用于评估不完全脊髓损伤患者的迷你测试（Mini-BESTest）和简短测试（Brief-BESTest）的可靠性

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Spinal cord Pub Date : 2024-09-13 DOI:10.1038/s41393-024-01032-2

Yusuke Morooka, Yasuyuki Takakura, Yosuke Kunisawa, Yuya Okubo, Shinta Araki, Shigeru Obayashi

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引用次数: 0

摘要

研究设计单个机构观察性研究目的研究伯格平衡量表（BBS）、迷你平衡评估系统测试（BESTest）和简易平衡评估系统测试（BESTest）的上限和下限效应，并确定迷你平衡评估系统测试（BESTest）和简易平衡评估系统测试（BESTest）在急性和亚急性不完全性颈椎脊髓损伤（SCI）分类为AIS D的患者中的评分者内部和评分者之间的可靠性以及最小可检测变化（MDC）。方法招募了 20 名不完全性颈椎 SCI 患者，这些患者可以在没有帮助的情况下站立。通过绘制BBS、Mini-BESTest和Brief-BESTest得分分布直方图并计算偏度来评估最低和最高效应。同时对迷你测试和简易测试进行了评估和录像，并评估了评分者内部和评分者之间的信度。结果BBS的偏度为-1.57，满分为35%，表明存在上限效应。然而，在迷你测试和简短测试中没有观察到上限或下限效应。迷你测验和简明测验的评分者内部信度和评分者之间信度的类内相关系数分别为 0.98 和 0.97。迷你测验的单项信度为中等或更高，简明测验的单项信度为优或更高。结论对于被归类为AIS D级的急性和亚急性不完全SCI患者来说，Mini-BESTest和Brief-BESTest是可靠的评估工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Reliability of the Mini-BESTest and Brief-BESTest for assessing patients with incomplete spinal cord injury

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Reliability of the Mini-BESTest and Brief-BESTest for assessing patients with incomplete spinal cord injury

Study design

Single institution observational study.

Objectives

To investigate the ceiling and floor effects of the Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (BESTest), and Brief-BESTest, as well as to determine the intra- and inter-rater reliabilities and minimal detectable change (MDC) of the Mini-BESTest and Brief-BESTest in patients with acute and subacute incomplete cervical spinal cord injury (SCI) classified as AIS D.

Setting

Advanced critical care center of our university hospital.

Methods

Twenty patients with incomplete cervical SCI who could stand without assistance were recruited. The floor and ceiling effects were evaluated by plotting histograms from the distribution of scores on the BBS, Mini-BESTest and Brief-BESTest, and calculating skewness. The Mini-BESTest and Brief-BESTest were evaluated and videotaped simultaneously, and intra- and inter-rater reliabilities were assessed. The MDC was also calculated.

Results

The skewness of the BBS was −1.57, and the full score was 35%, indicating a ceiling effect. However, no ceiling or floor effect was observed for the Mini-BESTest and the Brief-BESTest. Intraclass correlation coefficients for intra-rater and inter-rater reliabilities were 0.98 and 0.97 for the Mini-BESTest and Brief-BESTest, respectively. Individual item reliability was moderate or better for the Mini-BESTest and excellent or better for the Brief-BESTest. The MDC of total scores ranged 3.14–3.84 and 2.92–3.60 for the Mini-BESTest and Brief-BESTest, respectively.

Conclusions

The Mini-BESTest and Brief-BESTest are reliable assessment tools for patients with acute and subacute incomplete SCI classified as AIS D. Clarified error ranges aid in estimating the treatment effect on balance abilities.

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来源期刊

Spinal cord 医学-临床神经学

CiteScore

4.50

自引率

9.10%

发文量

142

审稿时长

2 months

期刊介绍： Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.