PMID- 34169808
OWN - NLM
STAT- MEDLINE
DCOM- 20220622
LR  - 20220824
IS  - 1945-5119 (Electronic)
IS  - 1074-9357 (Linking)
VI  - 29
IP  - 6
DP  - 2022 Sep
TI  - The minimal clinically important difference in Berg Balance Scale scores among 
      patients with early subacute stroke: a multicenter, retrospective, observational 
      study.
PG  - 423-429
LID - 10.1080/10749357.2021.1943800 [doi]
AB  - BACKGROUND: Balance dysfunction is common in stroke patients. The Berg Balance 
      Scale (BBS) is useful for evaluating the balance function of stroke patients, and 
      it can estimate the minimal clinically important difference (MCID) in balance. 
      BBS scores differ among stroke patients depending on whether they require walking 
      assistance. The MCID should thus be estimated separately for patients who require 
      assistance and those who do not. OBJECTIVES: To estimate the MCID of individuals 
      who have had an early subacute stroke and require a walking aid and those who do 
      not, to assist the clinical determination of the effectiveness of therapy. 
      METHODS: This was a retrospective clinical analysis of 80 early subacute stroke 
      patients. We estimated the MCID by using the Functional Ambulation Categories 
      (FAC) as anchors for changes in BBS scores during a 1-month period. The MCID was 
      estimated based on a cutoff score for separating the patients who achieved a FAC 
      change >/=1 point on receiver operator characteristic curves. The area under the 
      curve (AUC) was used to measure the discrimination accuracy. The MCID was 
      estimated for the patients who needed walking assistance and those who did not. 
      RESULTS: The estimated MCID of BBS scores in the assisted-walking group was 5 
      points and the AUC was 0.84 (p < .01); the corresponding values in the 
      unassisted-walking group were 4 points and 0.62 (p = .26). CONCLUSIONS: For early 
      subacute stroke patients who require assistance to walk, a 5-point improvement in 
      the BBS score is a useful indicator for reducing the amount of assistance.
FAU - Tamura, Shuntaro
AU  - Tamura S
AD  - Department of Rehabilitation, Fujioka General Hospital, Fujioka, Japan.
FAU - Miyata, Kazuhiro
AU  - Miyata K
AD  - Department of Physical Therapy, Ibaraki Prefectural University of Health 
      Sciences, Ibaraki, Japan.
FAU - Kobayashi, Sota
AU  - Kobayashi S
AD  - Department of Rehabilitation, Public Nanokaichi Hospital, Tomioka, Japan.
AD  - Department of basic rehabilitation, Gunma University Graduate School of Health 
      Sciences, Maebashi, Japan.
FAU - Takeda, Ren
AU  - Takeda R
AD  - Department of basic rehabilitation, Gunma University Graduate School of Health 
      Sciences, Maebashi, Japan.
AD  - Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital, 
      Numata, Japan.
FAU - Iwamoto, Hiroaki
AU  - Iwamoto H
AD  - Department of Rehabilitation, Hidaka Rehabilitation Hospital, Takasaki, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20210625
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - Postural Balance
MH  - Retrospective Studies
MH  - *Stroke/complications/therapy
MH  - *Stroke Rehabilitation
OTO - NOTNLM
OT  - Minimal clinically important difference
OT  - balance
OT  - berg balance scale
OT  - early subacute stroke
OT  - outcome measure
EDAT- 2021/06/26 06:00
MHDA- 2022/06/23 06:00
CRDT- 2021/06/25 08:40
PHST- 2021/06/26 06:00 [pubmed]
PHST- 2022/06/23 06:00 [medline]
PHST- 2021/06/25 08:40 [entrez]
AID - 10.1080/10749357.2021.1943800 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2022 Sep;29(6):423-429. doi: 10.1080/10749357.2021.1943800. 
      Epub 2021 Jun 25.