{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:20:36Z","timestamp":1790007636152,"version":"4.0.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Background. The Berg Balance Scale (BBS) has several constraints\u2014ceiling effect, low responsiveness, and uncertain predictability of falls\u2014in neurological populations. The Mini-BESTest, which has not yet been validated in spinal cord injury (SCI) populations, has shown no ceiling effect, slightly better responsiveness, and could in some neurological populations predict falls.<\/jats:p>\n               <jats:p>Objective. Validate and compare psychometric performances of the BBS and Mini-BESTest in individuals with chronic SCI.<\/jats:p>\n               <jats:p>Design. Cross-sectional validation study.<\/jats:p>\n               <jats:p>Methods. Forty-six individuals able to walk 10 meters (85% American Spinal Injury Association Impairment Scale grade D) with mean age of 55\u00b117 years and median 7 years (range: 1\u201341) postinjury were included. Floor\/ceiling effects were inspected; internal consistency, construct validity, and receiver operating characteristics were analyzed.<\/jats:p>\n               <jats:p>Results. The Mini-BESTest had no ceiling effect; 28% of participants achieved the maximum score on the BBS. Both scales showed excellent internal consistency (\u03b1 &amp;gt; .93). Strong correlations between both scales (rs = 0.90, P &amp;lt; .001) and between both scales and Timed Up and Go (rs &amp;gt; .70), Spinal Cord Independence Measure-mobility items (rs &amp;gt; .80), and 10-Meter Walk Test (rs &amp;gt; .80) support high construct validity. Both scales could differentiate community walkers without walking aids from participants using aids (AUC &amp;gt; .86) and individuals with low\/high concerns about falling (AUC &amp;gt; 0.79) but not recurrent (&amp;gt;2 falls\/year) and infrequent fallers (AUC &amp;lt; 0.55). The BBS and Mini-BESTest separated 2 and more than 3 different levels of balance control, respectively.<\/jats:p>\n               <jats:p>Limitations. Small sample.<\/jats:p>\n               <jats:p>Conclusions. Both the BBS and Mini-BESTest were found to be valid scales for assessing balance control in individuals with chronic SCI. The Mini-BESTest may be preferable for this group primarily due to the lack of a ceiling effect.<\/jats:p>","DOI":"10.1093\/ptj\/pzx030","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T12:13:08Z","timestamp":1489579988000},"page":"677-687","source":"Crossref","is-referenced-by-count":53,"title":["Comparison of the Berg Balance Scale and the Mini-BESTest for Assessing Balance in Ambulatory People With Spinal Cord Injury: Validation Study"],"prefix":"10.1093","volume":"97","author":[{"given":"Vivien","family":"J\u00f8rgensen","sequence":"first","affiliation":[{"name":"V. J\u00f8rgensen, PT, PhD, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden, and Department of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen N-1450, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arve","family":"Opheim","sequence":"additional","affiliation":[{"name":"A. Opheim, PT, PhD, Department of Research, Sunnaas Rehabilitation Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Halvarsson","sequence":"additional","affiliation":[{"name":"A. Halvarsson, PT, PhD, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, and Allied Health Professionals Function, Karolinska University Hospital, Stockholm, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Franz\u00e9n","sequence":"additional","affiliation":[{"name":"E. Franz\u00e9n, PT, PhD, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, and Allied Health Professionals Function, Karolinska University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsti Skavberg","family":"Roaldsen","sequence":"additional","affiliation":[{"name":"K.S. 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