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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Druckformat: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2013008644
pages 223-230

Performance on the Berg Balance Scale in Fatigued Versus Nonfatigued States in People with Multiple Sclerosis

Herb I. Karpatkin
Department of Rehabilitation and Movement Sciences, Rutgers, The State University of New Jersey-School of Health Related Professions, Stratford, NJ; Department of Physical Therapy, Hunter College-City University of New York, New York, New York, USA
Evan T. Cohen
Department of Rehabilitation and Movement Sciences, Rutgers, The State University of New Jersey, 40 East Laurel Road, Suite 2105, Stratford, New Jersey, USA 08084
Adam Rzetelny
Department of Psychology, Southern Illinois University at Carbondale, Carbondale, IL
Katarina Erlandsson
Visiting Nurse Service of New York, New York, NY
Sarah Gibbons
Rhinebeck Physical Therapy & Sports Clinic, Rhinebeck, NY
Heather Griffith
North Bay Physical Therapy, Santa Cruz, CA
Laura B. Isham
Back to Sports Physical Therapy, New York, NY

ABSTRAKT

The purpose of this study was to examine differences in performance on the Berg Balance Scale (BBS) in people with multiple sclerosis (MS) between nonfatigued and fatigued conditions. The study included 29 patients with a confirmed diagnosis of MS (mean Expanded Disability Status Scale score, 3.76 ± 1.34) who could ambulate with or without an assistive device for at least 6 minutes. Participants underwent testing on 2 separate days with a 1-week washout period. Each test began with completion of the Fatigue Severity Scale. The BBS then was administered, followed by either a 6-minute rest (nonfatigued condition) or a 6-minute walk (fatigued condition). The BBS was administered again after each condition. Each participant was administered both conditions on different days, the order of which was counterbalanced by random assignment. A repeated-measures analysis of variance (P < 0.001) indicated that participants had poorer BBS scores following the fatiguing condition. No significant difference was found between BBS scores on the first day or between the baseline scores on each day. This study shows that fatigue alters the performance of people with MS on the BBS. Clinicians should consider the potential impact of fatigue on BBS scores when assessing risk of falling.


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