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Turkish Journal of Neurology Indexed By
  Reliability and Validity of the Turkish Version of the Mini-BESTest Balance Scale in Patients with Stroke [Turk J Neurol]
Turk J Neurol. 2020; 26(4): 303-310 | DOI: 10.4274/tnd.2020.36043  

Reliability and Validity of the Turkish Version of the Mini-BESTest Balance Scale in Patients with Stroke

Ayşe Göktaş1, Fulya Damla Çolak2, İrem Kar3, Gamze Ekici4
1University of Health Sciences Turkey, Gulhane Faculty of Health Sciences, Department of Occupational Therapy, Ankara, Turkey
2Gaziler Physical Therapy and Rehabilitation Training and Research Hospital, Clinic of Occupational Therapy, Ankara,Turkey
3Ankara University Faculty of Medicine, Department of Bioistatistics, Ankara, Turkey
4Hacettepe University Faculty of Medicine, Department of Occupational Therapy, Ankara, Turkey

Objective: To determine the validity and reliability of the Turkish version of the Mini-BESTest balance scale (Mini-BESTest-Turk) and provide a culturally adapted version for use in Turkish patients with stroke.
Materials and Methods: A convenience sample of 84 Turkish patients with chronic stroke (28 female, 56 male; mean age: 59.52±14.04 years) was recruited. Researchers administered the scale, for the inter-rater reliability and twice within 7 days for the test-retest reliability. Mini-BESTest reliability study was performed by calculating internal consistency. The reliability of Mini-BESTest-Turk and its subsections was evaluated using Cronbach’s alpha coefficient. Item-total correlation and test-retest reliability were calculated. For structural validity, factor analysis was performed. The construct validity of Mini-BESTest-Turk and Berg Balance scale (BBS) was assessed using Spearman correlation analyses. The minimum detectable change (MDC) at 95% confidence intervals (MDC 95%) was established.
Results: The Mini-BESTest-Turk demonstrated test-retest [intraclass correlation coefficient: 0.994, 95% confidence intervals: (0.981-0.998); p<0.001]. In the correlation for validation study, correlations between Mini-BESTest-Turk and BBS scores (r=0.925, p<0.001) were very strongly positive. MDC95 was 2.01 points.
Conclusion: The reliability study showed that the Mini-BESTest-Turk had excellent internal consistency. The Turkish version of the Mini-BESTest scale (Mini-BESTest-Turk) seems to be a reliable and valid measure in patients with stroke. We believe that it may be useful in the follow-up of patients with stroke and clinical research. The ability to identify clinically significant changes was determined.

Keywords: Mini-BESTest, reliability, validation, stroke, balance


Ayşe Göktaş, Fulya Damla Çolak, İrem Kar, Gamze Ekici. Reliability and Validity of the Turkish Version of the Mini-BESTest Balance Scale in Patients with Stroke. Turk J Neurol. 2020; 26(4): 303-310

Corresponding Author: Ayşe Göktaş, Türkiye


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