Shanshan Zheng, Xiao'ao Xue, Le Yu, Weichu Tao, Ru Wang, Yang Sun, Yinghui Hua
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This study compared BESS performance between people with CAI and controls and investigated which stances most effectively identified balance deficits in individuals with CAI.</p><p><strong>Literature survey: </strong>Seven electronic databases (Web of Science, CINAHL, Embase, PubMed, Scopus, SPORTDiscus, and Cochrane Library) were searched from July 13, 2023, to September 10, 2023, using the ankle instability and balance related terms as keywords to search original studies and perform a systematic review.</p><p><strong>Methods: </strong>Studies that compared BESS scores between individuals with CAI and healthy controls were systematically identified. Extracted data included study characteristics, participant demographics, and assessment details. The risk of bias was assessed using the Newcastle-Ottawa Scale. The standardized mean difference (SMD) and 95% confidence interval (CI) were used as effect sizes to compare groups for the BESS components used to assess CAI.</p><p><strong>Results: </strong>Six studies met the eligibility criteria. The double-leg foam stance yielded an SMD of -0.02 (95% CI: -0.32 to 0.29), with an I<sup>2</sup> value of 3.5%. Significant differences between groups were noted in the single foam (SMD = 0.89; 95% CI: 0.33-1.45; I<sup>2</sup> = 78.3%) and single firm (SMD = 0.62; 95% CI: 0.14-1.10; I<sup>2</sup> = 72.1%) performances, although both demonstrated high heterogeneity. Conversely, the tandem foam (SMD = 0.77; 95% CI: 0.51-1.02; I<sup>2</sup> = 0.0%) and tandem firm (SMD = 0.38; 95% CI: 0.11-0.68; I<sup>2</sup> = 23.8%) performances showed small to moderate between-group differences with considerably lower heterogeneity.</p><p><strong>Conclusion: </strong>This review indicates that tandem stances on foam and firm surfaces in the BESS are reliable indicators of static balance deficits in individuals with CAI.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Balance Error Scoring System in the assessment of chronic ankle stability: A systematic review and meta-analysis.\",\"authors\":\"Shanshan Zheng, Xiao'ao Xue, Le Yu, Weichu Tao, Ru Wang, Yang Sun, Yinghui Hua\",\"doi\":\"10.1002/pmrj.13235\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Chronic ankle instability (CAI) is a common musculoskeletal injury associated with static balance deficits. The Balance Error Scoring System (BESS) is commonly used to assess static balance in individuals with CAI. However, the sensitivity of BESS in detecting balance deficits in CAI is unknown. This study compared BESS performance between people with CAI and controls and investigated which stances most effectively identified balance deficits in individuals with CAI.</p><p><strong>Literature survey: </strong>Seven electronic databases (Web of Science, CINAHL, Embase, PubMed, Scopus, SPORTDiscus, and Cochrane Library) were searched from July 13, 2023, to September 10, 2023, using the ankle instability and balance related terms as keywords to search original studies and perform a systematic review.</p><p><strong>Methods: </strong>Studies that compared BESS scores between individuals with CAI and healthy controls were systematically identified. Extracted data included study characteristics, participant demographics, and assessment details. The risk of bias was assessed using the Newcastle-Ottawa Scale. The standardized mean difference (SMD) and 95% confidence interval (CI) were used as effect sizes to compare groups for the BESS components used to assess CAI.</p><p><strong>Results: </strong>Six studies met the eligibility criteria. The double-leg foam stance yielded an SMD of -0.02 (95% CI: -0.32 to 0.29), with an I<sup>2</sup> value of 3.5%. Significant differences between groups were noted in the single foam (SMD = 0.89; 95% CI: 0.33-1.45; I<sup>2</sup> = 78.3%) and single firm (SMD = 0.62; 95% CI: 0.14-1.10; I<sup>2</sup> = 72.1%) performances, although both demonstrated high heterogeneity. 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引用次数: 0
