Increasing the clinical utility of the BESTest, Mini-BESTest, and brief-BESTest: Normative values in Canadian adults who are healthy and aged 50 years or older

Physical Therapy

Volumn 94, Issue 3, 2014, Pages 334-342

  O'Hoski, Sachi ^a,b   Winship, Bonnie ^a   Herridge, Lauren ^a,c   Agha, Taimoor ^a   Brooks, Dina ^a,b,d   Beauchamp, Marla K ^a,b,e   Sibley, Kathryn M ^a,d  

^a UNIVERSITY OF TORONTO   (Canada)

^b WEST PARK HEALTHCARE CENTRE   (Canada)

^c SOUTHLAKE REGIONAL HEALTH CENTRE   (Canada)

^d TORONTO REHABILITATION INSTITUTE   (Canada)

^e HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; BODY EQUILIBRIUM; CANADA; CROSS-SECTIONAL STUDY; FEMALE; HEALTH STATUS INDICATOR; HUMAN; MALE; MIDDLE AGED; PHYSIOLOGY; REFERENCE VALUE; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CANADA; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH STATUS INDICATORS; HUMANS; MALE; MIDDLE AGED; POSTURAL BALANCE; REFERENCE VALUES;

EID: 84897630293     PISSN: 00319023     EISSN: 15386724     Source Type: Journal    
DOI: 10.2522/ptj.20130104     Document Type: Article

References (35)

1. Tinetti ME, Speechley M, Ginter S. Riskfactors for falls among elderly persons living in the community. N Engl J Med. 1988; 319:1701-1707.
2. SMARTRISK. The Economic Burden of Injury in Canada. Toronto, Ontario, Canada: SMARTRISK; 2009.
3. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35:37-41.
4. Sattin R. Falls among older persons: a public-health perspective. Annu Rev Public Health. 1992;13:489-508.
5. Tinetti ME, Kumar C. The patient who falls: "It's always a trade off. " JAMA. 2010; 303:258-266.
6. Fabre JM, Ellis R, Kosma M, Wood RH. Falls risk factors and a compendium of falls risk screening instruments. J Geriatr Phys Ther. 2010;33:184-197.
7. Shumway-Cook A. Motor Control: Translating Research Into Clinical Practice. 3rd ed. Baltimore, MD: Lippincott Williams & Wilkins; 2007.
8. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35(suppl 2):7-11.
9. Newton RA. Balance and falls among older people. Generations. 2003;27:27-31.
10. Berg K, Wood-Dauphinée S, Williams J. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83:S7-S11.
11. Podsiadlo D, Richardson S. The Timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142-148.
12. Muir SW, Berg K, Chesworth B, Speechley M. Use of the Berg Balance Scale for predicting multiple falls in communitydwelling elderly people: a prospective study. Phys Ther. 2008;88:449-459.
13. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000; 80:896-903.
14. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77:812-819.
15. Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89:484-498.
16. Leddy AL, Crowner BE, Earhart GM. Functional gait assessment and balance evaluation system test: reliability, validity, sensitivity, and specificity for identifying individuals with Parkinson disease who fall. Phys Ther. 2011;91:102-113.
17. Leddy AL, Crowner BE, Earhart GM. Utility of the Mini-BESTest, BESTest, and BESTest sections for balance assessments in individuals with Parkinson disease. J Neurol Phys Ther. 2011;35:90-97.
18. Kurz MJ, Corr B, Stuberg W, et al. Evaluation of lower body positive pressure supported treadmill training for children with cerebral palsy. Pediatr Phys Ther. 2011; 23:232-239.
19. Jones KD, Horak FB, Winters-Stone K, et al. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15:16-21.
20. Beauchamp MK, Sibley KM, Lakhani B, et al. Impairments in systems underlying control of balance in COPD. Chest. 2012; 141:1496-1503.
21. Sibley KM, Straus SE, Inness EL, et al. Balance assessment practices and use of standardized balance measures among Ontario physical therapists. Phys Ther. 2011;91: 1583-1591.
22. Padgett PK, Jacobs JV, Kasser SL. Is the BESTest at its best? A suggested brief version based on interrater reliability, validity, internal consistency, and theoretical construct. Phys Ther. 2012;92:1197-1207.
23. Franchignoni F, Horak F, Godi M, et al. Using psychometric techniques to improve the Balance Evaluation Systems Test: the Mini-BESTest. J Rehabil Med. 2010;42:323-331.
24. King L, Horak F. On the Mini-BESTest: scoring and the reporting of total scores [letter]. Phys Ther. 2013;93:571-575.
25. McNeely ME, Duncan RP, Earhart GM. Medication improves balance and complex gait performance in Parkinson disease. Gait Posture. 2012;36:144-148.
26. King LA, Priest KC, Salarian A, et al. Comparing the Mini-BESTest with the Berg Balance Scale to evaluate balance disorders in Parkinson's disease. Parkinsons Dis. 2012;2012:375-419.
27. Hill K, Wickerson LM, Woon LJ, et al. The 6-min walk test: responses in healthy Canadians aged 45 to 85 years. Appl Physiol Nutr Metab. 2011;36:643-649.
28. Steffen TM, Hacker TA, Mollinger L. Ageand gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82:128-137.
29. Horak F. BESTest: Balance Evaluation Systems Test. Available at: http://www.ohsu. edu/tech-transfer/portal/technology.php? technology_id_217191. Accessed November 19, 2013.
30. Isles R, Choy N, Steer M, Nitz J. Normal values of balance tests in women aged 20-80. J Am Geriatr Soc. 2004;52:1367-1372.
31. Howe TE, Rochester L, Jackson A, et al. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2007;(4):CD004963.
32. Milanovi Z, Pantelli S, Trajkovi N, et al. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013;8: 549-556.
33. Fortin M, Bravo G, Hudon C, et al. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005;3: 223-228.
34. Springer BA, Marin R, Cyhan T, et al. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther. 2007;30:8-15.
35. Hofheinz M, Schusterschitz C. Dual task interference in estimating the risk of falls and measuring change: a comparative, psychometric study of four measurements. Clin Rehabil. 2010;24:831-842.