Translation and validation of the Swedish version of the mini-BESTest in subjects with Parkinson's disease or stroke: A pilot study

Recently, a comprehensive clinical balance test, the balance evaluation systems test (BESTest), was developed to identify the postural control systems causing balance impairments. A short version, the mini-BESTest, was thereafter developed by eliminating redundant and insensitive items. This study aimed to translate the mini-BESTest to Swedish, adapt it and investigate its validity in subjects with Parkinson's disease (PD) or stroke. The Mini-BESTest was translated and back-translated in accordance with Guillemin's guidelines. Discrepancies were discussed and solved by a panel and the test was culturally adapted. Concurrent validity of the final version was explored by correlating well-known clinical tests – the Berg Balance Scale (BBS), the Timed Up and Go (TUG) test and the Falls Efficacy Scale (FES(s)) – with the new mini-BESTest in nine subjects with mild-to-moderate PD (60 years, range 46–85) and nine with chronic stroke (78 years, range 66–90). A high-to-very-high correlation was shown between the mini-BESTest and the BBS (PD: r_s?=?0.94, stroke: r_s?=?0.86). The mini-BESTest correlated highly with the TUG (PD: r_s?=??0.81, stroke: r_s?=??0.89). In the PD group, a low correlation (r_s?=?0.26) was seen between the mini-BESTest and the FES(s). The mini-BESTest has high concurrent validity and is a comprehensive assessment of balance. However, its psychometric properties should be evaluated further.     

Reliability of the Balance Evaluation Systems Test (BESTest) and BESTest sections for adults with hemiparesis

BACKGROUND:

The Balance Evaluation Systems Test (BESTest) was recently created to allow the development of treatments according to the specific balance system affected in each patient. The Brazilian version of the BESTest has not been specifically tested after stroke.

OBJECTIVE:

To evaluate the intra- and inter-rater reliability and concurrent and convergent validity of the total score of the BESTest and BESTest sections for adults with hemiparesis after stroke.

METHOD:

The study included 16 subjects (61.1±7.5 years) with chronic hemiparesis (54.5±43.5 months after stroke). The BESTest was administered by two raters in the same week and one of the raters repeated the test after a one-week interval. Intraclass correlation coefficient (ICC) was calculated to assess intra- and interrater reliability. Concurrent validity with the Berg Balance Scale (BBS) and convergent validity with the Activities-specific Balance Confidence scale (ABC-Brazil) were assessed using Pearson''s correlation coefficient.

RESULTS:

Both the BESTest total score (ICC=0.98) and the BESTest sections (ICC between 0.85 and 0.96) have excellent intrarater reliability. Interrater reliability for the total score was excellent (ICC=0.93) and, for the sections, it ranged between 0.71 and 0.94. The correlation coefficient between the BESTest and the BBS and ABC-Brazil were 0.78 and 0.59, respectively.

CONCLUSIONS:

The Brazilian version of the BESTest demonstrated adequate reliability when measured by sections and could identify what balance system was affected in patients after stroke. Concurrent validity was excellent with the BBS total score and good to excellent with the sections. The total scores but not the sections present adequate convergent validity with the ABC-Brazil. However, other psychometric properties should be further investigated.     

Relationship between self-reported function and disability and balance performance measures in the elderly

This study evaluated the reliability and validity of the Hebrew version of the Late-Life Function and Disability Instrument (LLFDI). Fifty-five older adults (mean age 79.7 +/- 5.2) participated. We calculated test-retest reliability with intraclass correlation coefficients (ICCs). Partial correlations determined the construct validity with a balance measure (Berg Balance Scale [BBS]) and a mobility measure (Timed Up and Go [TUG] test). We examined known-group validity by comparing the scores of cane and noncane users. Test-retest ICCs ranged from good to excellent (0.77-0.90) for the function component and fair to good for the disability component (0.63-0.83), except for the disability management role subscale (0.46). BBS and TUG were associated with LLFDI overall function (r = 0.48, p < 0.001 and r = -0.52, p < 0.001, respectively). TUG and BBS were weakly associated with disability limitations (r = -0.26 and 0.32, respectively) and disability frequency (r = -0.16 and 0.24, respectively). Cane users showed significantly lower function scores than noncane users. We demonstrated that the Hebrew version of the LLFDI reliably and validly assesses older adults' function and disability. The LLFDI is recommended as an outcome instrument in studies in which older adults' function and disability are outcomes of interest.     

