{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T01:47:56Z","timestamp":1787881676954,"version":"build-2784847793"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Berg Balance Scale (BBS) is a balance measure commonly used for people with multiple sclerosis (MS). The Mini-BESTest is an alternative based on balance systems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The study objective was to compare the BBS and the Mini-BESTest for sensitivity to change, likelihood ratios for walking aid use and falls, and associations with clinical variables in people who have MS and are ambulatory.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This was a cohort study with measurements before and after exposure to 8 weeks of routine physical therapy intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>For 52 participants who had a primary diagnosis of MS and who were independently mobile, with or without an aid, demographic details and a history of falls and near falls were collected. Participants completed the Mini-BESTest, Multiple Sclerosis Impact Scale-29, Multiple Sclerosis Walking Scale-12, BBS, Modified Fatigue Impact Scale, and Six-Minute Walk Test.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>No participant started with a baseline Mini-BESTest maximum score of 28, whereas 38.5% (n=20) started with a baseline BBS maximum score of 56. Statistically significant changes in the Mini-BESTest score (X\u0305=5.31, SD=3.5) and the BBS score (X\u0305=1.4, SD=1.9) were demonstrated. Effect sizes for the Mini-BESTest and the BBS were 0.70 and 0.37, respectively; standard response means for the Mini-BESTest and the BBS were 1.52 and 0.74, respectively. Areas under the receiver operating characteristic curves for the Mini-BESTest and the BBS were 0.88 and 0.77, respectively, for detecting mobility device use and 0.88 and 0.75, respectively, for detecting self-reported near falls. The Mini-BESTest had a higher correlation for each secondary measure than did the BBS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitations<\/jats:title>\n                  <jats:p>This study involved a sample of convenience; 61% of the participants did not use a walking aid. The order of testing was not randomized, and fall status was obtained through retrospective recall.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The Mini-BESTest had a lower ceiling effect and higher values on responsiveness tests. These findings suggest that the Mini-BESTest may be better at detecting changes in balance in people who have MS, are ambulatory, and have relatively little walking disability.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2522\/ptj.20150416","type":"journal-article","created":{"date-parts":[[2016,2,25]],"date-time":"2016-02-25T22:18:32Z","timestamp":1456438712000},"page":"1448-1455","source":"Crossref","is-referenced-by-count":48,"title":["Cohort Study Comparing the Berg Balance Scale and the Mini-BESTest in People Who Have Multiple Sclerosis and Are Ambulatory"],"prefix":"10.1093","volume":"96","author":[{"given":"Elaine","family":"Ross","sequence":"first","affiliation":[{"name":"E. Ross, MSc, Department of Clinical Therapies, University of Limerick, Limerick, Ireland, and St. James Hospital, Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Purtill","sequence":"additional","affiliation":[{"name":"H. Purtill, PhD, Department of Mathematics and Statistics, University of Limerick."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Uszynski","sequence":"additional","affiliation":[{"name":"M. Uszynski, PhD, Department of Clinical Therapies, University of Limerick, and Multiple Sclerosis Society of Ireland, Galway, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Hayes","sequence":"additional","affiliation":[{"name":"S. Hayes, PhD, Department of Clinical Therapies, University of Limerick."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blathin","family":"Casey","sequence":"additional","affiliation":[{"name":"B. Casey, BScPhysio, Department of Clinical Therapies, University of Limerick."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Browne","sequence":"additional","affiliation":[{"name":"C. Browne, BScPhysio, Department of Clinical Therapies, University of Limerick."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Coote","sequence":"additional","affiliation":[{"name":"S. Coote, PhD, Department of Clinical Therapies and Health Research Institute, University of Limerick, Health Sciences Building, Limerick, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"2019123004181826000_B1","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1016\/S0140-6736(02)08220-X","article-title":"Multiple sclerosis","volume":"359","author":"Compston","year":"2002","journal-title":"Lancet"},{"key":"2019123004181826000_B2","first-page":"287","article-title":"The symptoms and signs of multiple sclerosis","volume-title":"McAlpine's Multiple Sclerosis","author":"McDonald","year":"2005","edition":"4th ed"},{"key":"2019123004181826000_B3","doi-asserted-by":"crossref","first-page":"115","DOI":"10.7224\/1537-2073-12.3.115","article-title":"A profiling study of people with multiple sclerosis who access physiotherapy services in Ireland","volume":"12","author":"Coote","year":"2010","journal-title":"Int J MS 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