Berg Balance Scale and Functional Reach: determining the best clinical tool for individuals post acute stroke

    loading  Checking for direct PDF access through Ovid

Abstract

Objective

To begin the process of determining the best clinical tool for measuring balance in individuals post stroke.

Design

Prospective with descriptive and relational analyses.

Setting

Rehabilitation centres and stroke support group meetings.

Subjects

Seventy-five subjects who had suffered a stroke were divided into four groups based on the Duncan classification for stroke severity.

Main outcome measures

The motor section of the Fugl-Meyer Assessment of Physical Performance was completed for each person to classify the motor deficit. Subjects performed Functional Reach twice with the nonparetic arm and the average was recorded. Subjects performed the Berg Balance Scale and the total score on the first attempt was recorded.

Results

As motor impairment increased, balance ability declined and both the Functional Reach and Berg Balance Scale proved sensitive to this decline. Spearman rank correlation coefficient was excellent among the entire sample (r5 = 0.78).

Conclusion

Subjects' performance on the Berg Balance Scale was closely associated with performance on the Functional Reach. Therefore, the clinician may elect to use the shorter Functional Reach as a measure of balance where efficient use of time is the primary goal.

Related Topics

    loading  Loading Related Articles