Testing functional performance in people with Parkinson disease

BACKGROUND AND PURPOSE: Although the Unified Parkinson's Disease Rating Scale (UPDRS) is the most common performance measure for people with Parkinson disease (PD), the Berg Balance Scale (BBS), Forward Functional Reach Test (FFR), Backward Functional Reach Test (BFR), Timed "Up & Go" Test (TUG), and gait speed may be used to quantify some aspects of functional performance not measured by the UPDRS. The purpose of this study was to describe the relationship among a set of tests of balance, walking performance, and mobility in people with PD. SUBJECTS: Twenty-five community-dwelling adults (11 female, 14 male) with a diagnosis of PD were recruited from PD support groups in southeastern Wisconsin and consented to participate in the study. The mean age of the participants was 76 years (SD=7). The average Hoehn and Yahr Stage Scale score was 2. METHODS: Functional abilities of each subject were assessed with the UPDRS, BBS, FFR, BFR, TUG, and gait speed. Spearman and Pearson correlations were performed. RESULTS: The UPDRS total score was correlated with the BBS (r=-.64, P<.001), FFR (r=-.52, P<.05), and TUG (r=.50, P<.05) measurements. The BBS is the only test of functional performance where scores correlate with all other functional tests and the UPDRS. DISCUSSION AND CONCLUSIONS: The UPDRS total score may not reflect a comprehensive measure of mobility in people with PD. Because the BBS scores correlate both with UPDRS scores and with scores of all other tests of functional performance, the BBS appears to be a good overall measure of function in this population.     

Balance-related efficacy compared with balance function in patients with acute stroke

It is well known that patients who have suffered a stroke have problems with balance and have feelings of unsteadiness. The aim of this study was to analyse the correlation between how patients estimate their perceived confidence in task performance without falling and the objective assessment of balance made by a physiotherapist, and whether the Falls Efficacy Scale (FES(S)) is to be recommended for use in patients in the acute phase of stroke. Sixty patients divided into two groups assessed their belief to perform daily life activities without fear of falling using the FES(S) and were assessed by using the Berg Balance Scale (BBS) and Timed Up and Go (TUG) by a physiotherapist. Group 1 assessed themselves before, whereas Group 2 assessed themselves after the objective assessment. The correlation between the FES(S) and the TUG was moderate to good, but these two scales consider different aspects and dimensions of balance, ability, and belief and are therefore not interchangeable. The correlation between FES(S) and BBS was low to moderate. The conclusion of this study was that the FES(S) is not to be recommended as a single measurement in the acute phase of stroke because it does not measure actual balance function.     

The Falls-Efficacy Scale,Swedish version: does it reflect clinically meaningful changes after stroke?

Purpose : The overall aim of this prospective investigation was to evaluate the ability of the Falls Efficacy Scale (Swedish version) (FES(S)) to reflect clinically meaningful changes over time. Method : Changes on the FES(S) scale were compared with changes in two different standardized measures of observer-assessed balance, the Berg Balance Scale (BBS), the Fugl-Meyer balance subscale (FMB), and of motor function and ambulation in 62 stroke patients. Assessments took place on admission for rehabilitation, at discharge and 10 months after the stroke. Indices of effect size were used to evaluate responsiveness of the instruments. Three time periods were studied: admission to discharge (early response), discharge to 10 month follow-up (late response) and admission to follow-up (overall response). Results : The main findings are that the FES(S) is as responsive as BBS and FMB in detecting changes during the early and overall response periods. Changes in FES(S) scores between admission and discharge correlated significantly with changes in observer-assessed balance, motor function and ambulation scores. Conclusions : The present results suggest that measurement of perceived confidence in task performance using the FES(S) scale is responsive to improvement in patients with hemiparesis at an early stage after stroke.     

Convergent Validity of the Sharpened Romberg

Aim: The purpose of the study was to examine the convergent validity of the Sharpened Romberg (SR) as a measure of balance for older adults. Methods: 100 community-dwelling adults aged 60 and older performed the SR with eyes open and closed, the Berg Balance Scale (BBS), Timed Up-and-Go (TUG), and 10-Meter Walk. Results: The SR eyes open was strongly correlated with the BBS and TUG and moderately correlated with the 10-Meter Walk. For the eyes open test, 73 participants completed 30 s; 19 less than 30 s; and 8 could not attain the position, with significant group differences for all measures. Those who stood for 30 s had better scores than the other two groups in the BBS, TUG, and 10-Meter Walk. Conclusions: The SR eyes open is a valid balance test. Inability to complete the SR eyes open test indicates that further balance testing is warranted.     

