PMID- 38365440
OWN - NLM
STAT- MEDLINE
DCOM- 20240429
LR  - 20240430
IS  - 1538-6724 (Electronic)
IS  - 0031-9023 (Linking)
VI  - 104
IP  - 4
DP  - 2024 Apr 2
TI  - Pooled Minimal Clinically Important Differences of the Mini-Balance Evaluation 
      Systems Test in Patients With Early Subacute Stroke: A Multicenter Prospective 
      Observational Study.
LID - pzae017 [pii]
LID - 10.1093/ptj/pzae017 [doi]
AB  - OBJECTIVE: Balance problems are common in patients with stroke, and the 
      Mini-Balance Evaluation Systems Test (Mini-BESTest) is a reliable and valid 
      assessment tool for measuring balance function. Determining the minimal 
      clinically important difference (MCID) is crucial for assessing treatment 
      effectiveness. This study aimed to determine the MCID of the Mini-BESTest in 
      patients with early subacute stroke. METHODS: In this prospective multicenter 
      study, 53 patients with early subacute stroke undergoing rehabilitation in 
      inpatient units were included. The mean age of the patients was 72.6 (SD = 12.2) 
      years. The Mini-BESTest, which consists of 14 items assessing various aspects of 
      balance function, including anticipatory postural adjustments, postural 
      responses, sensory orientation, and dynamic gait, was used as the assessment 
      tool. The global rating of change (GRC) scales completed by the participants and 
      physical therapists were used as external anchors to calculate the MCID. The GRC 
      scale measured subjective improvement in balance function, ranging from -3 (very 
      significantly worse) to +3 (very significantly better), with a GRC score of >/=+2 
      considered as meaningful improvement. Four methods were used to calculate the 
      MCID: mean of participants with GRC of 2, receiver operating characteristic-based 
      method, predictive modeling method, and adjustment of the predictive modeling 
      method based on the rate of improvement. From the MCID values obtained using 
      these methods, a single pooled MCID value was calculated. RESULTS: The MCID 
      values for the Mini-BESTest obtained through the 4 methods ranged from 3.2 to 4.5 
      points when using the physical therapist's GRC score as the anchor but could not 
      be calculated using the participant's GRC score. The pooled MCID value for the 
      Mini-BESTest was 3.8 (95% CI = 2.9-5.0). CONCLUSIONS: The Mini-BESTest MCID 
      obtained in this study is valuable for identifying improvements in balance 
      function among patients with early subacute stroke. IMPACT: Determination of the 
      MCID is valuable for evaluating treatment effectiveness. The study findings 
      provide clinicians with practical values that can assist in interpreting 
      Mini-BESTest results and assessing treatment effectiveness.
CI  - (c) The Author(s) 2024. Published by Oxford University Press on behalf of the 
      American Physical Therapy Association. All rights reserved. For permissions, 
      please e-mail: journals.permissions@oup.com.
FAU - Tamura, Shuntaro
AU  - Tamura S
AUID- ORCID: 0000-0001-8085-0803
AD  - Department of Rehabilitation, Fujioka General Hospital, Fujioka, Gunma, Japan.
FAU - Miyata, Kazuhiro
AU  - Miyata K
AUID- ORCID: 0000-0003-0192-6596
AD  - Department of Physical Therapy, Ibaraki Prefectural University of Health 
      Sciences, Inashiki-gun, Ibaraki, Japan.
FAU - Hasegawa, Satoshi
AU  - Hasegawa S
AD  - Department of Rehabilitation, Public Nanokaichi Hospital, Tomioka, Gunma, Japan.
FAU - Kobayashi, Sota
AU  - Kobayashi S
AD  - Department of Rehabilitation, Public Nanokaichi Hospital, Tomioka, Gunma, Japan.
AD  - Department of Rehabilitation Sciences, Gunma University Graduate School of Health 
      Sciences, Maebashi, Gunma, Japan.
FAU - Shioura, Kosuke
AU  - Shioura K
AD  - Department of Rehabilitation, Harunaso Hospital, Takasaki, Gunma, Japan.
FAU - Usuda, Shigeru
AU  - Usuda S
AD  - Department of Rehabilitation Sciences, Gunma University Graduate School of Health 
      Sciences, Maebashi, Gunma, Japan.
LA  - eng
GR  - JP21K17458/Japan Society for the Promotion of Sciences KAKENHI/
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Phys Ther
JT  - Physical therapy
JID - 0022623
SB  - IM
MH  - Humans
MH  - *Postural Balance/physiology
MH  - Prospective Studies
MH  - Male
MH  - Female
MH  - *Minimal Clinically Important Difference
MH  - Aged
MH  - *Stroke Rehabilitation/methods
MH  - *Disability Evaluation
MH  - Stroke/physiopathology
MH  - Middle Aged
MH  - Aged, 80 and over
OTO - NOTNLM
OT  - Cerebrovascular Accident
OT  - Mini Balance Evaluation Systems Test
OT  - Minimal Clinically Important Difference
OT  - Outcome Measure
OT  - Postural Balance
EDAT- 2024/02/17 10:42
MHDA- 2024/04/29 13:57
CRDT- 2024/02/16 21:13
PHST- 2022/11/29 00:00 [received]
PHST- 2023/10/08 00:00 [revised]
PHST- 2023/12/20 00:00 [accepted]
PHST- 2024/04/29 13:57 [medline]
PHST- 2024/02/17 10:42 [pubmed]
PHST- 2024/02/16 21:13 [entrez]
AID - 7608111 [pii]
AID - 10.1093/ptj/pzae017 [doi]
PST - ppublish
SO  - Phys Ther. 2024 Apr 2;104(4):pzae017. doi: 10.1093/ptj/pzae017.