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首页> 外文期刊>Clinical Interventions in Aging >The Frail’BESTest. An Adaptation of the “Balance Evaluation System Test” for Frail Older Adults. Description, Internal Consistency and Inter-Rater Reliability
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The Frail’BESTest. An Adaptation of the “Balance Evaluation System Test” for Frail Older Adults. Description, Internal Consistency and Inter-Rater Reliability

机译：最脆弱的。脆弱老年人“平衡评估系统测试”的适应。描述，内部一致性和帧间间可靠性

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Introduction: The Balance Evaluation System Test (BESTest) and the Mini-BESTest were developed to assess the complementary systems that contribute to balance function. These tests include functional tasks involving several high-level exercises to assess the balance function, which may be even more difficult in case of frailty. The Frail’BESTest has been developed to make it possible to include frail older adults in systemic assessment. In this first paper, the objective is to present the Frail’BESTest and to describe the usefulness and complementarity of each system and to test the inter-rater reliability of the score measurements in two health centers. Methods: In the first center, 192 frail and non-frail older patients were enrolled to test I) the contribution of each system, II) internal consistency, and III) the threshold and ceiling effects. The scores of 32 patients from center 1 and 32 patients recruited in another center (center 2) were used to measure the inter-rater reliability of the measurements by means of Kendall’s tau coefficients. Results: The internal consistency was moderate to good for five systems and limited for “biomechanical constraints”. The distribution of the Frail’BESTest was more centered than that of the Tinetti and Mini-Motor tests. The Kendall’s tau showed strong concordance in center 1 for all systems and only for 4 on 6 systems in center 2. Discussion: Completing a systemic evaluation, the therapist may prioritize the patient’s needs identifying the most challenging systems. This paper presents the Frail’BESTest and confirms the psychometric properties at a first step level.
机译：简介：开发了余额评估系统测试（BESTEST）和MINI-BESTEST以评估有助于平衡功能的互补系统。这些测试包括涉及几种高级练习的功能任务，以评估平衡功能，在脆弱情况下可能更加困难。已经开发了脆弱的最脆弱，可以在系统性评估中包括Frail老年人。在本发明的第一篇论文中，目的是呈现最脆弱的，并描述每个系统的有用性和互补性，并测试两个保健中心中得分测量的帧间互补性。方法：在第一中心，192个虚弱和非体积年龄较大的患者读取I）各系统的贡献，II）内部一致性，III）阈值和天花板效应。 32名来自其他中心（中心2）招募的患者的32名患者的评分用于通过KENDALL的TAU系数来测量测量的帧间性可靠性。结果：内部一致性为五个系统的中等至良好，有限的“生物力学约束”。脆弱的分布比Tinetti和迷你电机测试更为集中。 Kendall的Tau在中心1中表现出强大的协调，为所有系统，只有4个在中心2系统中的4个系统。讨论：完成系统评估，治疗师可以优先考虑患者识别最具挑战性系统的需求。本文呈现了最脆弱的最脆弱，并在第一步级别确认心理测量属性。

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