中文版躯干损伤量表评定脑卒中患者躯干功能的信度及效度研究

目的:探讨中文版躯干损伤量表(TIS)评定脑卒中患者躯干功能的信度及效度,为该量表的临床应用提供客观依据。方法:病例组和对照组各50例参加了本研究,病例组进行TIS、Fugl-Meyer中的平衡部分(FM-B)和Berg平衡量表(BBS)评定,并在2天内完成TIS第二次评定;对照组进行1次的TIS和FM-B评定。将两次TIS的结果做相关性分析测试其信度;将TIS结果与FM-B、BBS作相关性分析检验其效度。结果:TIS两次测试结果高度相关,重测信度组内相关系数(ICC)为0.899-0.971,测量者间ICC为0.843-0.973;TIS与FM-B、BBS总分高度相关(r=0.891,r=0.858);病例组和对照组的TIS总分分别为21.7±1.3分和13.5±4.3分,两者间差异具有显著性(P<0.01)。结论:中文版TIS具有良好的效度、信度和区分度,可用于脑卒中患者躯干功能的评价。     

Psychometric evaluation of the original and Canadian French version of the activities-specific balance confidence scale among people with stroke

OBJECTIVE: To evaluate the internal and absolute reliability and construct validity of the Activities-Specific Balance Confidence (ABC) scale and a new Canadian French version (ABC-CF) of it among people with stroke. DESIGN: Cross-sectional data from a randomized controlled trial. SETTING: Community. PARTICIPANTS: Ninety-one people with a residual walking deficit between 57 and 386 days poststroke. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The ABC and ABC-CF scales, Berg Balance Scale (BBS), comfortable and maximum gait speeds, Timed Up & Go (TUG) test, 6-minute walk test (6MWT), Barthel Index, physical function scale of the Medical Outcomes Study 36-Item Short-Form Health Survey, Geriatric Depression Scale (GDS), and the EQ-5D visual analog scale (EQ VAS). RESULTS: Internal consistency (Cronbach alpha) was .94 and .93 and the standard error of measurement was 5.05 and 5.13 for the ABC (n=51) and the ABC-CF (n=35) scales, respectively. Spearman rho values ranged from .30 to .60 for the ABC scale and from .45 to .68 on the ABC-CF scale for associations with scores on the BBS, comfortable and maximum gait speeds, TUG, 6MWT, Barthel Index, physical function scale, GDS, and EQ VAS. CONCLUSIONS: Evidence of internal and absolute reliability and of construct validity of the ABC and the ABC-CF scales supports their use for cross-sectional measurements of balance self-efficacy among community-dwelling people in the first year poststroke.     

The Falls-Efficacy Scale,Swedish version: does it reflect clinically meaningful changes after stroke?

Purpose : The overall aim of this prospective investigation was to evaluate the ability of the Falls Efficacy Scale (Swedish version) (FES(S)) to reflect clinically meaningful changes over time.

Method : Changes on the FES(S) scale were compared with changes in two different standardized measures of observer-assessed balance, the Berg Balance Scale (BBS), the Fugl-Meyer balance subscale (FMB), and of motor function and ambulation in 62 stroke patients. Assessments took place on admission for rehabilitation, at discharge and 10 months after the stroke. Indices of effect size were used to evaluate responsiveness of the instruments. Three time periods were studied: admission to discharge (early response), discharge to 10 month follow-up (late response) and admission to follow-up (overall response).

Results : The main findings are that the FES(S) is as responsive as BBS and FMB in detecting changes during the early and overall response periods. Changes in FES(S) scores between admission and discharge correlated significantly with changes in observer-assessed balance, motor function and ambulation scores.

Conclusions : The present results suggest that measurement of perceived confidence in task performance using the FES(S) scale is responsive to improvement in patients with hemiparesis at an early stage after stroke.     

