The mini-bestest can predict parkinsonian recurrent fallers: A 6-month prospective study

Kit Yi Mak, Mandy M. Auyeung

Research output: Journal article publicationReview articleAcademic researchpeer-review

41 Citations (Scopus)

Abstract

Objectives: To examine whether the Mini-Balance Evaluation Systems Test (Mini-BESTest) independently predicts recurrent falls in people with Parkinson's disease. Design: The study used a longitudinal cohort design. Subjects: A total of 110 patients with Parkinson's disease completed the study and were included in the final analysis. Most of the patients had moderate disease severity. Methods: All subjects were measured to establish a baseline. The tests used were Unified Parkinson's Disease Rating Scale (MDS-UPDRS III), Freezing of Gait Questionnaire, Five-Time-Sit-To-Stand Test, and Mini-BESTest. All patients were followed by telephone interview for 6 months to register the incidence of monthly falls. Results: Twenty-four patients (21.2%) reported more than one fall and were classified as recurrent fallers. Results of the multivariate logistic regression showed that, after adjusting for fall history and MDS-UPDRS III score, the Mini-BESTest score remained a significant predictor of recurrent falls. We further established that a cut-off Mini-BESTest score of 19 had the best sensitivity (79%) for predicting future falls in patients with Parkinson's disease. Conclusion: The results indicate that those with a Mini- BESTest score < 19 at baseline had a significantly higher risk of sustaining recurrent falls in the next 6 months. These findings highlight the importance of evaluating dynamic balance ability during fall risk assessment in patients with Parkinson's disease.
Original languageEnglish
Pages (from-to)565-571
Number of pages7
JournalJournal of Rehabilitation Medicine
Volume45
Issue number6
DOIs
Publication statusPublished - 14 Jun 2013

Keywords

  • Accidental falls
  • Balance
  • Parkinson's disease
  • Risk factors

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

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