Amaç: Aktiviteye Özel Denge Güven Ölçeği [Activity-Specific Balance Confidence (ABC)], fonksiyonel dengeyi değerlendirmek için yararlı bir testtir. Diyabet hastalarında denge bozuklukları normal popülasyona oranla daha sık görülür. Bu çalışmada klinik pratikte kullanımı daha kolay olan ABC kısa formunun Türkçe versiyonunun (ABC-T6) diyabetli (DM) hastalarda güvenilirliğinin araştırılması amaçlandı. Gereç ve Yöntemler: Tip II DM’li 30 hasta değerlendirilerek çalışmaya kabul edildi. Tüm katılımcılar Aktiviteye Özel Denge Güven Testi [ABC Test (ABC-T16)] ve ABC-6’nın Türkçe versiyonu (ABC-T6) formlarını doldurdu. Hareketliliği değerlendirmek için Zamanlı Kalkıp ve Yürüme testi [Timed Go and Go (TUG)] yapıldı. Hastaların diyabet ve diğer vücut sistem hastalıkları ile ilgili sorunlarının sayısını değerlendirmek için Kümülatif Hastalık Derecelendirme Ölçeği [Cumulative Ilness Rating Scale (CIRS)] kullanıldı. Bulgular: Ortalama yaş 61,2±8,1 yıldı. Hastaların %80’i kadındı. Ortalama ABC-T6 puanı 67,18±26,50 idi. TUG testinin ortalama süresi 10,3±2,7 (sn) idi. Ortalama CIRS puanı 6,4±3,5 idi. ABC-T6 ölçeği için %95 güven aralığı ile ortalama sınıf içi korelasyon katsayısı 0,928 idi. ABC-T16 ile ABCT6 arasında istatistiksel olarak anlamlı pozitif korelasyon vardır (p<0.05). ABC-T6, TUG ile anlamlı bir pozitif korelasyon gösterdi. Buna karşılık ABC-T6 yaş, beden kitle indeksi ve CIRS ile negatif korelasyon gösterdi. Sonuç: ABC-T6, tip II diyabetli hastalarda aktiviteye bağlı dengeyi incelemek için basit ve güvenilir bir testtir. Aktiviteye özel denge güvenilirliği hareket durumuyla bağlantılıdır.

Objective: The Activity-Specific Balance Confidence (ABC) Scale is a useful test for assessing functional balance. Diabetic patients have balance disorders. The aim was to study the reliability of the Turkish version of the ABC short form (ABC-T6) in patients with diabetes mellitus (DM). Material and Methods: Thirty patients with Type II DM were examined and accepted into this study. All participants were assessed using the Turkish version of the ABC Test (ABC-T16) and ABC-T6. The Timed Go and Go (TUG) test was performed to assess mobility. The Cumulative Ilness Rating Scale (CIRS) was used to assess the number of system problems. Results: The mean age was 61.2±8.1 years. Eighty percent of the patients are women. The mean ABC-T6 score was 67.18±26.50. The mean duration of the TUG test was 10.3±2.7 (seconds). The average CIRS score was 6.4±3.5. The average intraclass correlation coefficient with 95% confidence interval for the ABC-T6 scale was 0.928. There was a statistically significant positive correlation between ABC-T16 and ABC-T6 (p<0.05). ABC-T6 showed a significant positive correlation with TUG. In contrast, ABC-T6 was negatively correlated with age, body mass index, and CIRS. Conclusion: ABC-T6 is a simple and reliable test to study activity-related balance in patients with type II diabetes. Activity-specific balance reliability is linked to the movement state.

