Deans' stroke musings: The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: A multicenter, retrospective, observational study

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.

Tuesday, September 27, 2022

The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: A multicenter, retrospective, observational study

I thought the Berg Balance Scale testing that was common, was totally worthless since there never was any specific therapy given to address the failure points I had in that test.

I never passed the Berg Balance test where you are supposed to stand on one leg for 5 seconds.

The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: A multicenter, retrospective, observational study

Topics in Stroke Rehabilitation , Volume 29(6) , Pgs. 423-429.

NARIC Accession Number: J89497. What's this?
ISSN: 1074-9357.
Author(s): Tamura, Shuntaro; Miyata, Kazuhiro; Kobayashi, Sota; Takeda, Ren; Iwamoto, Hiroaki.
Publication Year: 2022.
Number of Pages: 7.

Abstract:

Study estimated the minimal clinically important difference (MCID) in Berg Balance Scale (BBS) scores among individuals who have had an early subacute stroke and require a walking aid and those who do not. The BBS is a 14-item static and dynamic balance function rating scale. After a baseline BBS evaluation, the patients participated in therapy for 1 month. Data was collected from the medical records of 80 early subacute stroke patients. The MCID was estimated by using the Functional Ambulation Categories (FAC) as anchors for changes in BBS scores during a 1-month period. The FAC is a scale that divides walking ability into six levels, from 0 (unable to walk) to 5 (independent outdoor walking), by determining the extent to which a patient needs to walk with or without a physical aid device. The MCID was estimated based on a cutoff score for separating the patients who achieved a FAC change of at least 1 point on receiver operator characteristic curves. The area under the curve (AUC) was used to measure the discrimination accuracy. The MCID was estimated for the patients who needed walking assistance and those who did not. The estimated MCID of BBS scores in the assisted-walking group was 5 points and the AUC was 0.84; the corresponding values in the unassisted-walking group were 4 points and 0.62. Findings suggest that for early subacute stroke patients who require assistance to walk, a 5-point improvement in the BBS score is a useful indicator for reducing the amount of assistance.
Descriptor Terms: AMBULATION, EQUILIBRIUM, MEASUREMENTS, MOBILITY AIDS, MOBILITY IMPAIRMENTS, OUTCOMES, PERFORMANCE STANDARDS, POSTURE, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Tamura, Shuntaro, Miyata, Kazuhiro, Kobayashi, Sota, Takeda, Ren, Iwamoto, Hiroaki. (2022). The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: A multicenter, retrospective, observational study. Topics in Stroke Rehabilitation , 29(6), Pgs. 423-429. Retrieved 9/27/2022, from REHABDATA database.