These measures assess balance and falls risk prediction at the body , structure and function level , falls risk and balance , and falls risk at the activity level .
The motor examination of the Unified Parkinson ’s Disease Rating Scale ( UPDRS-ME ) with robust psychometric analysis is a condition-specific measure with acceptable properties .
Conclusion : Six of the 68 outcome measures have strong psychometric properties for the assessment of balance and falls risk prediction in PD .
Objective : To investigate the psychometric properties of measures of balance and falls risk prediction in people with Parkinson ’s disease ( PD ) .
Comparison of the Fullerton Advanced Balance Scale, Mini-BESTest, and Berg Balance Scale to Predict Falls in Parkinson Disease
Background The correct identification of patients with Parkinson disease ( PD ) at risk for falling is important to initiate appropriate treatment early . Objective This study compared the Fullerton Advanced Balance ( FAB ) scale with the Mini-Balance Evaluation Systems Test ( Mini-BESTest ) and Berg Balance Scale ( BBS ) to identify individuals with PD at risk for falls and to analyze which of the items of the scales best predict future falls . Design This was a prospect i ve study to assess predictive criterion-related validity . Setting The study was conducted at a university hospital in an urban community . Patients Eighty-five patients with idiopathic PD ( Hoehn and Yahr stages : 1–4 ) participated in the study . Measurements Measures were number of falls ( assessed prospect ively over 6 months ) , FAB scale , Mini-BESTest , BBS , and Unified Parkinson 's Disease Rating Scale . Results The FAB scale , Mini-BESTest , and BBS showed similar accuracy to predict future falls , with values for area under the curve ( AUC ) of the receiver operating characteristic ( ROC ) curve of 0.68 , 0.65 , and 0.69 , respectively . A model combining the items “ t and em stance , ” “ rise to toes , ” “ one-leg stance , ” “ compensatory stepping backward , ” “ turning , ” and “ placing alternate foot on stool ” had an AUC of 0.84 of the ROC curve . Limitations There was a dropout rate of 19/85 participants . Conclusions The FAB scale , Mini-BESTest , and BBS provide moderate capacity to predict “ fallers ” ( people with one or more falls ) from “ nonfallers . ” Only some items of the 3 scales contribute to the detection of future falls . Clinicians should particularly focus on the item “ t and em stance ” along with the items “ one-leg stance , ” “ rise to toes , ” “ compensatory stepping backward , ” “ turning 360 ° , ” and “ placing foot on stool ” when analyzing postural control deficits related to fall risk . Future research should analyze whether balance training including the aforementioned items is effective in reducing fall risk
These measures assess balance and falls risk prediction at the body , structure and function level , falls risk and balance , and falls risk at the activity level .
The motor examination of the Unified Parkinson ’s Disease Rating Scale ( UPDRS-ME ) with robust psychometric analysis is a condition-specific measure with acceptable properties .
Conclusion : Six of the 68 outcome measures have strong psychometric properties for the assessment of balance and falls risk prediction in PD .
Objective : To investigate the psychometric properties of measures of balance and falls risk prediction in people with Parkinson ’s disease ( PD ) .