Influence of age and lymphedema on the postural balance of women undergoing breast cancer treatment

IntroductionBreast cancer affects women of different ages, and comorbidities resulting from treatment can affect postural stability. The study aimed to evaluate the influence of age and lymphedema on the postural balance of women undergoing breast cancer treatment.MethodsThe study included 77 women undergoing breast cancer treatment, divided into different groups: 37 young adult women divided into 17 with lymphedema (GYL) and 20 young adults without lymphedema (GY); 40 elderly women, 20 elderly women with lymphedema (GEL) and 20 elderly women without lymphedema (GE). Mini Balance Evaluation Systems Test (Mini BESTest) and Falls Efficacy Scale - International (FES-I) were used.ResultsMini BESTest and FES-I between the groups showed that GE and GEL had a significant difference to GY. Mini BESTest Total and Time Up and Go TUG-Double Task showed that GE has a significant difference to GYL, with GE and GEL having lower scores. Moderate negative correlation in the GEL between FES-I and Mini BESTest. In the age correlation between the Mini BESTest, FES-I, TUG, and double task TUG, a moderate positive correlation was observed for TUG. GEL showed a moderate positive correlation for FES-I and double-task TUG, strong for TUG, and moderate negative correlation with Mini BESTest. Correlation of the volume difference between the limb affected and not affected by lymphedema and the FES-I, Mini BESTest, TUG, and TUG double task, GYL showed moderate negative correlation for TUG.ConclusionAge and lymphedema influenced the dynamic postural balance of women undergoing breast cancer treatment.     

Assessing postural balance in early Parkinson’s Disease—validity of the BDL balance scale

Background: There is a need for a valid assessment test of balance in early Parkinson’s disease (PD). Objective: To validate the Bäckstrand Dahlberg Liljenäs Balance Scale (BDL), a test of balance performance constructed to assess mild to moderate balance disability due to neurological disease, for use in persons with early PD. Methods: Cross-sectional psychometric evaluation study from a convenience sample community-dwelling persons with PD (n = 28). Main measures: The BDL was validated using the Berg Balance Scale (BBS), the motor part of the Unified Parkinson’s Disease Rating Scale (mUPDRS), the Timed Up and Go (TUG) and Timed Up and Go-cognition (CTUG). Correlations were calculated by Spearman’s rank correlation coefficient (rho). Rasch analyses were used to test the internal construct of the BDL. The result from the BDL was compared to a healthy reference group. Results: The correlation between the BDL and the BBS (rho = 0.703) was high positive, while for mUPDRS (rho = ?0.280), TUG (rho = ?0.321) and CTUG (rho = ?0.361) the correlations with the BDL were negligible to low negative. The Rasch analyses for the BDL showed a good distribution of the task difficulties with neither ceiling nor floor effect among individual measures. There was a significant difference (p = 0.03) in performance of the BDL between the PD group and the healthy reference group. Conclusions: The BDL Balance Scale can be considered a valid clinical assessment test when evaluating balance training interventions in persons with early PD. It can be recommended as an outcome measure in clinical practice and in clinical research within this population.     

Effect of space balance 3D training using visual feedback on balance and mobility in acute stroke patients

[Purpose] The purpose of the study was to determine the effects of balance training with Space Balance 3D, which is a computerized measurement and visual feedback balance assessment system, on balance and mobility in acute stroke patients. [Subjects and Methods] This was a randomized controlled trial in which 52 subjects were assigned randomly into either an experimental group or a control group. The experimental group, which contained 26 subjects, received balance training with a Space Balance 3D exercise program and conventional physical therapy interventions 5 times per week during 3 weeks. Outcome measures were examined before and after the 3-week interventions using the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Postural Assessment Scale for Stroke Patients (PASS). The data were analyzed by a two-way repeated measures ANOVA using SPSS 19.0. [Results] The results revealed a nonsignificant interaction effect between group and time period for both groups before and after the interventions in the BBS score, TUG score, and PASS score. In addition, the experimental group showed more improvement than the control group in the BBS, TUG and PASS scores, but the differences were not significant. In the comparisons within the groups by time, both groups showed significant improvement in BBS, TUG, and PASS scores. [Conclusion] The Space Balance 3D training with conventional physical therapy intervention is recommended for improvement of balance and mobility in acute stroke patients.Key words: Balance training, Visual feedback, Acute stroke patients     

Validating the Berg Balance Scale for patients with Parkinson's disease: a key to rehabilitation evaluation

