| Title of Article |
Responsiveness of the Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy |
| Date of Acceptance |
16 December 2022 |
| Journal |
| Title of Journal |
Journal of Multidisciplinary Healthcare |
| Standard |
OTHER () |
| Institute of Journal |
Dove Medical Press is part of Taylor & Francis Group. |
| ISBN/ISSN |
1178-2390 |
| Volume |
2022 |
| Issue |
|
| Month |
|
| Year of Publication |
2022 |
| Page |
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| Abstract |
Background: Mini-BESTest is an instrument for assessing the balance impairment; however, the use of the Mini-BESTest in type 2 diabetic patients with peripheral neuropathy is not well documented in the literature. The aim of this study was to examine the responsiveness and the MIC of the Mini-BESTest after four weeks of the balance exercises.
Methods: A prospective single group pretest-posttest design was applied, and forty-eight type 2 diabetic patients with peripheral neuropathy were participated (mean age of 59.04 ± 7.533 years; 3 males and 45 females). All participants were given an intervention program including foot care and balance exercises (50-minute sessions, three times a week for four weeks). The responsiveness of the Mini-BESTest was determined using two approaches: 1) the distribution-based method evaluating the change scores (pre- and post-intervention), the effect size (ES), the standard response mean (SRM), the standard error of measurement (SEM) and the minimum detectable change (MDC95) and 2) the anchor-based method evaluating the minimal important change (MIC) using the Global Rating of Change scale (GRC) as an external criterion.
Results: After the balance exercises treatment, the Mini-BESTest scores significantly improved (p < 0.001) with an ES of 3.9 and a SRM of 4.32. SEM was 0.73 and MDC95 was 2.03 points. The area under the receiver operating characteristic (ROC) curve corresponded to 81%. The cutoff point of the Mini-BESTest was 5 points corresponding to the GRC ≤ 3 versus > 3 for the discrimination of the Mini-BESTest between improvement and no improvement after exercises.
Conclusion: The Mini-BESTest can be demonstrated as high responsiveness according to the determination of the distribution-based and the anchor-based methods. The MIC of the Mini-BESTest was taken as 5 points and could be used as an outcome measure for the discriminated evaluation of type 2 diabetic patients with peripheral neuropathy. |
| Keyword |
balance, diabetic peripheral neuropathy, Mini-BESTest |
| Author |
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| Reviewing Status |
ไม่มีผู้ประเมินอิสระ |
| Status |
ได้รับการตอบรับให้ตีพิมพ์ |
| Level of Publication |
นานาชาติ |
| citation |
false |
| Part of thesis |
true |
| Attach file |
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| Citation |
0
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Publication
Journal Publication
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