摘要
目的：慢性踝关节不稳定（CAI）是一种常见的肌肉骨骼损伤，与静态平衡障碍有关。平衡失误评分系统（BESS）通常用于评估 CAI 患者的静态平衡。然而，BESS 检测 CAI 平衡障碍的灵敏度尚不清楚。本研究比较了 CAI 患者和对照组的 BESS 表现，并调查了哪种姿势能最有效地识别 CAI 患者的平衡缺陷：从 2023 年 7 月 13 日至 2023 年 9 月 10 日，以踝关节不稳定和平衡相关术语为关键词，检索了七个电子数据库（Web of Science、CINAHL、Embase、PubMed、Scopus、SPORTDiscus 和 Cochrane Library），以搜索原始研究并进行系统综述：方法：系统地确定了比较 CAI 患者和健康对照组 BESS 评分的研究。提取的数据包括研究特征、参与者人口统计学特征和评估细节。采用纽卡斯尔-渥太华量表评估偏倚风险。采用标准化平均差（SMD）和 95% 置信区间（CI）作为效应大小，对用于评估 CAI 的 BESS 成分进行组间比较：结果：六项研究符合资格标准。双腿泡沫站姿的SMD为-0.02（95% CI：-0.32至0.29），I2值为3.5%。单腿泡沫站姿（SMD = 0.89；95% CI：0.33-1.45；I2 = 78.3%）和单腿固定站姿（SMD = 0.62；95% CI：0.14-1.10；I2 = 72.1%）的组间差异显著，但两者均表现出高度异质性。相反，串联泡沫（SMD = 0.77；95% CI：0.51-1.02；I2 = 0.0%）和串联牢固（SMD = 0.38；95% CI：0.11-0.68；I2 = 23.8%）的表现显示出小到中等的组间差异，异质性低得多：本综述表明，在 BESS 中，泡沫和坚硬表面上的串联站立是 CAI 患者静态平衡障碍的可靠指标。
Balance Error Scoring System in the assessment of chronic ankle stability: A systematic review and meta-analysis.
Objective: Chronic ankle instability (CAI) is a common musculoskeletal injury associated with static balance deficits. The Balance Error Scoring System (BESS) is commonly used to assess static balance in individuals with CAI. However, the sensitivity of BESS in detecting balance deficits in CAI is unknown. This study compared BESS performance between people with CAI and controls and investigated which stances most effectively identified balance deficits in individuals with CAI.
Literature survey: Seven electronic databases (Web of Science, CINAHL, Embase, PubMed, Scopus, SPORTDiscus, and Cochrane Library) were searched from July 13, 2023, to September 10, 2023, using the ankle instability and balance related terms as keywords to search original studies and perform a systematic review.
Methods: Studies that compared BESS scores between individuals with CAI and healthy controls were systematically identified. Extracted data included study characteristics, participant demographics, and assessment details. The risk of bias was assessed using the Newcastle-Ottawa Scale. The standardized mean difference (SMD) and 95% confidence interval (CI) were used as effect sizes to compare groups for the BESS components used to assess CAI.
Results: Six studies met the eligibility criteria. The double-leg foam stance yielded an SMD of -0.02 (95% CI: -0.32 to 0.29), with an I2 value of 3.5%. Significant differences between groups were noted in the single foam (SMD = 0.89; 95% CI: 0.33-1.45; I2 = 78.3%) and single firm (SMD = 0.62; 95% CI: 0.14-1.10; I2 = 72.1%) performances, although both demonstrated high heterogeneity. Conversely, the tandem foam (SMD = 0.77; 95% CI: 0.51-1.02; I2 = 0.0%) and tandem firm (SMD = 0.38; 95% CI: 0.11-0.68; I2 = 23.8%) performances showed small to moderate between-group differences with considerably lower heterogeneity.
Conclusion: This review indicates that tandem stances on foam and firm surfaces in the BESS are reliable indicators of static balance deficits in individuals with CAI.
期刊介绍：
Topics covered include acute and chronic musculoskeletal disorders and pain, neurologic conditions involving the central and peripheral nervous systems, rehabilitation of impairments associated with disabilities in adults and children, and neurophysiology and electrodiagnosis. PM&R emphasizes principles of injury, function, and rehabilitation, and is designed to be relevant to practitioners and researchers in a variety of medical and surgical specialties and rehabilitation disciplines including allied health.
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