不同量表对慢性阻塞性肺疾病患者跌倒的应用价值

doi:10.3969/j.issn.1006-9771.2018.07.019

Abstract

Abstract: Objective To compare the differentiating effect of Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (Mini-BESTest) and Brief-BESTest on the risk of falls in chronic obstructive pulmonary disease (COPD) patients. Methods From September, 2016 to March, 2017, 22 COPD patients with history of falls and other age-matched 66 COPD patients without history of falls were assessed with BBS, Mini-BESTest and Brief-BESTest. The data were compared with paired Logistic regression, Log-likelihood estimate, and the skewness coefficient were calculated. Results BBS, Mini-BESTest and Brief-BESTest all were valuable for differentiating the risk of falls in COPD patients. Log-likelihood estimate value was the least in Brif-BESTest (5.372), followed with Mini-BESTest (12.918) and BBS (17.644). There was not a ceiling effect in Brief-BESTest and Mini-BESTest, but there was in BBS. Conclusion All the BBS, Mini-BESTest and Brief-BESTest can predict the risk of falls in patients with COPD, and Brief-BESTest is the most predictive. There is a ceiling effect in BBS for COPD patients, but not in Brief-BESTest and Mini-BESTest.

Key words: chronic obstructive pulmonary disease, Berg Balance Scale, Balance Evaluation Systems Test, fall

CLC Number:

R562.2

JIN Jing, ZHANG Cai-yun, ZHANG Zhi-gang, SHEN Xi-ping, HE Jin-jie, GUO De-jiao. Application of Berg Balance Scale, Mini-Balance Evaluation Systems Test and Brief-Balance Evaluation Systems Test for Falls in Chronic Obstructive Pulmonary Disease Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(7): 850-853.

References

[1] Vijayan VK.Chronic obstructive pulmonary disease[J]. Indian J Med Res, 2013, 137: 251-269.
[2] Asche CV, Leader S, Plauschinat C, et al.Adherence to current guidelines for chronic obstructive pulmonary disease (COPD) among patients treated with combination of long-acting bronchodilators or inhaled corticosteroids[J]. Int J Chron Obstruct Pulmon Dis, 2012, 7: 201-209.
[3] Agrawal A, Garg R, Sahu D, et al.Study the association of chronic obstructive pulmonary disease with early endothelial dysfunction and its impact on cardiovascular system by estimating urinary albumin creatinine ratio[J]. Lung India, 2017, 34(2): 138-143.
[4] Yentes JM, Rennard SI, Schmid KK, et al.Patients with COPD walk with altered step time and step width variability as compared to healthy controls[J]. Ann Am Thorac Soc, 2017, 14(6): 858-866.
[5] Decramer M, De Benedetto F, Del Ponte A, et al.Systemic effects of COPD[J]. Respir Med, 2005, 99(Suppl 2): S3-S10.
[6] Jahn K, Zwergal A, Schniepp R.Gait disturbances in old age: classification, diagnosis, and treatment from a neurological perspective[J]. Dtsch Arztebl Int, 2010, 107(17): 306-315.
[7] Ilgin D, Ozalevli S, Kilinc O, et al.Gait speed as a functional capacity indicator in patients with chronic obstructive pulmonary disease[J]. An Thor Med, 2011, 6(3): 141-146.
[8] Roig M, Eng JJ, MacIntyre DL, et al. Falls in people with chronic obstructive pulmonary disease: an observational cohort study[J]. Respir Med, 2011, 105(3): 461-469.
[9] Beauchamp MK, Sibley KM, Lakhani B, et al.Impairments in systems underlying control of balance in COPD[J]. Chest, 2012, 141(6): 1496-1503.
[10] Marques A, Cruz J, Quina S, et al.Reliability and minimal detectable change of the Timed Up & Go and the 10-Meter Walk tests in Patients with COPD[J]. COPD, 2016, 13(3): 279-287.
[11] Jácome C, Cruz J, Oliveira A, et al.Validity, reliability, and ability to identify fall status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in patients with COPD[J]. Phys Ther, 2016, 96(11): 1807-1815.
[12] Padgett PK, Jacobs JV, Kasser SL.Is the BESTest at its best? A suggested brief version based on interrater reliability, validity, internal consistency, and theoretical construct[J]. Phys Ther, 2012, 92(9): 1197-1207.
[13] Oguz S, Demirbuken I, Kavlak B, et al.The relationship between objective balance, perceived sense of balance, and fear of falling in stroke patients[J]. Top Stroke Rehabil, 2017, 24(7): 527-532.
[14] 蔺晓婷. 胃癌AJCC第6版与第7版分期的比较及其与预后评估的相关性研究[D]. 石家庄:河北医科大学, 2012.
[15] 王烨. 中文言语测试材料的天花板效应及AzBio言语测试材料的开发及等价性研究[D].北京:解放军医学院, 2015.
[16] Duncan RP, Leddy AL, Cavanaugh JT, et al.Comparative utility of the BESTest, mini-BESTest, and brief-BESTest for predicting falls in individuals with Parkinson disease: a cohort study[J]. Phys Ther, 2013, 93(4): 542-550.
[17] Huang M, Pang MY.Psychometric properties of Brief-Balance Evaluation Systems Test (Brief-BESTest) in evaluating balance performance in individuals with chronic stroke[J]. Brain Behav, 2017, 7(3): e00649.
[18] Marques A, Silva A, Oliveira A, et al.Validity and relative ability of 4 balance tests to identify fall status of older adults with type 2 diabetes[J]. J Geriatr Phys Ther, 2017, 40(4): 227-232.
[19] Porto EF, Pradella CO, Rocco CM, et al.Comparative postural control in COPD patients and healthy individus during dynamic and static activities[J]. J Cardiopulm Rehabil Prev, 2017, 37(2): 139-145.
[20] Spielmanns M, Boeselt T, Gloeckl R, et al.Low-volume whole-body vibration training improves exercise capacity in subjects with mild to severe COPD[J]. Respir Care, 2017, 62(3): 315-323.
[21] Voica AS, Oancea C, Tudorache E, et al.Chronic obstructive pulmonary disease phenotypes and balance impairment[J]. Int J Chron Obstruct Pulmon Dis, 2016, 11: 919-925.
[22] Marques A, Almeida S, Carvalho J, et al.Reliability, validity, and ability to identify fall status of the Balance Evaluation Systems Test, Mini-Balance Evaluation Systems Test, and Brief-Balance Evaluation Systems Test in older people living in the community[J]. Arch Phys Med Rehabil, 2016, 97(12): 2166-2173.
[23] Chan AC, Pang MY.Assessing balance function in patients with total knee arthroplasty[J]. Phys Ther, 2015, 95(10): 1397-1407.

