The Screening Balance Ability to Identify Fall Risk Using the Mini-BESTest in the Pre-elderly
Keywords:Outcome Assessment, Fall, Pre-elderly
A fall is a common problem in all ages. The age-related physiological changes of various systems. (e.g., cardiovascular system, nervous system, musculoskeletal system, etc.). Especially, the balance control is the main factor that affects the fall in elderly and can lead to the death of elderly. The preparation of fall prevention in pre-elderly is needed. Mini-BESTest is important screening tool for evaluating fall risk and dynamic balance. The Mini-BESTest has the sensitivity of 68% and specificity of 65% in the pre-elderly people who are at a risk to fall. The scores of the Mini-BESTest are less than 22.5 that represented a risk to fall. The Mini- BESTest is suitable for screening risk to fall in pre-elderly due to the accuracy, sensitivity and specificity. The evaluation of sensitivity and specificity of the Mini-BESTest screen falls in the pre-elderly. Healthy male and female pre-elderly participants were divided into two groups; non-fall group and fall group (History of past 6-month of falls) (n=64 per group). Their balance abilities were assessed by using the 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 post-test accuracy. The results show that the Mini-BESTest had the highest AUC (0.71) compared with the BBS (0.59) and TUG (0.62). It demonstrates that the Mini-BESTest has the highest accuracy for identifation of pre-elderly with history of falls. At the cutoff score of 22.5 (out of 28), the Mini-BESTest demonstrated a post-test accuracy of 66% with a sensitivity of 64.06% and specificity of 68.75%. The Mini-BESTest has the highest post-test accuracy, with the others having results of 57% (BBS), and 52% (TUG).
Akobeng A.K. (2007). Understanding diagnosis test 2: Likelihood ratios, pre and post-test probabilities and their use in clinical practice. Acta Paediatr., 96(4), 487-491.
Franchignoni, F., Horak, F., Godi, M., Nardone, A., & Giordano, A. (2010). Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest. J Rehabil Med., 42(4), 323-331.
Horak, F.B., Wrisley, D.M., & Frank, J. (2009). The Balance Evaluation Systematics Test (BESTest) to differentiate balance deficits. Phys Ther., 89(5), 484-498.
King, L.A., Priest, K.C., Salarian, A., Pierce, D., & Horak, F.B. (2012). Comparing the Mini-BESTest with the Berg Balance Scale to evaluate balance disorders in Parkinson's disease. Parkinson’s Disease, 2012, ID375419.
Lausawatchaikul, P. (2000). Related factors and outcome of falls in the elderly. J Gerontol Geriatr Med., 1, 16-23.
Leddy, A.L., Crowner, B.E., & Earhart, G.M. (2011a). Functional gait assessment and balance evaluation system test: reliability, validity, sensitivity, and specificity for identifying individuals with Parkinson disease who fall. Physical therapy, 91(1), 102-113.
Leddy, A.L., Crowner, B.E., & Earhart, G.M. (2011b). Utility of the Mini-BESTest, BESTest, and BESTest sections for balance assessments in individuals with Parkinson disease. Journal of neurologic physical therapy, 35(2), 90.
McHorney, C.A., Ware Jr, J.E., Lu, J.R., & Sherbourne, C.D. (1994). The MOS 36-item short-form health survey (SF-36): III. tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical care, 32(1), 40-66.
Onla-or, S., Saksri, P., & Chaimongkol, N. (2004). Effects of home exercise and stretching program on balance ability of elderly women. J Gerontol Geriatr Med., 5 (3),11-8.
Peeters, G., van Schoor, N.M., Cooper, R., Tooth, L., & Kenny, R.A. (2018). Should prevention of falls start earlier? Co-ordinated analyses of harmonised data on falls in middle-aged adults across four population-based cohort studies. PLoS one, 13(8), e0201989.
Williams, J.S., Kowal, P., Hestekin, H., O’Driscoll, T., Peltzer, K., Yawson, A.,...Wu, F. (2015). Prevalence, risk factors and disability associated with fall-related injury in older adults in low-and middle-incomecountries: results from the WHO Study on global ageing and adult health (SAGE). BMC medicine, 13(1), 147.
Shumway-Cook, A., Gruber, W., Baldwin, M., & Liao, S. (1997). The effect of multidimensional exercises on balance, mobility, and fall risk in community-dwelling older adults. Phys Ther., 77(1), 46-57.
Sorysang, L., Khompraya, J., & Natetanasombut, K. (2014). A study of fall prevention guideline in older adult living in mitraphappatana community. Journal of The Royal Thai Army Nurses, 15(1), 122-129.
Tsang, C.S., Liao, L.R., Chung, R.C., & Pang, M.Y. (2013). Psychometric properties of the mini-balance evaluation systems test (Mini-BESTest) in community-dwelling individuals with chronic stroke. Physical therapy, 93 (8), 1102-1115.
Yingyongyudha, A., Saengsirisuwan, V., Panichaporn, W., & Boonsinsukh, R. (2016). 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 of geriatric physical therapy, 39(2), 64-70.
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