Translation and validation of the Swedish version of the mini-BESTest in subjects with Parkinson's disease or stroke: a pilot study

Physiother Theory Pract. 2012 Oct;28(7):509-14. doi: 10.3109/09593985.2011.653707. Epub 2012 Jan 30.

Abstract

Recently, a comprehensive clinical balance test, the balance evaluation systems test (BESTest), was developed to identify the postural control systems causing balance impairments. A short version, the mini-BESTest, was thereafter developed by eliminating redundant and insensitive items. This study aimed to translate the mini-BESTest to Swedish, adapt it and investigate its validity in subjects with Parkinson's disease (PD) or stroke. The Mini-BESTest was translated and back-translated in accordance with Guillemin's guidelines. Discrepancies were discussed and solved by a panel and the test was culturally adapted. Concurrent validity of the final version was explored by correlating well-known clinical tests - the Berg Balance Scale (BBS), the Timed Up and Go (TUG) test and the Falls Efficacy Scale (FES(s)) - with the new mini-BESTest in nine subjects with mild-to-moderate PD (60 years, range 46-85) and nine with chronic stroke (78 years, range 66-90). A high-to-very-high correlation was shown between the mini-BESTest and the BBS (PD: r(s) =0.94, stroke: r(s) =0.86). The mini-BESTest correlated highly with the TUG (PD: r(s) = -0.81, stroke: r(s) = -0.89). In the PD group, a low correlation (r(s) =0.26) was seen between the mini-BESTest and the FES(s). The mini-BESTest has high concurrent validity and is a comprehensive assessment of balance. However, its psychometric properties should be evaluated further.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Comprehension
  • Disability Evaluation*
  • Female
  • Humans
  • Language*
  • Male
  • Middle Aged
  • Parkinson Disease / diagnosis*
  • Parkinson Disease / physiopathology
  • Physical Examination*
  • Pilot Projects
  • Postural Balance*
  • Predictive Value of Tests
  • Psychometrics
  • Reproducibility of Results
  • Severity of Illness Index
  • Stroke / diagnosis*
  • Stroke / physiopathology
  • Sweden
  • Translating