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  4. Current state of balance assessment during transferring, sitting, standing and walking activities for the spinal cord injured population: A systematic review

Current state of balance assessment during transferring, sitting, standing and walking activities for the spinal cord injured population: A systematic review

The Journal of Spinal Cord Medicine, 2020 · DOI: 10.1080/10790268.2018.1481692 · Published: January 1, 2020

Spinal Cord InjuryRehabilitationResearch Methodology & Design

Simple Explanation

This study reviews methods of balance assessment for people with spinal cord injuries (SCI). Balance is key to preventing falls, which are common and can lead to injuries and reduced community participation. Effective balance relies on integrating sensory information and interacting with the environment. Balance issues are assessed to reduce falls and track progress. The review looks at which balance tests are comprehensive, reliable, and practical for individuals with SCI to guide clinicians and researchers.

Study Duration
Not specified
Participants
Adults with spinal cord injury
Evidence Level
Systematic Review

Key Findings

  • 1
    Thirty-one balance measures were identified, including biomechanical assessments and clinical balance scales.
  • 2
    The Berg Balance Scale (BBS) and Functional Reach Test (FRT) are valid and reliable. The mini-BESTest was the most comprehensive.
  • 3
    No single measure had high clinical utility, strong psychometric properties, and comprehensiveness.

Research Summary

This systematic review examined balance measures used for individuals with SCI across various activities. It identified 31 balance measures, assessing their clinical utility, comprehensiveness, and psychometric properties to guide clinical practice. The review concludes that while the mini-BESTest and ABLE show promise, further research is needed to validate their psychometric properties for SCI populations.

Practical Implications

Clinical Assessment

Clinicians can use the identified balance measures to assess balance in individuals with SCI.

Research

Researchers can focus on further validating the mini-BESTest and ABLE scales for SCI populations.

Fall Prevention

The findings can inform the development of targeted fall prevention programs for individuals with SCI.

Study Limitations

  • 1
    Reliance on samples of convenience increases the risk of bias.
  • 2
    The inclusion of primarily English-language studies limits geographic generalizability.
  • 3
    Limited insight into the responsiveness of balance scales due to few studies evaluating this psychometric property.

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