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Critical Reviews™ in Physical and Rehabilitation Medicine

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ISSN Print: 0896-2960

ISSN Online: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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

Volume 25, Issue 3-4, 2013, pp. 223-230
DOI: 10.1615/CritRevPhysRehabilMed.2013008644
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ABSTRACT

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.

CITED BY
  1. Potter Kirsten, Anderberg Lisa, Anderson Diana, Bauer Brooke, Beste Megan, Navrat Stephanie, Kohia Mohamed, Reliability, validity, and responsiveness of the Balance Evaluation Systems Test (BESTest) in individuals with multiple sclerosis, Physiotherapy, 104, 1, 2018. Crossref

  2. Karpatkin Herb, Critically appraised paper: Task-oriented gait training that focuses on the safe and correct use of a walking aid may reduce falls in people with multiple sclerosis [commentary], Journal of Physiotherapy, 66, 1, 2020. Crossref

  3. Karpatkin Herb, Cohen Evan, Aging With a Progressive Neurologic Disease, Topics in Geriatric Rehabilitation, 35, 3, 2019. Crossref

  4. Karpatkin Herb, Babyar Suzanne, Gayeski Emily, Meredith Leesha, Polster Emily, Sheer Penina, Schroeder David, The effect of fatigue on balance performance in Parkinson's disease, Clinical Parkinsonism & Related Disorders, 3, 2020. Crossref

  5. Karpatkin Herbert, Babyar Suzanne, DiCarrado Stefanie, McDarby Melissa, Narovlianski Morris, Perez Beremis, Rimawi Iman, Increases in fatigue do not change spasticity scores in persons with multiple sclerosis, Neurodegenerative Disease Management, 8, 3, 2018. Crossref

  6. Jallouli Sonda, Ben Dhia Imen, Sakka Salma, Mhiri Chokri, Yahia Abdelmoneem, Elleuch Mohamed Habib, Hammouda Omar, Ghroubi Sameh, Combined effect of gender differences and fatiguing task on postural balance, functional mobility and fall risk in adults with multiple sclerosis: A preliminary study, Neurological Research, 2022. Crossref

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