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Measurement Instruments to Assess Posture, Gait, and Balance in Parkinson's Disease: Critique and Recommendations

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F16%3A10326612" target="_blank" >RIV/00064165:_____/16:10326612 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/16:10326612

  • Result on the web

    <a href="http://dx.doi.org/10.1002/mds.26572" target="_blank" >http://dx.doi.org/10.1002/mds.26572</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1002/mds.26572" target="_blank" >10.1002/mds.26572</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Measurement Instruments to Assess Posture, Gait, and Balance in Parkinson's Disease: Critique and Recommendations

  • Original language description

    Background: Disorders of posture, gait, and balance in Parkinson's disease (PD) are common and debilitating. This MDS-commissioned task force assessed clinimetric properties of existing rating scales, questionnaires, and timed tests that assess these features in PD. Methods: A literature review was conducted. Identified instruments were evaluated systematically and classified as "recommended," "suggested," or "listed." Inclusion of rating scales was restricted to those that could be used readily in clinical research and practice. Results: One rating scale was classified as "recommended" (UPDRS-derived Postural Instability and Gait Difficulty score) and 2 as "suggested" (Tinetti Balance Scale, Rating Scale for Gait Evaluation). Three scales requiring equipment (Berg Balance Scale,Mini-BESTest, Dynamic Gait Index) also fulfilled criteria for "recommended" and 2 for "suggested" (FOG score, Gait and Balance Scale). Four questionnaires were "recommended" (Freezing of Gait Questionnaire, Activities-specific Balance Confidence Scale, Falls Efficacy Scale, Survey of Activities, and Fear of Falling in the Elderly-Modified). Four tests were classified as "recommended" (6-minute and 10-m walk tests, Timed Upand-Go, Functional Reach). Conclusion: We identified several questionnaires that adequately assess freezing of gait and balance confidence in PD and a number of useful clinical tests. However, most clinical rating scales for gait, balance, and posture perform suboptimally or have been evaluated insufficiently. No instrument comprehensively and separately evaluates all relevant PD-specific gait characteristics with good clinimetric properties, and none provides separate balance and gait scores with adequate content validity for PD. We therefore recommend the development of such a PD-specific, easily administered, comprehensive gait and balance scale that separately assesses all relevant constructs.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FH - Neurology, neuro-surgery, nuero-sciences

  • OECD FORD branch

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2016

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Movement Disorders

  • ISSN

    0885-3185

  • e-ISSN

  • Volume of the periodical

    31

  • Issue of the periodical within the volume

    9

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    14

  • Pages from-to

    1342-1355

  • UT code for WoS article

    000383773600055

  • EID of the result in the Scopus database

    2-s2.0-84985991770