@article{ref1,
title="Comparison of the Fullerton Advanced Balance Scale, Mini-BESTest, and Berg Balance Scale to predict falls in Parkinson disease",
journal="Physical therapy",
year="2015",
author="Schlenstedt, Christian and Brombacher, Stephanie and Hartwigsen, Gesa and Weisser, Burkhard and Möller, Bettina and Deuschl, Günther",
volume="96",
number="4",
pages="494-501",
abstract="BACKGROUND: The correct identification of patients with Parkinson's disease (PD) at risk of falling is important to early initiate appropriate treatment. <br><br>OBJECTIVE: This study compares the Fullerton Advanced Balance (FAB) scale with the Mini Balance Evaluation Systems Test (Mini-BESTest) and Berg Balance Scale (BBS) to identify individuals with PD at risk for falls and to analyze which of the items of the scales best predict future falls. <br><br>DESIGN: Prospective study to assess predictive criterion-related validity. SETTING: University hospital in an urban community. PATIENTS: 85 patients with idiopathic PD (Hoehn & Yahr stage: 1-4). MEASUREMENTS: Number of falls (assessed prospectively over 6 months), FAB scale, Mini-BESTest, BBS and Unified Parkinson's Disease Rating Scale. <br><br>RESULTS: The FAB scale, Mini-BESTest and BBS had an accuracy to predict future falls of 0.68, 0.65 and 0.69 of the area under the curve (AUC) of the receiver operating characteristic (ROC) curve, respectively. A model combining the items &quot;tandem stance&quot;, &quot;rise to toes&quot;, &quot;one leg stance&quot;, &quot;compensatory stepping backward&quot;, &quot;turning&quot; and &quot;placing alternate foot on stool&quot; had an AUC of 0.84 of the ROC curve. LIMITATIONS: Drop-out rate of 19 subjects. <br><br>CONCLUSIONS: The FAB scale, Mini-BESTest and BBS provide moderate capacity to predict fallers with one or more falls from non-fallers. Only some items of the three scales contribute to the detection of future falls. Clinicians should particularly focus on the items &quot;tandem stance&quot; in addition with the items &quot;one leg stance&quot;, &quot;rise to toes&quot;, &quot;compensatory stepping backward&quot;, &quot;turning 360°&quot; and &quot;placing foot on stool&quot; when analyzing postural control deficits related to fall risk. Future research should analyze if balance training including the aforementioned items is effective to reduce fall risk.<p /> <p>Language: en</p>",
language="en",
issn="0031-9023",
doi="10.2522/ptj.20150249",
url="http://dx.doi.org/10.2522/ptj.20150249"
}