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Discriminative and predictive validity of the short-form activities-specific balance confidence scale for predicting fall of stroke survivors

[Purpose] The present study aimed to investigate the discriminative validity of the short-form activities-specific balance confidence scale (ABC scale) in predicting falls, and its validity. [Subjects and Methods] 43 stroke survivors were identified as a group with a history of multiple falls (falle...

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Detalles Bibliográficos
Autores principales: An, SeungHeon, Lee, Yunbok, Lee, DongGeon, Cho, Ki-Hun, Lee, GyuChang, Park, Dong-sik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5430279/
https://www.ncbi.nlm.nih.gov/pubmed/28533616
http://dx.doi.org/10.1589/jpts.29.716
Descripción
Sumario:[Purpose] The present study aimed to investigate the discriminative validity of the short-form activities-specific balance confidence scale (ABC scale) in predicting falls, and its validity. [Subjects and Methods] 43 stroke survivors were identified as a group with a history of multiple falls (faller group) and a group without or with a history of one falls (non-faller group). The balance confidence was examined using the ABC scale and the short-form ABC scale. Functional abilities were examined with Fugl-Meyer assessment, sit-to-stand test, and Berg balance scale. [Results] The area under the curve of the ABC scale and the short-form ABC scale in predicting fall was>0.77. This result indicates that both examination tools have discriminative validity in predicting falls. Although both tools showed an identical predictable specificity of 72% in the non-faller and faller groups, the short-form ABC scale exhibited a predictable sensitivity of 86% in the faller group, which is higher than that of the ABC scale (71%). [Conclusion] Results of this study showed that the short-form ABC scale is an efficient clinical tool to evaluate and predict the balance confidence of stroke survivors.