Validity and reliability testing of the Spanish version of the BESTest and mini-BESTest in healthy community-dwelling elderly.

BACKGROUND: The Balance Evaluation Systems Test (BESTest) and its abbreviated version, the Mini-BESTest are clinical examination of balance impairment, but its psychometric properties have not yet been tested in European Spanish. We aimed to assess the psychometric properties of BESTest and Mini-BESTest in Spanish in community-dwelling elderly people. METHODS: We designed a cross-sectional transcultural adaptation and validation study. Convenience sample of thirty (N-30) adults aged 65 to 89 years old without balance problems were recruited. Two physiotherapists assessed participants at the same time. Internal consistency of Spanish BESTest and Mini-BESTest was carried out by obtaining the Cronbach Alpha. The reproducibility between raters was studied with the Intraclass Correlation Coefficient. The Pearson correlation coefficient was calculated by comparing the relationship between the BESTest, mini-BESTest, Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). RESULTS: BESTest and Mini-BESTest showed good internal consistency. BESTest and Mini-BESTest total scores showed an excellent inter-rater agreement. There was a significant correlation between total score of the BESTest and the Mini-BESTest (r = 0.65; p < 0.001). BESTest had a moderate association with BBS and a strong association with FES-I. Mini-BESTest had a fair correlation with BBS and FES-I. Total scores obtained by women at BESTest and at Mini-BESTest were significantly lower than those reached by men. The differences observed in all the test when disaggregating data by sex require further research. CONCLUSIONS: Spanish versions of BESTest and Mini-BESTest are comprehensible for new raters. They are reliable tools to provide information on which particular balance systems show impairment in community dwelling older adults. Elderly women had a worse quality of balance and a greater perception of their risk of falling. TRIAL REGISTRATION: This study was registered in ClinicalTrials.gov with NCT03403218 on 2018/01/17.

Complicaciones personales en pacientes con síndrome de incontinencia fecal / Personal complications in patients with fecal incontinence syndrome

La pérdida involuntaria de masa fecal, no siendo realmenteuna patología en sí misma, es a veces, para la personaque la padece, más importante que la situación quela provoca. Róbale el cuerpo y úsalo, es más, róbaletambién su mente, sus ideas, sus sensaciones, sentimientosy miedos: ¿notas su tensión psíquica al cerrar lapuerta de casa? ¿Lloras de rabia y de tristeza al cambiarla ropa manchada? Esto es sólo una milésima parte de loque ocurre. Imagínate con 70 u 80 años, con un cuerpocansado y lento, con la mente no muy dispuesta a luchary con este “problemilla”(AU)

The involuntary loss of fecal mass, not being really a diseasein itself is, at times, to the person who suffers, moreimportant that the situation that provokes. Steal the bodyand use it, it is more, steal their mind, their thoughts, theirsensations, feelings and fears; Do you feel his mental tensionwhen closing the door? Do you cry of anger and sadnesswhen changing stained clothes? This is just a thousandthpart of what happens. Imagine at age of 70 or 80,with a tired and slow body, with the mind not very willingto fight and with this “little problem”(AU)