Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation
Objective: This retrospective cohort study identified inpatient rehabilitation admission variables that predict walking ability at discharge and established Berg Balance Scale cut-off scores to predict the extent of improvement in walking. Methods: Participants (n=123) were assessed for...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2017-09-01
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| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2280
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| _version_ | 1818498653315137536 |
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| author | Dennis R. Louie Janice J. Eng |
| author_facet | Dennis R. Louie Janice J. Eng |
| author_sort | Dennis R. Louie |
| collection | DOAJ |
| description | Objective: This retrospective cohort study identified inpatient rehabilitation admission variables that predict walking ability at discharge and established Berg Balance Scale cut-off scores to predict the extent of improvement in walking.
Methods: Participants (n=123) were assessed for various cognitive and physical outcomes at admission to inpatient stroke rehabilitation. Multivariate logistic regression identified admission predictors of regaining community ambulation (gait speed ≥0.8 m/s) or unassisted ambulation (no physical assistance) after 4 weeks. Receiver operating characteristic curve analysis identified cut-off admission Berg Balance Scale scores.
Results: Mini-Mental State Examination (odds ratio (OR) 1.60, 95% confidence interval (95% CI) 1.19–2.14) was a significant predictor when coupled with admission walking speed for regaining community ambulation speed; stroke type (haemorrhagic/ischaemic) was a significant predictor (OR=0.19, 95% CI 0.05–0.77) when coupled with Berg Balance Scale (OR 1.14, 95% CI 1.09–1.20). Only Berg Balance Scale was a significant predictor of regaining unassisted ambulation (OR 1.11, 95% CI 1.05–1.17). A cut-off Berg Balance Scale score of 29 on admission predicts that an individual will go on to achieve community walking speed (n=123, area under the curve (AUC)=0.88, 95% CI 0.81–0.95); a cut-off score of 12 predicts a non-ambulator to regain unassisted ambulation (n=84, AUC 0.73, 95% CI 0.62–0.84).
Conclusion: The Berg Balance Scale can be used at rehabilitation admission to predict the degree of improvement in walking for patients with stroke. |
| first_indexed | 2024-12-10T20:18:30Z |
| format | Article |
| id | doaj.art-8201c5cfd7fa4ef5b180f8de1f9a922b |
| institution | Directory Open Access Journal |
| issn | 1650-1977 1651-2081 |
| language | English |
| last_indexed | 2024-12-10T20:18:30Z |
| publishDate | 2017-09-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-8201c5cfd7fa4ef5b180f8de1f9a922b2022-12-22T01:35:07ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812017-09-01501374410.2340/16501977-22802361Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitationDennis R. Louie0Janice J. Eng Rehabilitation Research Program, GF Strong Rehabilitation Centre, University of British Columbia, Vancouver, Canada. Objective: This retrospective cohort study identified inpatient rehabilitation admission variables that predict walking ability at discharge and established Berg Balance Scale cut-off scores to predict the extent of improvement in walking. Methods: Participants (n=123) were assessed for various cognitive and physical outcomes at admission to inpatient stroke rehabilitation. Multivariate logistic regression identified admission predictors of regaining community ambulation (gait speed ≥0.8 m/s) or unassisted ambulation (no physical assistance) after 4 weeks. Receiver operating characteristic curve analysis identified cut-off admission Berg Balance Scale scores. Results: Mini-Mental State Examination (odds ratio (OR) 1.60, 95% confidence interval (95% CI) 1.19–2.14) was a significant predictor when coupled with admission walking speed for regaining community ambulation speed; stroke type (haemorrhagic/ischaemic) was a significant predictor (OR=0.19, 95% CI 0.05–0.77) when coupled with Berg Balance Scale (OR 1.14, 95% CI 1.09–1.20). Only Berg Balance Scale was a significant predictor of regaining unassisted ambulation (OR 1.11, 95% CI 1.05–1.17). A cut-off Berg Balance Scale score of 29 on admission predicts that an individual will go on to achieve community walking speed (n=123, area under the curve (AUC)=0.88, 95% CI 0.81–0.95); a cut-off score of 12 predicts a non-ambulator to regain unassisted ambulation (n=84, AUC 0.73, 95% CI 0.62–0.84). Conclusion: The Berg Balance Scale can be used at rehabilitation admission to predict the degree of improvement in walking for patients with stroke. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2280 walkingposturalbalancestrokerehabilitationgaitearlyambulation. |
| spellingShingle | Dennis R. Louie Janice J. Eng Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation Journal of Rehabilitation Medicine walking posturalbalance strokerehabilitation gait earlyambulation. |
| title | Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation |
| title_full | Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation |
| title_fullStr | Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation |
| title_full_unstemmed | Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation |
| title_short | Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation |
| title_sort | berg balance scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation |
| topic | walking posturalbalance strokerehabilitation gait earlyambulation. |
| url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2280
|
| work_keys_str_mv | AT dennisrlouie bergbalancescalescoreatadmissioncanpredictwalkingsuitableforcommunityambulationatdischargefrominpatientstrokerehabilitation AT janicejeng bergbalancescalescoreatadmissioncanpredictwalkingsuitableforcommunityambulationatdischargefrominpatientstrokerehabilitation |