1.Minimal Clinically Important Difference for Mini-Balance Evaluation Systems Test and Berg Balance Scale:A Systematic Review
Kazuhiro MIYATA ; Tomoyuki ASAKURA ; Tomoyuki SHINOHARA ; Shigeru USUDA
The Japanese Journal of Rehabilitation Medicine 2021;58(5):555-564
Objective:The Mini-Balance Evaluation Systems Test (Mini-BESTest) and Berg Balance Scale (BBS) are widely used to test balance function in adults. However, the information on the minimal clinically important difference (MCID) for the measure has not been consolidated. This review summarizes all available information on the MCID for the Mini-BESTest and BBS.Methods:We searched three electronic databases (PubMed, Cumulative Index to Nursing & Allied Health Literature, and Web of Knowledge) for relevant literature and additionally conducted a hand search.We included all articles that reported an MCID for the Mini-BESTest and BBS.We excluded articles if the MCID was determined by a procedure other than receiver operating characteristic (ROC) curve analysis. Articles were abstracted for information on participants, interventions, balance assessment documentation, and the determination of MCID.Results:A search yielded 21 articles on the Mini-BESTest and 87 articles on the BBS, four articles on the Mini-BESTest and six articles on the BBS were selected based on adherence to the inclusion and exclusion criteria. The MCIDs with an area under the ROC curve of 0.7 or greater ranged from 1.5-4.5 points for the Mini-BESTest and 3.5-6 points for the BBS.Conclusion:A change of 1.5-4.5 points for the Mini-BESTest and 3.5-6 points for the BBS may be clinically important across multiple patient groups.
2.Minimal Clinically Important Difference for Mini-Balance Evaluation Systems Test and Berg Balance Scale:A Systematic Review
Kazuhiro MIYATA ; Tomoyuki ASAKURA ; Tomoyuki SHINOHARA ; Shigeru USUDA
The Japanese Journal of Rehabilitation Medicine 2020;():20032-
Objective:The Mini-Balance Evaluation Systems Test (Mini-BESTest) and Berg Balance Scale (BBS) are widely used to test balance function in adults. However, the information on the minimal clinically important difference (MCID) for the measure has not been consolidated. This review summarizes all available information on the MCID for the Mini-BESTest and BBS.Methods:We searched three electronic databases (PubMed, Cumulative Index to Nursing & Allied Health Literature, and Web of Knowledge) for relevant literature and additionally conducted a hand search.We included all articles that reported an MCID for the Mini-BESTest and BBS.We excluded articles if the MCID was determined by a procedure other than receiver operating characteristic (ROC) curve analysis. Articles were abstracted for information on participants, interventions, balance assessment documentation, and the determination of MCID.Results:A search yielded 21 articles on the Mini-BESTest and 87 articles on the BBS, four articles on the Mini-BESTest and six articles on the BBS were selected based on adherence to the inclusion and exclusion criteria. The MCIDs with an area under the ROC curve of 0.7 or greater ranged from 1.5-4.5 points for the Mini-BESTest and 3.5-6 points for the BBS.Conclusion:A change of 1.5-4.5 points for the Mini-BESTest and 3.5-6 points for the BBS may be clinically important across multiple patient groups.
3.A feasibility study of the incidence and symptoms of the throwing yips in college baseball players
Toshiyuki AOYAMA ; Kazumichi AE ; Hiroto SOUMA ; Kazuhiro MIYATA ; Kazuhiro KAJITA ; Takaaki NARA ; Takashi KAWAMURA
Japanese Journal of Physical Fitness and Sports Medicine 2021;70(1):91-100
The yips represent a disorder that makes it challenging for an individual to perform automatic and coordinated movements in sports activities. The cause of the yips is not sufficiently clarified, and limited information is available regarding throwing yips in baseball. Therefore, this study was designed to clarify the incidence and characteristics of the throwing yips among college baseball players. Total 107 players of the college baseball team participated in the study and completed the questionnaire by answering questions about their experience of the yips (loss of control to throw the ball accurately for more than 1 month), the symptom intensity, and changes observed in the symptoms in different situations. The 47.1% of players met the definition of throwing yips. The symptoms of the yips were more pronounced with short-distances and low intensity of throwing. Moreover, there were various subjective symptoms, such as the issue about co-contraction of the upper limb, sensory function, body ownership, and movement planning. Various physical symptoms associated with throwing yips suggest that the yips are not only a disorder of motor skills, but result from movement disorders. The present results show that the occurrence of the yips depends on the throwing condition; this finding provides useful insights into the mechanism and the treatment of the yips. Interdisciplinary studies that aim to elucidate the cause of the yips and develop effective intervention are necessary.
4.5-Aminosalicylic acid intolerance is associated with a risk of adverse clinical outcomes and dysbiosis in patients with ulcerative colitis
Shinta MIZUNO ; Keiko ONO ; Yohei MIKAMI ; Makoto NAGANUMA ; Tomohiro FUKUDA ; Kazuhiro MINAMI ; Tatsuhiro MASAOKA ; Soichiro TERADA ; Takeshi YOSHIDA ; Keiichiro SAIGUSA ; Norimichi HIRAHARA ; Hiroaki MIYATA ; Wataru SUDA ; Masahira HATTORI ; Takanori KANAI
Intestinal Research 2020;18(1):69-78
Background/Aims:
5-Aminosalicylic acid (ASA) causes intolerance reactions in some patients. This study was performed to examine the prognosis of patients with ulcerative colitis (UC) and 5-ASA intolerance, and to evaluate the potential interaction between 5-ASA intolerance and the intestinal microbiota.
