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Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy

Author

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  • Sitt Nyein Phyu

    (Faculty of Graduate School, Khon Kean University, Khon Kaen 40002, Thailand
    Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kean University, Khon Kaen 40002, Thailand)

  • Punnee Peungsuwan

    (Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kean University, Khon Kaen 40002, Thailand
    School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Rungthip Puntumetakul

    (Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kean University, Khon Kaen 40002, Thailand
    School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand)

  • Uraiwan Chatchawan

    (Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kean University, Khon Kaen 40002, Thailand
    School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand)

Abstract

Type 2 diabetic peripheral neuropathy is known to cause balance limitations in static, dynamic, and functional activity. The Mini-BESTest, a shortened version of BESTest, was evolved to identify balance disorders within a short duration. No prior studies have yet been conducted to assess the usefulness of Mini-BESTest in the diagnosis of type 2 diabetic peripheral neuropathy. The current study aimed to examine the reliability and discriminant validity by comparing the Mini-BESTest scores between type 2 diabetic patients with peripheral neuropathy, divided into two 2 groups based on reporting scores of <4 and ≥4 in the MNSI questionnaire, respectively. Therefore, a cross-sectional study design was conducted including 44 type 2 diabetic patients (4 males and 40 females; aged 56.61 ± 7.7 years old). Diabetic peripheral neuropathy was diagnosed by physical assessment using the Michigan Neuropathy Screening Instrument (MNSI). Inter-rater (two physiotherapists) and Intra-rater (7–10 days) reliability of the Mini-BESTest were explored with intraclass correlation coefficients (ICC 2,1 ) and (ICC 3,1 ). The Mini-BESTest presented an excellent inter-rater reliability (ICC 2,1 = 0.95, 95% CI = 0.91–0.97, SEM = 0.61) and an excellent intra-rater reliability (ICC 3,1 = 0.93, 95% CI = 0.87–0.96, SEM = 0.66), with confirmation by a good agreement presented by the Bland–Altman plots. The internal consistency measured with the overall Cronbach’s alpha showed an acceptable agreement (0.73). The MDC was 2.16. In addition, the Mini-BESTest scores in the type 2 diabetic neuropathy patients reporting MNSI questionnaire scores <4 was found to be significantly higher when compared with those reporting scores ≥4. The Mini-BESTest can be used as a highly reliable and valid clinical application in the population with type 2 diabetic peripheral neuropathy.

Suggested Citation

  • Sitt Nyein Phyu & Punnee Peungsuwan & Rungthip Puntumetakul & Uraiwan Chatchawan, 2022. "Reliability and Validity of Mini-Balance Evaluation System Test in Type 2 Diabetic Patients with Peripheral Neuropathy," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6944-:d:832605
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    References listed on IDEAS

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    1. Mi Mi Thet Mon Win & Kiyoko Fukai & Htwe Htwe Nyunt & Yoshimi Hyodo & Khaing Zaw Linn, 2019. "Prevalence of peripheral neuropathy and its impact on activities of daily living in people with type 2 diabetes mellitus," Nursing & Health Sciences, John Wiley & Sons, vol. 21(4), pages 445-453, December.
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