000099227 001__ 99227 000099227 005__ 20230622083320.0 000099227 0247_ $$2doi$$a10.3390/healthcare8040402 000099227 0248_ $$2sideral$$a122740 000099227 037__ $$aART-2020-122740 000099227 041__ $$aeng 000099227 100__ $$0(orcid)0000-0001-8737-5814$$aDe la Torre, J. 000099227 245__ $$aApplying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders 000099227 260__ $$c2020 000099227 5060_ $$aAccess copy available to the general public$$fUnrestricted 000099227 5203_ $$aBalance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring. 000099227 536__ $$9info:eu-repo/grantAgreement/ES/DGA-UZ/FEDER 000099227 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000099227 590__ $$a2.645$$b2020 000099227 591__ $$aHEALTH POLICY & SERVICES$$b40 / 88 = 0.455$$c2020$$dQ2$$eT2 000099227 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000099227 700__ $$0(orcid)0000-0003-4527-3267$$aMarin, J.$$uUniversidad de Zaragoza 000099227 700__ $$aPolo, M. 000099227 700__ $$0(orcid)0000-0003-3223-1324$$aMarin, J.J.$$uUniversidad de Zaragoza 000099227 7102_ $$15002$$2720$$aUniversidad de Zaragoza$$bDpto. Ingeniería Diseño Fabri.$$cÁrea Proyectos de Ingeniería 000099227 773__ $$g8, 4 (2020), 402 [18 pp]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032 000099227 8564_ $$s497603$$uhttps://zaguan.unizar.es/record/99227/files/texto_completo.pdf$$yVersión publicada 000099227 8564_ $$s2491223$$uhttps://zaguan.unizar.es/record/99227/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000099227 909CO $$ooai:zaguan.unizar.es:99227$$particulos$$pdriver 000099227 951__ $$a2023-06-21-15:02:55 000099227 980__ $$aARTICLE