Methods:
We performed a retrospective cohort study of patients with UC who visited participating hospitals. The primary endpoint was to compare the incidence of hospitalization within 12 months between the 5-ASA intolerance group and the 5-ASA tolerance group. The secondary endpoint was to compare the risk of adverse clinical outcomes after the start of biologics between the 2 groups. We also assessed the correlation between 5-ASA intolerance and microbial change in an independently recruited cohort of patients with UC.
Results:
Of 793 patients, 59 (7.4%) were assigned to the 5-ASA intolerance group and 734 (92.5%) were assigned to the 5-ASA tolerance group. The admission rate and incidence of corticosteroid use were significantly higher in the intolerance than tolerance group (P< 0.001). In 108 patients undergoing treatment with anti-tumor necrosis factor biologics, 5-ASA intolerance increased the incidence of additional induction therapy after starting biologics (P< 0.001). The 5-ASA intolerance group had a greater abundance of bacteria in the genera Faecalibacterium, Streptococcus, and Clostridium than the 5-ASA tolerance group (P< 0.05).
Conclusions
In patients with UC, 5-ASA intolerance is associated with a risk of adverse clinical outcomes and dysbiosis. Bacterial therapeutic optimization of 5-ASA administration may be important for improving the prognosis of patients with UC.
5.Reliability, Validity, and Responsiveness of the Upper Extremity Test for Spinal Cord Injury
Kazumasa JIMBO ; Hideki SHIRAISHI ; Kazuhiro MIYATA ; Hiroshi YUINE ; Kousuke TAKAHAMA ; Tomohiro YOSHIMURA ; Shunnosuke OKA ; Mari KAKEHI ; Naho MURAKAMI ; Taichi YASUMORI ; Naohisa KIKUCHI
The Japanese Journal of Rehabilitation Medicine 2023;60(1):58-69
Introduction:There are few detailed evaluations of upper extremity function in Japan, especially for cervical spinal cord injury (CSCI). The capabilities of upper extremity test (CUE-T) evaluates upper extremity function, is specialized for CSCI, and is internationally used;however, there are few reports from Japan. This study verified the reliability, validity, and responsiveness of the CUE-T in Japan.Methods:We determined the interrater reliability, internal consistency, weighted kappa coefficient, intraclass correlation coefficient, and Cronbach's α coefficient for acute and chronic CSCI. The correlation coefficient with other evaluations was calculated and validated. Furthermore, the evaluation was performed twice at regular intervals, and the correlation between the change in CUE-T and other evaluations and the sensitivity to change using the standardized response mean (SRM) were verified.Results:The weighted kappa coefficient was 0.61-1.00, intraclass correlation coefficient was ≥0.9, and Cronbach's α coefficient were ≥0.9. The CUE-T and other evaluation methods showed moderate to strong correlations. In addition, the amount of change between CUE-T and the other evaluations were significantly correlated, and the SRM was ≥0.8.Discussion:In Japan, the CUE-T has been suggested to have good reliability, validity, responsiveness, and interpretability as an evaluation of upper extremity function in patients with CSCI. We will continue to verify the interpretability of the CUE-T and consider its dissemination in Japan.
6.Reliability, Validity, and Responsiveness of the Upper Extremity Test for Spinal Cord Injury
Kazumasa JIMBO ; Hideki SHIRAISHI ; Kazuhiro MIYATA ; Hiroshi YUINE ; Kousuke TAKAHAMA ; Tomohiro YOSHIMURA ; Shunnosuke OKA ; Mari KAKEHI ; Naho MURAKAMI ; Taichi YASUMORI ; Naohisa KIKUCHI
The Japanese Journal of Rehabilitation Medicine 2023;():22035-
Introduction:There are few detailed evaluations of upper extremity function in Japan, especially for cervical spinal cord injury (CSCI). The capabilities of upper extremity test (CUE-T) evaluates upper extremity function, is specialized for CSCI, and is internationally used;however, there are few reports from Japan. This study verified the reliability, validity, and responsiveness of the CUE-T in Japan.Methods:We determined the interrater reliability, internal consistency, weighted kappa coefficient, intraclass correlation coefficient, and Cronbach's α coefficient for acute and chronic CSCI. The correlation coefficient with other evaluations was calculated and validated. Furthermore, the evaluation was performed twice at regular intervals, and the correlation between the change in CUE-T and other evaluations and the sensitivity to change using the standardized response mean (SRM) were verified.Results:The weighted kappa coefficient was 0.61-1.00, intraclass correlation coefficient was ≥0.9, and Cronbach's α coefficient were ≥0.9. The CUE-T and other evaluation methods showed moderate to strong correlations. In addition, the amount of change between CUE-T and the other evaluations were significantly correlated, and the SRM was ≥0.8.Discussion:In Japan, the CUE-T has been suggested to have good reliability, validity, responsiveness, and interpretability as an evaluation of upper extremity function in patients with CSCI. We will continue to verify the interpretability of the CUE-T and consider its dissemination in Japan.