PMID- 34410873
OWN - NLM
STAT- MEDLINE
DCOM- 20221021
LR  - 20221220
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 44
IP  - 21
DP  - 2022 Oct
TI  - Minimal clinically important difference of the Berg Balance Scale score in older 
      adults with hip fractures.
PG  - 6432-6437
LID - 10.1080/09638288.2021.1962993 [doi]
AB  - PURPOSE: The minimal clinically important difference (MCID) is the smallest 
      clinically significant difference in treatment identified as crucial to the 
      patient. There is no known MCID for the Berg Balance Scale (BBS), which measures 
      balance function in patients with hip fractures. We aimed to calculate the MCID 
      of the BBS in older adults with hip fractures. MATERIALS AND METHODS: This is a 
      retrospective multicenter clinical study that included 187 older adults with hip 
      fractures. MCID was calculated using functional ambulation categories (FACs), 
      which were used as anchors for the change in BBS scores between admission and 
      discharge. MCID was calculated as an improvement for more than one point and as a 
      substantial change for improvement for more than two points in the FAC. RESULTS: 
      MCID of the BBS was 11.5 points and that of the substantial change was 18.5 
      points, with an area under the curve of 0.76 and 0.81, respectively. CONCLUSIONS: 
      MCID for the BBS was 11.5 points in older adults with hip fractures. In addition, 
      an improvement of more than 18.5 points in BBS can be considered a substantial 
      change. These values may be useful in determining meaningful balance function 
      improvement.Implications for rehabilitationHip fractures are a common injury for 
      the older adults, and improvement in gait function has a bearing on prognosis.The 
      effectiveness of meaningful rehabilitation is possible to determine by clarifying 
      the minimal clinically important difference in balance function, which is 
      important for the acquisition of gait.An improvement of 11.5 points or more on 
      the Berg Balance Scale in an older adult with a hip fracture is considered a 
      meaningful effect.
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, Ami, 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  - Numata Neurosurgery & Heart Disease Hospital, Numata, Japan.
FAU - Iwamoto, Hiroki
AU  - Iwamoto H
AD  - Department of Rehabilitation, Hidaka Rehabilitation Hospital, Takasaki, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20210819
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Minimal Clinically Important Difference
MH  - *Hip Fractures
MH  - Retrospective Studies
MH  - Patient Discharge
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Berg Balance Scale
OT  - Minimal clinically important difference
OT  - balance
OT  - hip fractures
OT  - older adults
EDAT- 2021/08/20 06:00
MHDA- 2022/10/22 06:00
CRDT- 2021/08/19 17:20
PHST- 2021/08/20 06:00 [pubmed]
PHST- 2022/10/22 06:00 [medline]
PHST- 2021/08/19 17:20 [entrez]
AID - 10.1080/09638288.2021.1962993 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2022 Oct;44(21):6432-6437. doi: 10.1080/09638288.2021.1962993. 
      Epub 2021 Aug 19.