PMID- 27789239
OWN - NLM
STAT- MEDLINE
DCOM- 20170717
LR  - 20170717
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 98
IP  - 2
DP  - 2017 Feb
TI  - Minimal Clinically Important Difference of Berg Balance Scale in People With 
      Multiple Sclerosis.
PG  - 337-340.e2
LID - S0003-9993(16)31166-2 [pii]
LID - 10.1016/j.apmr.2016.09.128 [doi]
AB  - OBJECTIVE: To identify the minimal clinically important difference (MCID) to 
      define clinically meaningful patient's improvement on the Berg Balance Scale 
      (BBS) in people with multiple sclerosis (PwMS) in response to rehabilitation. 
      DESIGN: Cohort study. SETTING: Neurorehabilitation institute. PARTICIPANTS: PwMS 
      (N=110). INTERVENTIONS: This study comprised inpatients and outpatients who 
      participated in research on balance and gait rehabilitation. All received 20 
      rehabilitation sessions with different intensities. Inpatients received daily 
      treatments over a period of 4 weeks, while outpatients received 2 to 3 treatments 
      per week for 10 weeks. MAIN OUTCOME MEASURES: An anchor-based approach using 
      clinical global impression of improvement in balance (Activities-specific Balance 
      Confidence [ABC] Scale) was used to determine the MCID of the BBS. The MCID was 
      defined as the minimum change in the BBS total score (postintervention - 
      preintervention) that was needed to perceive at least a 10% improvement on the 
      ABC Scale. Receiver operating characteristic curves were used to define the 
      cutoff of the optimal MCID of the BBS discriminating between improved and not 
      improved subjects. RESULTS: The MCID for change on the BBS was 3 points for the 
      whole sample, 3 points for the inpatients, and 2 points for the outpatients. The 
      area under the curve was .65 for the whole sample, .64 for inpatients, and .68 
      for outpatients. CONCLUSIONS: The MCID for improvement in balance as measured by 
      the BBS was 3 points, meaning that PwMS are likely to perceive that as a 
      reproducible and clinically important change in their balance performance.
CI  - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Gervasoni, Elisa
AU  - Gervasoni E
AD  - LaRiCE Gait and Balance Disorders Laboratory, Department of Neurorehabilitation, 
      Don Gnocchi Foundation, Milan, Italy.
FAU - Jonsdottir, Johanna
AU  - Jonsdottir J
AD  - LaRiCE Gait and Balance Disorders Laboratory, Department of Neurorehabilitation, 
      Don Gnocchi Foundation, Milan, Italy.
FAU - Montesano, Angelo
AU  - Montesano A
AD  - LaRiCE Gait and Balance Disorders Laboratory, Department of Neurorehabilitation, 
      Don Gnocchi Foundation, Milan, Italy.
FAU - Cattaneo, Davide
AU  - Cattaneo D
AD  - LaRiCE Gait and Balance Disorders Laboratory, Department of Neurorehabilitation, 
      Don Gnocchi Foundation, Milan, Italy. Electronic address: 
      dcattaneo@dongnocchi.it.
LA  - eng
PT  - Journal Article
DEP - 20161024
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
CIN - Arch Phys Med Rehabil. 2019 Jun;100(6):1191. PMID: 31130213
CIN - Arch Phys Med Rehabil. 2019 Jun;100(6):1191-1192. PMID: 31130214
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - *Minimal Clinically Important Difference
MH  - Multiple Sclerosis/*rehabilitation
MH  - Physical Therapy Modalities/*standards
MH  - Postural Balance/*physiology
MH  - *Severity of Illness Index
OTO - NOTNLM
OT  - Multiple sclerosis
OT  - Patient outcome assessment
OT  - Postural balance
OT  - Rehabilitation
EDAT- 2016/10/30 06:00
MHDA- 2017/07/18 06:00
CRDT- 2016/10/30 06:00
PHST- 2016/05/20 00:00 [received]
PHST- 2016/09/12 00:00 [revised]
PHST- 2016/09/22 00:00 [accepted]
PHST- 2016/10/30 06:00 [pubmed]
PHST- 2017/07/18 06:00 [medline]
PHST- 2016/10/30 06:00 [entrez]
AID - S0003-9993(16)31166-2 [pii]
AID - 10.1016/j.apmr.2016.09.128 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2017 Feb;98(2):337-340.e2. doi: 
      10.1016/j.apmr.2016.09.128. Epub 2016 Oct 24.