonstrated a posttest accuracy of 85% with a sensitivity of 85% and specificity of 75%. The Mini-BESTest had the highest posttest accuracy, with the others having results of 76% (BESTest), 60% (BBS), and 65% (TUG). <br><br>CONCLUSION: The Mini-BESTest is the most accurate tool for identifying older adult with history of falls compared with the BESTest, BBS, and TUG.<p /> <p>Language: en</p>",
language="en",
issn="1539-8412",
doi="10.1519/JPT.0000000000000050",
url="http://dx.doi.org/10.1519/JPT.0000000000000050"
}