PMID- 36384452
OWN - NLM
STAT- MEDLINE
DCOM- 20230726
LR  - 20230726
IS  - 1945-5119 (Electronic)
IS  - 1074-9357 (Linking)
VI  - 30
IP  - 7
DP  - 2023 Oct
TI  - The minimal clinically important difference of the mini-balance evaluation 
      systems test in patients with early subacute stroke.
PG  - 672-680
LID - 10.1080/10749357.2022.2145759 [doi]
AB  - BACKGROUND: There is insufficient evidence regarding the minimal clinically 
      important difference (MCID) of the Mini-Balance Evaluation Systems Test 
      (Mini-BESTest). OBJECTIVE: To determine the MCID of the Mini-BESTest in patients 
      with early subacute stroke. PATIENTS AND METHODS: In this prospective cohort 
      study, the Mini-BESTest score of 50 patients with stroke was obtained within 
      1 week of their admission, their Mini-BESTest and Global Rating of Change Scale 
      (GRCS) scores were obtained at discharge. The GRCS scores were reported by both 
      the patients and their physical therapists. We evaluated the correlation between 
      the Mini-BESTest change scores and the GRCS by determining Spearman's rank 
      correlation coefficient. The MCID was calculated using 0.5x standard deviation 
      (SD) for the distribution method and the change difference and receiver operating 
      curve (ROC) for the anchor method. RESULTS: The mean (SD) number of days between 
      evaluations was 15.4 (4.8), and the Mini-BESTest score at admission was 17.7 
      (5.2) and 23.1 (3.5) at discharge. The correlation between the GRCS and the 
      change in the Mini-BESTest score was 0.28 (p = .04) for the patients and 0.54 
      (p < .001) for the therapists. The MCID based on the distribution method was 3 
      points for 0.5x SD. The MCID values based on the anchor method were 2.3 for the 
      change difference and 0.5 for the ROC in the patient-rated GRCS, and 4.2 for the 
      change difference and 4.5 for the ROC in the physical therapist-rated GRCS. 
      CONCLUSIONS: The MCID based on the anchor method was 4.2-4.5 points, and the MCID 
      based on the distribution method was 2.3 points.
FAU - Takeda, Ren
AU  - Takeda R
AD  - Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital, 
      Numata, Japan.
FAU - Miyata, Kazuhiro
AU  - Miyata K
AD  - Department of Physical Therapy, Ibaraki Prefectural University of Health 
      Sciences, Inashiki, Japan.
FAU - Igarashi, Tatsuya
AU  - Igarashi T
AD  - Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital, 
      Numata, Japan.
LA  - eng
PT  - Journal Article
DEP - 20221117
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Humans
MH  - *Stroke
MH  - Prospective Studies
MH  - Minimal Clinically Important Difference
MH  - Postural Balance
MH  - Disability Evaluation
MH  - Reproducibility of Results
OTO - NOTNLM
OT  - Stroke
OT  - minimal clinically important difference
OT  - outcome assessment
OT  - postural balance
OT  - rehabilitation
EDAT- 2022/11/18 06:00
MHDA- 2023/07/26 06:42
CRDT- 2022/11/17 09:42
PHST- 2023/07/26 06:42 [medline]
PHST- 2022/11/18 06:00 [pubmed]
PHST- 2022/11/17 09:42 [entrez]
AID - 10.1080/10749357.2022.2145759 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2023 Oct;30(7):672-680. doi: 10.1080/10749357.2022.2145759. 
      Epub 2022 Nov 17.