Balance in chronic traumatic brain injury: correlations between clinical measures and a self-report measure

Details

• Alternative Title:
  Brain Inj
• Personal Author:
  Hays, Kaitlin ; Tefertiller, Candace ; Ketchum, Jessica M. ; Sevigny, Mitch ; O’Dell, Denise R. ; Natale, Audrey ; Eagye, CB ; Harrison-Felix, Cynthia
• Description:
  Objective:
  
  To assess associations among commonly used self-report and clinical measures of balance in chronic TBI.
  
  Design:
  
  Cross-sectional analysis of balance in a convenience sample of individuals at least one year post TBI.
  
  Main Outcome Measures:
  
  Activities-Specific Balance Confidence Scale (ABC) (self-reported balance impairment), Community Balance and Mobility Scale (CB&M) (clinical measure validated in TBI), and Balance Evaluation Systems Test (BESTest) (clinical measure not validated in TBI).
  
  Methods:
  
  Fifty-nine individuals (64% male, mean age 48.2 years) ambulating independently within the home participated in testing. Pearson correlation coefficients were used to quantify the direction and magnitude of the relationships among the three balance impairment measures.
  
  Results:
  
  A significant positive correlation was noted between the ABC and CB&M (r = 0.42, p = 0.0008), between the ABC and BESTest (r = 0.46, p = 0.0002), and between the CB&M and BESTest (r = 0.86, p < 0.0001).
  
  Conclusions:
  
  This is the first study we are aware of in the chronic moderate to severe TBI population directly comparing patient’s self-reported balance impairment with clinical measures. Positive correlations were found between the self-report measure and both clinical measures. Overall, individuals with chronic TBI tend to self-report less impaired balance than clinical measures indicate. These results provide preliminary evidence to support the need for validation of the BESTest in this population.
  
  
• Subjects:
  Adult Brain Injury, Chronic Cohort Studies Cross-Sectional Studies Disability Evaluation Female Humans Male Middle Aged Physical Examination Postural Balance Self Report

  More +
• Keywords:
  Balance Brain Injuries Evidence Based Medicine Outcome Assessment Traumatic
• Source:
  Brain Inj. 33(4):435-441
• Pubmed ID:
  30638404
• Pubmed Central ID:
  PMC8552983
• Document Type:
  Journal Article
• Funding:
  90DP0034/ACL/ACL HHSUnited States/ ; U48 DP000034/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  33
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8439a97db3acce8e7cf13e758974efb9e9a5e04a834b5e4c9989a586cfe7d82f
• Download URL:
  https://stacks.cdc.gov/view/cdc/111129/cdc_111129_DS1.pdf
• File Type:
  [PDF - 799.89 KB ]