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Measurement Characteristics and Clinical Utility of the Mini BESTest in Individuals With Parkinson Disease

      Individuals with Parkinson disease (PD) develop impairments in balance and gait that can lead to postural instability and falls. Studies indicate that 60% of individuals with PD fall in a 12-month period.1 These falls are associated with increased risk of hip fractures, nursing home admissions, and reduced survival rates.2,3 The Mini Balance Evaluation Systems Test (Mini BESTest), a shortened version of the BESTest, was developed to assess elements of postural control thought to underlie postural instability.4,5 14-item Mini BESTest can be administered in 10 to 15 minutes, and addresses 4 of the 6 constructs included in the BESTest: anticipatory control, reactive postural control, sensory orientation, and dynamic gait. The Mini BESTest exhibits excellent reliability and validity across stages of PD, can discriminate between fallers and non-fallers, and is responsive to change with rehabilitation interventions.5
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