Validating the Berg Balance Scale for patients with Parkinson's disease: a key to rehabilitation evaluation.
OBJECTIVE
To assess the criterion-related validity of the Berg Balance Scale (BBS) in subjects with Parkinson's disease (PD).


METHODS
Prospective, correlational analysis between the BBS and accepted measures of PD motor and functional impairment.


METHODS
The federally funded PD research center, an interdisciplinary center of excellence for people with PD within a Veterans Affairs medical center.


METHODS
Thirty-eight men (average +/- standard deviation, 71.1+/-10.5 y) with confirmed PD. Their initial diagnosis had been made on average 5.8+/-3.6 years earlier. All could stand or walk unassisted and had mild to moderate disability. Patients who could not ambulate without assistive devices were excluded.


METHODS
Not applicable.


METHODS
Correlational analyses between the BBS and the Unified Parkinson's Disease Rating Scale (UPDRS) motor scale, Modified Hoehn and Yahr Staging (Hoehn and Yahr) Scale, and the Modified Schwab and England Capacity for Daily Living Scale (S&E ADL Scale).


RESULTS
BBS score showed significant correlations with indicators of motor functioning, stage of disease, and daily living capacity. BBS score was inversely associated with the UPDRS motor score (-.58, P <.005), Hoehn and Yahr Scale staging (-.45, P <.005), and S&E ADL Scale rating (.55, P <.005). In all 3 correlations, lower scores on the BBS (indicating greater balance deficits) correlated with higher UPDRS scores (indicating greater motoric or functional impairment).


CONCLUSIONS
Results support the criterion-related validity of the BBS. Its utility in other balance conditions of older adults has been established. Rehabilitation interventions have been shown to improve the balance deficits associated with PD. Early referral and periodic reassessment is vital to achieving and maintaining improvements. Our research results agree with other published research in suggesting that the BBS may be used as a screening tool and ongoing assessment tool for patients with PD.
Qutubuddin
Abu A
AA
Southeastern Parkinson's Disease Research, Education, and Clinical Center, McGuire Veterans Medical Center, Richmond, VA 23249, USA. abu.qutubuddin@mail.vcu.edu
Pegg
Phillip O
PO
Cifu
David X
DX
Brown
Rashelle
R
McNamee
Shane
S
Carne
William
W
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000534:rehabilitation*; D015203:Reproducibility of Results