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Title: | The mini-bestest can predict parkinsonian recurrent fallers : a 6-month prospective study | Authors: | Mak, MKY Auyeung, MM |
Issue Date: | Jun-2013 | Source: | Journal of rehabilitation medicine, June 2013, v. 45, no. 6, p. 565-571 | Abstract: | Objectives: To examine whether the Mini-Balance Evaluation Systems Test (Mini-BESTest) independently predicts recurrent falls in people with Parkinson’s disease. Design: The study used a longitudinal cohort design. Subjects: A total of 110 patients with Parkinson’s disease completed the study and were included in the final analysis. Most of the patients had moderate disease severity. Methods: All subjects were measured to establish a baseline. The tests used were Unified Parkinson’s Disease Rating Scale (MDS-UPDRS III), Freezing of Gait Questionnaire, Five-Time-Sit-To-Stand Test, and Mini-BESTest. All patients were followed by telephone interview for 6 months to register the incidence of monthly falls. Results: Twenty-four patients (21.2%) reported more than one fall and were classified as recurrent fallers. Results of the multivariate logistic regression showed that, after adjusting for fall history and MDS-UPDRS III score, the Mini-BESTest score remained a significant predictor of recurrent falls. We further established that a cut-off Mini-BESTest score of 19 had the best sensitivity (79%) for predicting future falls in patients with Parkinson’s disease. Conclusion: The results indicate that those with a Mini-BESTest score < 19 at baseline had a significantly higher risk of sustaining recurrent falls in the next 6 months. These findings highlight the importance of evaluating dynamic balance ability during fall risk assessment in patients with Parkinson’s disease. |
Keywords: | Accidental falls Balance Parkinson's disease Risk factors |
Publisher: | Foundation for Rehabilitation Information | Journal: | Journal of rehabilitation medicine | ISSN: | 1650-1977 | EISSN: | 1651-2081 | DOI: | 10.2340/16501977-1144 | Rights: | © 2013 The Authors. Journal Compilation © 2013 Foundation of Rehabilitation Information. The article is available at http://www.medicaljournals.se/jrm/content/?doi=10.2340/16501977-1144 |
Appears in Collections: | Journal/Magazine Article |
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Mak_Mini-bestest_Parkinsonian_Recurrent.pdf | 421.48 kB | Adobe PDF | View/Open |
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