Deans' stroke musings: Reliability and validity of the BESTest and MiniBESTest in chronic hemiparesis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, September 10, 2017

Reliability and validity of the BESTest and MiniBESTest in chronic hemiparesis

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http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=I243562&phrase=no&rec=243562&article_source=CIRRIE&international=1&international_language=&international_location=
Confiabilidade e validade do BESTest e do MiniBESTest em hemiparéticos crônicos. Revista Neurociências , Volume 23(1) , Pgs. 30-40.

NARIC Accession Number: I243562. What's this?
Author(s): Carla Bambirra; Lívia de Castro Magalhães; Fátima Rodrigues-de-Paula.
Publication Year: 2015.
Abstract: The purpose of this study was to evaluate the reliability and construct validity of the Brazilian versions of the Balance Evaluation Systems Test (BESTest) and the reduced-version MiniBESTest in chronic hemiparesis. For the study, the test-retest and interrater reliability were assessed using a weighted kappa coefficient. The Rasch model was used for analysis of construct validity in 40 hemiparetic patients aged 58.8±12.8 years. Moderate to almost perfect agreement was observed for the BESTest for test-retest and interrater reliability (0.48≤Kw≤1.0; p<0.05). Strong to almost perfect agreement was observed for MiniBESTest for test-retest and interrater reliability (0.62≤Kw≤1.0; p<0.05). The items of the BESTest and MiniBESTest divided people into three skill levels. The individual and item stability measurements ranged from 0.89 to 0.96 for the instruments. In BESTest, the most difficult item was “sit on the floor and stand up” and in MiniBESTest “compensatory stepping correction lateral to the right.” The easier item for both instruments was “stand up on firm surface, eyes open.” The level of difficulty of the items of both instruments was appropriate for the skill level of the individuals. Two items of the BESTest were erratic. In the MiniBESTest, erratic items were not observed. These results indicate that the Brazilian versions of the BESTtest and MiniBESTest are reliable and have adequate construct validity to evaluate balance in chronic hemiparetic individuals. Caution is recommended, however, in interpreting the total score of the BESTest.
Descriptor Terms: Balance, Posture, Paraparesis, Psychometrics, Stroke, Evaluation.
Language: Portuguese
Geographic Location(s): Brazil, South America.

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Get this Document: http://www.revistaneurociencias.com.br/edicoes/2015/2301/original/943original.pdf.

Citation: Carla Bambirra, Lívia de Castro Magalhães, Fátima Rodrigues-de-Paula. (2015). Reliability and validity of the BESTest and MiniBESTest in chronic hemiparesis. Confiabilidade e validade do BESTest e do MiniBESTest em hemiparéticos crônicos. Revista Neurociências , 23(1), Pgs. 30-40. Retrieved 9/10/2017, from REHABDATA database.