OBJECTIVE: To assess the criterion-related validity of the Berg Balance Scale (BBS) in subjects with Parkinson's disease (PD). DESIGN: Prospective, correlational analysis between the BBS and accepted measures of PD motor and functional impairment. SETTING: The federally funded PD research center, an interdisciplinary center of excellence for people with PD within a Veterans Affairs medical center. PARTICIPANTS: Thirty-eight men (average +/- standard deviation, 71.1+/-10.5 y) with confirmed PD. Their initial diagnosis had been made on average 5.8+/-3.6 years earlier. All could stand or walk unassisted and had mild to moderate disability. Patients who could not ambulate without assistive devices were excluded. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Correlational analyses between the BBS and the Unified Parkinson's Disease Rating Scale (UPDRS) motor scale, Modified Hoehn and Yahr Staging (Hoehn and Yahr) Scale, and the Modified Schwab and England Capacity for Daily Living Scale (S&E ADL Scale). RESULTS: BBS score showed significant correlations with indicators of motor functioning, stage of disease, and daily living capacity. BBS score was inversely associated with the UPDRS motor score (-.58, P <.005), Hoehn and Yahr Scale staging (-.45, P <.005), and S&E ADL Scale rating (.55, P <.005). In all 3 correlations, lower scores on the BBS (indicating greater balance deficits) correlated with higher UPDRS scores (indicating greater motoric or functional impairment). CONCLUSIONS: Results support the criterion-related validity of the BBS. Its utility in other balance conditions of older adults has been established. Rehabilitation interventions have been shown to improve the balance deficits associated with PD. Early referral and periodic reassessment is vital to achieving and maintaining improvements. Our research results agree with other published research in suggesting that the BBS may be used as a screening tool and ongoing assessment tool for patients with PD.     

Role of the newly designed Ankle Foot Orthosis on balance related parametersin drop foot post stroke patients

BackgroundPassive and hybrid passive ankle foot orthoses (AFOs) are often prescribed in post stroke drop foot; however, the effects of these AFOs on balance related parameters in these patients seem unclear. Accordingly, the aim of current study was to evaluate the role of the newly designed hybrid passive and Posterior Leaf Spring (PLS) AFOs on balance related parameters including: self-reported balance confidence (ABC), Timed Up and Go Test (TUG) and Berg Balance Scale (BBS) in post stroke drop foot patients.MethodsFifteen post stroke drop foot patients were recruited in current study. Then, ABC, TUG and BBS were assessed with newly designed AFO and PLS AFO.ResultsThe results of this study were shown a significant improvement in ABC, TUG and BBS scores with the newly designed AFO than PLS AFO (p < 0.05).ConclusionThis study suggested that the newly designed AFO was improved the balance related parameters than PLS AFO.     

太极拳对脑卒中后患者平衡功能效果的Meta分析

目的：探讨太极拳对脑卒中后患者平衡功能的影响。方法：检索多个中英文数据库中有关太极拳对脑卒中后患者平衡功能影响的随机对照试验（RCT）。按照纳入和排除标准筛选文献、提取资料并评价纳入研究的方法学质量后,采用RevMan5.3进行数据分析。结果：太极拳组在Berg平衡量表得分（BBS）［MD=11.43,95%CI（7.43,15.42）,P<0.00001］、减少起立行走时间（TUG）［MD=-2.26,95%CI（-5.17,0.66）,P=0.13］、肢体平衡功能（FMA）［MD=12.77,95%CI（-5.07,30.60）,P=0.16］方面优于对照组,但只有在BBS得分上差异有统计学意义,TUG和FMA方面差异没有统计学意义。结论：虽然BBS的研究结果证明太极拳有助于提高脑卒中后患者的平衡功能,但今后仍需要设计更为严谨、质量更高、更大样本量的RCT来进一步验证太极拳提高脑卒中后患者身体平衡功能、肢体平衡功能、起立行走时间等的效果。     

Music-based physical therapy in Parkinson's disease: An approach based on international Classification of Functioning,Disability and Health

IntroductionSeveral studies suggests that the provision of auditory cues with music could be beneficial for people with Parkinson's Disease (PD). The aim of the study was to evaluate the effects of music-based physical therapy on the international Classification of Functioning, Disability and Health (ICF) components: disability, cognition, muscle strength, balance, and functional mobility.MethodsThis was a controlled, non-randomized clinical trial involving 13 individuals with PD assessed at three times: baseline, period 1 (treatment), and period 2 (no treatment). The variables analyzed were: disability by Unified Parkinson's Disease Rating Scale (UPDRS) and Hoehn & Yahr (H&Y), cognitive function by Trail Making Test, muscle strength by Medical Research Council (MRC) and sitting-rising (SR) test, balance and functional mobility by Berg Balance Scale (BBS) and Timed up and Go (TUG). ANOVA with post-hoc multiple comparison was used to determine statistical differences between the baseline, period 1 and 2.Resultsthere was statistically significant difference among the period 1 and 2 for the cognitive function; there was a statistically significant difference between the period 1 and 2 in SR test; in the balance evaluation by BBS, an increase was observed between the baseline and the period 1, followed by a decrease in period 2; in the TUG, there was an increase between the period 1 and 2.Conclusionthe music-based physical therapy, according to the ICF construct, was able to improve balance and functional mobility in individuals with PD. The functional gains were not maintained when the therapy was discontinued.     

