TY - JOUR
T1 - Falls in Persons With Spinal Cord Injury: Validity and Reliability of the Berg Balance Scale
AU - Wirz, Markus
AU - Mueller, Roland
AU - Bastiaenen, Caroline H. G.
PY - 2010/1
Y1 - 2010/1
N2 - Background. Persons with spinal cord injury who are able to walk are at risk for falls. Objective. The objectives were to investigate if the Berg Balance Scale (BBS) can discriminate those with a propensity to fall; to determine whether the BBS is associated with mobility measures, fear of falling, and muscle strength; and to assess interobserver reliability. Methods. The measurement tools used were the BBS, the Spinal Cord Independence Measure,the Falls Efficacy Scale (FES-I), the Walking Index for Spinal Cord Injury, the 10-m walk test, and the standard neurological classification including motor scores (MS). Falls were recorded retrospectively for the previous month and prospectively for the subsequent 4 months. To determine interobserver reliability, BBS performance was videotaped and analyzed by additional physical therapists. Associations between BBS and the number of falls, measures of mobility, FES-I, and MS were calculated using Spearman correlations. The interobserver reliability was quantified using Kendall's coefficient of concordance and intraclass correlation coefficients (ICCs). Results. Forty-two participants were included of whom 26 sustained I or more falls. BBS performance correlated with measures of mobility, FES-I, and MS (r(s) = -83 to .93; P
AB - Background. Persons with spinal cord injury who are able to walk are at risk for falls. Objective. The objectives were to investigate if the Berg Balance Scale (BBS) can discriminate those with a propensity to fall; to determine whether the BBS is associated with mobility measures, fear of falling, and muscle strength; and to assess interobserver reliability. Methods. The measurement tools used were the BBS, the Spinal Cord Independence Measure,the Falls Efficacy Scale (FES-I), the Walking Index for Spinal Cord Injury, the 10-m walk test, and the standard neurological classification including motor scores (MS). Falls were recorded retrospectively for the previous month and prospectively for the subsequent 4 months. To determine interobserver reliability, BBS performance was videotaped and analyzed by additional physical therapists. Associations between BBS and the number of falls, measures of mobility, FES-I, and MS were calculated using Spearman correlations. The interobserver reliability was quantified using Kendall's coefficient of concordance and intraclass correlation coefficients (ICCs). Results. Forty-two participants were included of whom 26 sustained I or more falls. BBS performance correlated with measures of mobility, FES-I, and MS (r(s) = -83 to .93; P
KW - spinal cord injuries
KW - risk assessment
KW - accidental falls
U2 - 10.1177/1545968309341059
DO - 10.1177/1545968309341059
M3 - Article
C2 - 19675123
SN - 1545-9683
VL - 24
SP - 70
EP - 77
JO - Neurorehabilitation and Neural Repair
JF - Neurorehabilitation and Neural Repair
IS - 1
ER -