Use of a Short-Form Balance Confidence Scale to Predict Future Recurrent Falls in People With Parkinson Disease

Archives of Physical Medicine and Rehabilitation
Michael H ColePeter A Silburn

Abstract

To assess whether the 16-item Activities-specific Balance Confidence scale (ABC-16) and short-form 6-item Activities-specific Balance Confidence scale (ABC-6) could predict future recurrent falls in people with Parkinson disease (PD) and to validate the robustness of their predictive capacities. Twelve-month prospective cohort study. General community. People with idiopathic PD (N=79). Clinical tests were conducted to assess symptom severity, balance confidence, and medical history. Over the subsequent 12 months, participants recorded any falls on daily fall calendars, which they returned monthly by reply paid post. Logistic regression and receiver operating characteristic analyses estimated the sensitivities and specificities of the ABC-16 and ABC-6 for predicting future recurrent falls in this cohort, and "leave-one-out" validation was used to assess their robustness. Of the 79 patients who completed follow-up, 28 (35.4%) fell more than once during the 12-month period. Both the ABC-16 and ABC-6 were significant predictors of future recurrent falls, and moderate sensitivities (ABC-16: 75.0%; ABC-6: 71.4%) and specificities (ABC-16: 76.5%; ABC-6: 74.5%) were reported for each tool for a cutoff score of 77.5 and 65.8, respective...Continue Reading

References

Dec 29, 1988·The New England Journal of Medicine·M E TinettiS F Ginter
Sep 23, 2006·Movement Disorders : Official Journal of the Movement Disorder Society·Chava PeretzNir Giladi
Apr 3, 2007·Archives of Physical Medicine and Rehabilitation·Margaret K MakIrene S Wong
Jun 17, 2011·Parkinsonism & Related Disorders·Michael H ColeGraham K Kerr

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Citations

Apr 17, 2016·Journal of the Neurological Sciences·Chayanin FoongsathapornRoongroj Bhidayasiri
Dec 21, 2016·Archives of Physical Medicine and Rehabilitation·Michael H ColePeter A Silburn
Jun 30, 2016·Neurorehabilitation and Neural Repair·Michael H ColePeter A Silburn
Mar 19, 2019·Journal of Neurologic Physical Therapy : JNPT·Ryan P HubbleMichael H Cole
Aug 28, 2019·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Stephen JozaFang Ba
Nov 16, 2018·Frontiers in Neurology·Karolina KrzysztońJan Kochanowski
Aug 12, 2021·Journal of Neuroengineering and Rehabilitation·Zachary J ConwayMichael H Cole

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