Validation of the Brazilian version of the Clinical Gait and Balance Scale and comparison with the Berg Balance Scale

Arq Neuropsiquiatr. 2013 Sep;71(9A):621-6. doi: 10.1590/0004-282X20130107.

Abstract

Objective: To validate the Clinical Gait and Balance Scale (GABS) for a Brazilian population of patients with Parkinson's disease (PD) and to compare it to the Berg Balance Scale (BBS).

Methods: One hundred and seven PD patients were evaluated by shortened UPDRS motor scale (sUPDRSm), Hoehn and Yahr (HY), Schwab and England scale (SE), Falls Efficacy Scale International (FES-I), Freezing of Gait Questionnaire (FOG-Q), BBS and GABS.

Results: The internal consistency of the GABS was 0.94, the intra-rater and inter-rater reliability were 0.94 and 0.98 respectively. The area under the receiver operating characteristic (ROC) curve was 0.72, with a sensitivity of 0.75 and specificity of 0.6, to discriminate patients with a history of falls in the last twelve months, for a cut-off score of 13 points.

Conclusions: Our study shows that the Brazilian version of the GABS is a reliable and valid instrument to assess gait and balance in PD.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brazil
  • Case-Control Studies
  • Cultural Characteristics
  • Female
  • Gait Disorders, Neurologic / diagnosis*
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Observer Variation
  • Parkinson Disease / complications*
  • Parkinson Disease / physiopathology
  • Postural Balance / physiology*
  • ROC Curve
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Translating