Comparative Utility of the Mini-BESTest, Berg Balance Scale, and Functional Gait Assessment to Predict Falls in Individuals After Traumatic Brain Injury
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 20
- Locations
- 2
- Primary Endpoint
- total on mini-Balance Evaluation System Test
Study Overview
Brief Summary
The purpose of this research study is to investigate how useful three balance tests are in predicting fall risk in the individual with traumatic brain injury (TBI). These tests are the Functional Gait Assessment (FGA), the Berg Balance Scale (BBS), and the mini-Balance Evaluation Systems Test (mini-BESTest).
Detailed Description
The purpose of the proposed study is to investigate the reliability and predictive validity of three balance measures, the Berg Balance Scale (BBS), the Functional Gait Assessment (FGA) and the mini-Balance Evaluation Systems Test (mini-BESTest), among individuals with history of traumatic brain injury. Participants will complete a health history questionnaire and six-month fall history. When available, fall history will be corroborated with a family member that resides with the participant. Participants will complete the Montreal Cognitive Assessment. Each participant will then participate in a 45-minute evaluation using the three performance-based outcome measures, with order randomized, with two blinded assessors. Six and 12 month follow-up of number of falls will occur via telephone. Statistical analysis with investigate the inter-rater reliability, predictive validity of fall risk and to determine cut off scores for fallers vs. non fallers in the population.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •community dwelling
- •medically stable
- •able to stand at least one minute unsupported (with/without assistive device)
- •able to ambulate 20 feet (with/without assistance or assistive device)
- •able to follow one step instructions or visual demonstrations.
Exclusion Criteria
- •presence of partial or non-weight bearing on a lower extremity
Arms & Interventions
Experimental
All participants included in this group and will complete all three outcomes assessment
Intervention: Berg Balance Scale (Other)
Experimental
All participants included in this group and will complete all three outcomes assessment
Intervention: Functional Gait Assessment (Other)
Experimental
All participants included in this group and will complete all three outcomes assessment
Intervention: mini-Balance Evaluation Systems Test (Other)
Outcomes
Primary Outcomes
total on mini-Balance Evaluation System Test
Time Frame: Baseline
total score on Berg Balance Scale
Time Frame: Baseline
total score on Functional Gait Assessment
Time Frame: Baseline
reported fall history
Time Frame: twelve month
a fall is defined as unplanned and unexpected contact with the floor or lower surface not due to medical emergency (stroke, seizure, cardiac event) or environmental hazards (chair collapsing, earthquake)
Secondary Outcomes
- Montreal Cognitive Assessment(Baseline)
Investigators
Marissa Lyon
Physical Therapist
The University of Texas Health Science Center, Houston