Repository logo
 
Publication

Responsiveness and Minimal Clinically Important Difference of the Brief-BESTest in People with COPD after Pulmonary Rehabilitation

2021-09-06Journal article Restricted access
Simple item page
dc.contributor.authorPaixão, Cátia
dc.contributor.authorRebelo, Patrícia
dc.contributor.authorOliveira, Ana
dc.contributor.authorJácome, Cristina
dc.contributor.authorCruz, Joana
dc.contributor.authorMartins, Vitória
dc.contributor.authorSimão, Paula
dc.contributor.authorMarques, Alda
dc.date.accessioned2021-09-17T11:47:38Z
dc.date.available2021-09-17T11:47:38Z
dc.date.issued2021-09-06
dc.description.abstractObjective: The Brief-Balance Evaluation Systems Test (Brief-BESTest) is a comprehensive, reliable and valid balance test, which provides valuable information to guide balance training in people with COPD. Its clinical interpretability is, however, currently limited, as cutoff points to identify clinical relevant changes in people with COPD, after pulmonary rehabilitation (PR), are still lacking. This study aimed to establish the responsiveness and minimal clinically important difference (MCID) for the Brief-BESTest in people with COPD, after PR. Methods: A secondary analysis of data from two previous studies was conducted. The modified British Medical Research Council (mMRC) dyspnea scale, the six-minute walk test (6MWT) and the Brief-BESTest (0-24 points) were collected in people with COPD pre/post a 12-week PR program including balance training. The MCID was computed using anchor- and distribution-based methods. Changes in the 6MWT and the mMRC were assessed and used as anchors. The pooled MCID was computed using the arithmetic weighted mean (2/3 anchor- and 1/3 distribution-based methods). Results: Seventy-one people with COPD (69±8 years; 76% male; FEV1 49.8±18% predicted) were included. There was a significant improvement in the Brief-BESTest after PR (mean difference 3±3 points; p<0.001). Significant correlations were found between the Brief-BESTest and the mMRC (r=-0.31; p=0.008), and the 6MWT (r=0.37; p=0.002). The pooled MCID was 3.3 points. Conclusion: An improvement of at least 3 points in the Brief-BESTest in people with COPD will enhance the interpretability of PR effects on balance performance of this population and guide tailored interventions. Impact: This study reports on the responsiveness and the MCID of the Brief-BESTest, in people with COPD following PR. This outcome measure is comprehensive, easily administered and simple to interpret in clinical practice. This study represents a significant contribution for the clinical interpretation of changes in balance in people with COPD, following PR.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.citationCátia Paixão, MSc, Patrícia Rebelo, MSc, Ana Oliveira, PhD, Cristina Jácome, PhD, Joana Cruz, PhD, Vitória Martins, MD, Paula Simão, MD, Alda Marques, PhD, Responsiveness and Minimal Clinically Important Difference of the Brief-BESTest in People with COPD after Pulmonary Rehabilitation, Physical Therapy, 2021;, pzab209, https://doi.org/10.1093/ptj/pzab209pt_PT
dc.identifier.doihttps://doi.org/10.1093/ptj/pzab209pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.8/6234
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.publisherversionhttps://academic.oup.com/ptj/advance-article-abstract/doi/10.1093/ptj/pzab209/6365141?redirectedFrom=fulltextpt_PT
dc.subjectResponsivenesspt_PT
dc.subjectMinimal important differencept_PT
dc.subjectBalancept_PT
dc.subjectCOPDpt_PT
dc.titleResponsiveness and Minimal Clinically Important Difference of the Brief-BESTest in People with COPD after Pulmonary Rehabilitationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titlePhysical Therapypt_PT
person.familyNameCruz
person.givenNameJoana
person.identifier.ciencia-idE213-7D20-5C3C
person.identifier.orcid0000-0002-4911-4469
person.identifier.ridK-7030-2013
person.identifier.scopus-author-id36715922000
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication33428074-748a-4751-b2f7-9f24247715fd
relation.isAuthorOfPublication.latestForDiscovery33428074-748a-4751-b2f7-9f24247715fd

Files

Original bundle
Now showing 1 - 2 of 2
No Thumbnail Available
Name:
Unmasked_manuscript.pdf
Size:
404.24 KB
Format:
Adobe Portable Document Format
Description:
Download
No Thumbnail Available
Name:
Supplementary table 1.pdf
Size:
112.47 KB
Format:
Adobe Portable Document Format
Description:
Download

Collections

ciTechCare - Artigos
ESTG - Artigos em revistas internacionais