1. Hewston P, Deshpande N. The short version of the activities-specific balance confidence scale for older adults with diabetes-convergent, discriminant and concurrent validity: a pilot study. Can J Diabetes. 2017;41:266-72. [Crossref]  [PubMed] 
2. Yang Y, Hu X, Zhang Q, et al. Diabetes mellitus and risk of falls in older adults: a systematic review and meta-analysis. Age Ageing. 2016;45:761-7. [Crossref]  [PubMed] 
3. Gravesande J, Richardson J. Identifying non-pharmacological risk factors for falling in older adults with type 2 diabetes mellitus: a systematic review. Disabil Rehabil. 2017;39:1459-65. [PubMed] 
4. Freire LB, Brasil-Neto JP, da Silva ML, et al. Risk factors for falls in older adults with diabetes mellitus: systematic review and meta-analysis. BMC Geriatr. 2024;24:201. [Crossref]  [PubMed]  [PMC] 
5. Dixon CJ, Knight T, Binns E, et al. Clinical measures of balance in people with type two diabetes: A systematic literature review. Gait Posture. 2017;58:325-32. [PubMed] 
6. Powell LE, Myers AM. The activities-specific balance confidence (ABC) scale. J Gerontol A Biol Sci Med Sci. 1995;50A:M28-34. [PubMed] 
7. Myers AM, Fletcher PC, Myers AH, et al. Discriminative and evaluative properties of the activities-specific balance confidence (ABC) scale. J Gerontol A Biol Sci Med Sci. 1998;53:M287-94. [PubMed] 
8. Paker N, Bugdayci D, Demircioglu UB, et al. Reliability and validity of the Turkish version of activities-specific balance confidence scale in symptomatic knee osteoarthritis. J Back Musculoskelet Rehabil. 2017;30:461-6. [PubMed] 
9. Karapolat H, Eyigor S, Kirazli Y, et al. Reliability, validity, and sensitivity to change of Turkish activities-specific balance confidence scale in patients with unilateral peripheral vestibular disease. Int J Rehabil Res. 2010;33:12-8. [Crossref]  [PubMed] 
10. Schepens S, Goldberg A, Wallace M. The short version of the activities-specific balance confidence (ABC) scale: its validity, reliability, and relationship to balance impairment and falls in older adults. Arch Gerontol Geriatr. 2010;51:9-12. [PubMed]  [PMC] 
11. Ishige S, Wakui S, Miyazawa Y, et al. Psychometric properties of a short version of the activities-specific balance confidence scale-Japanese (Short ABC-J) in community-dwelling people with stroke. Physiother Theory Pract. 2022;38:1756-69. [Crossref]  [PubMed] 
12. Schott N. Reliability and validity of the German short version of the activities specific balance confidence (ABC-D6) scale in older adults. Arch Gerontol Geriatr. 2014;59:272-9. [PubMed] 
13. Zhang D, Tian F, Gao W, et al. The Chinese short version of the activities-specific balance confidence scale: its validity, reliability, and predictive value for future falls in community-dwelling older adults. Clin Interv Aging. 2022;17:1483-91. [PubMed]  [PMC] 
14. Wood TA, Wajda DA, Sosnoff JJ. Use of a short version of the activities-specific balance confidence scale in multiple sclerosis. Int J MS Care. 2019;21:15-21. [Crossref]  [PubMed]  [PMC] 
15. Tiernan C, Goldberg A. The original and short versions of the activities-specific balance confidence (ABC) scale in community-dwelling older adults: clinical implications based on scale agreement, internal consistencies, and associations with self-rated health. J Geriatr Phys Ther. 2023;46:132-8. [PubMed] 
16. Castillejos-Carrasco-Muñoz R, Ibáñez-Vera AJ, Peinado-Rubia AB, et al. Psychometric properties of the short version of the activities-specific balance confidence scale in vestibular patients. Otol Neurotol. 2023;44:e188-e193. [Crossref]  [PubMed] 
17. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, New Jersey: Lawrence Erlbaum Associates, Publishers; 1988.
18. Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-91. [PubMed] 
19. Lusardi MM, Fritz S, Middleton A, et al. Determining risk of falls in community dwelling older adults: a systematic review and meta-analysis using posttest probability. J Geriatr Phys Ther. 2017;40:1-36. [Crossref]  [PubMed]  [PMC] 
20. Karantanas AH, Zibis AH, Papaliaga M, et al. Dimensions of the lumbar spinal canal: variations and correlations with somatometric parameters using ct. Eur Radiol. 1998;8:1581-5. [PubMed] 
21. Podsiadlo D, Richardson S. The timed “up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142-8. [PubMed] 
22. Miller MD, Paradis CF, Houck PR, et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the cumulative illness rating scale. Psychiatry Res. 1992;41:237-48. [PubMed] 
23. Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 201;15:155-63. Erratum in: J Chiropr Med. 2017;16:346. [Crossref]  [PubMed]  [PMC] 
24. Freitas RM, Ribeiro KF, Barbosa JS, et al. Validity and reliability of the Brazilian activities-specific balance confidence scale and determinants of balance confidence in community-dwelling older adults. Physiother Theory Pract. 2022;38:345-54. [Crossref]  [PubMed]