Application of Berg Balance Scale, Mini-Balance Evaluation Systems Test and Brief-Balance Evaluation Systems Test for Falls in Chronic Obstructive Pulmonary Disease Patients

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	TANG Liuquan, PENG Xingyun. Effect of exercise under blood flow restriction on risk of fragility fractures in postmenopausal patients with chronic obstructive pulmonary disease [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 761-769.
[2]	SUN Zhijie, GUO Xin, LAN Zhi, WANG Qiang. Turn intention perception and fall detection for smart walkers [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 849-855.
[3]	ZHU Xiaomin, LIU Huilin, LIU Yuanmin, YAN Zhiyu, DU Xuejing, WANG Ya'nan, ZHANG Tong. Relationship among spontaneous turning direction, balance and fall risk in stroke patients during walking [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 510-515.
[4]	PENG Juan,WANG Jieping,HUANG Wei,FAN Bishuang,YU Jihua,ZENG Jin,HUANG Liheng,AN Lijuan,XU Fangyuan. Effects of threshold inspiratory muscle training on respiratory function, motor function and quality of life for patients with chronic obstructive pulmonary disease: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1022-1031.
[5]	ZHANG Bochao,YANG Zhao,GUO Liquan,CHEN Jing,XIONG Daxi. Prediction model of acute exacerbation of chronic obstructive pulmonary disease based on machine learning [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 678-683.
[6]	LIU Xiaoyan,DING Xia,DONG Chen,LI Rong,SUN Chi. Status and related factors of fall among the elderly in community and hospital [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 389-398.
[7]	LI Xinxin,LIU Hui,MA Mujia. Reduction of risk of fall for aging adults participating in Tai Chi and other exercises: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1169-1177.
[8]	CAI Qian,ZHANG Xi,JING Chun-xiang,CAI Shu-bin,GUO Ming-kai,LI Ji-qiang. Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 913-922.
[9]	KANG Hai-qiong,ZHOU Hong-jun,WEI Bo,LIU Gen-lin,ZHENG Ying,ZHANG Ying,HAO Chun- xia,WANG Yi-ji,LU Xiao-lei,YUAN Yuan,MENG Qian-ru. Clinical Characteristics of Old Patients with Spinal Cord Injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 943-950.
[10]	ZHANG Jun-xia,SHAO Yang-yang,WANG Zhe-hao,YANG Fang. Gait Characteristics during Horizontal Obstacle Crossing [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 745-750.
[11]	ZENG Bin,LIU Ya-kang,WANG Long-ping,ZHANG Ming-sheng. Relationship of Ventilatory Efficiency to Cardiac Function after Exercise in Patients with Chronic Obstructive Pulmonary Disease [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 812-818.
[12]	Jing-xia GUO,Liang CHEN,Qi-chao YU,Yu WU. Efficacy of Exercise on Fall in Old Adults: A Network Meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 563-573.
[13]	YANG Zhao-yu,LI Pei-jun,LI Jian,LIU Xiao-dan,WU Wei-bing. Effect of Exercise on Chronic Obstructive Pulmonary Disease Systemic Inflammation and Skeletal Muscle Dysfunction: A Systematic Review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(12): 1443-1449.
[14]	WANG Jie-ping,PENG Juan,FAN Bi-shuang,TENG Yue,XU Fang-yuan. Effect of Water-based Pulmonary Rehabilitation on Stable Chronic Obstructive Pulmonary Disease [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1329-1333.
[15]	ZHU Ling-ling, CHANG Hong, CAI Wei-xin, SONG Hai-qing, ZHU Yi-cheng, SHENG Yu. Effects of Cognitive-Motor Dual Task Training on Vascular Mild Cognitive Impairment for Old Patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 37-42.