FES辅助踏车与MOTOmed智能训练系统对早期脑卒中患者下肢功能的对比研究

目的:探讨功能性电刺激(FES)辅助踏车对脑卒中偏瘫患者早期下肢运动功能以及日常生活活动能力的影响。方法:将早期脑卒中偏瘫患者40例随机分为观察组和对照组各20例。2组均采用常规个体化康复治疗,观察组加用FES踏车进行治疗,对照组给予MOTOmed下肢踏车治疗。治疗前后分别采用功能性步行分级量表(FAC)、Tinetti量表、Berg平衡量表、Fugl-Meyer评分法(FMA)及改良Barthel指数(MBI)进行评估。结果:治疗6周后,2组FAC等级较治疗前均有显著提高(P0.01),2组间比较差异无统计学意义。治疗后,2组Tinetti量表、FMA下肢评分、MBI及BBS评分均较治疗前明显提高(P0.01),且观察组高于对照组(P0.05,0.01)。结论:FES辅助踏车系统和MOTOmed智能训练系统均有助于脑卒中早期下肢功能的恢复,而FES辅助踏车系统对下肢功能的改善效果优于MOTOmed智能训练系统。     

Evaluation of the Swedish version of the Modified Elderly Mobility Scale (Swe M-EMS) in patients with acute stroke

OBJECTIVE: To investigate the inter-rater reliability and validity of the Swedish version of the Modified Elderly Mobility Scale (Swe M-EMS). DESIGN: A correlation study. SETTING: A stroke unit which provides acute care and rehabilitation for all stroke admissions in Northern Alvsborg County Hospital, Sweden. SUBJECTS: Thirty consecutive patients with an acute first-time stroke. Seventeen were women and 13 were men, with a median age of 79 years (41-92) and with a median hospital stay of 21 days (8-35). INTERVENTION: The patients were assessed twice with the Swe M-EMS on admission and at discharge, before and after midday, by two independent physiotherapists. They were assessed by an independent physiotherapist using the three evaluation instruments on admission, once a week during their hospital stay and at discharge. MAIN OUTCOME MEASURES: The primary evaluation instrument was the Swe M-EMS. The two other evaluation instruments were the Modified Motor Assessment Scale of Uppsala Akademiska Sjukhus-95 (M-MAS UAS-95) and the Berg Balance Scale (BBS). RESULTS: The Swe M-EMS was a reliable instrument (ICC 0.98-0.99). It correlated well with both the M-MAS UAS-95 (r(s) = 0.69-0.88) and the BBS (r(s) = 0.86-0.94). The Swe M-EMS was sensitive to change over time, but the patients obtained the maximum score quickly. CONCLUSION: The instrument shows a high inter-rater reliability. The Swe M-EMS correlates well with both the M-MAS UAS-95 and the BBS and is sensitive to change. However, it is not sensitive enough to use as a single instrument in evaluating the improvement of a patient with acute stroke.     

视觉反馈平衡训练对脑卒中偏瘫患者平衡及功能性转移能力的影响

目的:观察脑卒中偏瘫患者通过视觉反馈平衡训练治疗对平衡及功能性转移能力的作用。方法:脑卒中偏瘫患者32例,分为运动组17例和对照组15例,均接受常规康复治疗。运动组加视觉反馈平衡训练。2组治疗前后分别采用Berg平衡评定量表(BBS)和"站立-走"计时测试(TUG)评定。结果:治疗5周后,BBS评分2组与治疗前比较均明显提高;TUG计时明显缩短;运动组2项评定的改善程度均明显优于对照组(均P0.05)。结论:脑卒中偏瘫患者配合视觉反馈平衡训练能明显提高平衡及功能性转移的能力,增加站立和行走的安全性。