Development of a Multidimensional Balance Scale for Use With Functionally Independent Older Adults

Rose, Debra J.; Lucchese, Nicole; Wiersma, Lenny D.

doi:10.1016/j.apmr.2006.07.263

Cited by 260 publications

(213 citation statements)

References 38 publications

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“…The results from the current study supported the hypothesis that the TSTWT EO demonstrated concurrent validity as a test of dynamic walking balance in a cross-sectional, healthy population. The walk on floor eyes closed (WOFEC) version of the TWT had been validated, validity coefficient of .83, as a discriminatory test of walking dynamic balance in its ability to identify participants with labyrinthine defective ataxia [29], as a component of balance test batteries primarily utilized for elderly populations for the purpose of fall prediction [3][4][5][6][7], but had not been validated as an individualized measure of walking dynamic balance in a healthy population within the age range of 20 and 75 years. The TSTWT EO demonstrated moderate to high positive [53] correlation values with commonly used laboratory measures of dynamic balance (BBS DLOS, gait COP, time, and spatial measures, and the mFRQ) in a healthy population between the ages of 20-75 years, with increased strength of association demonstrated when values were adjusted for participant age.…”

Section: Discussionmentioning

confidence: 99%

“…The TWT test has been utilized as the dynamic walking balance component of several validated test batteries regarding fall prediction in the elderly, such as the Fullerton Advanced Balance Scale [3,4], the LIFE pilot study protocol [5], Good Walkers Test [6], and the EPIDOS Prospective Study balance protocol [7]. The TWT has been utilized as a test of dynamic walking balance to determine gait stability and pathological quantification including prediction of falls in the elderly population [3,9,[34][35][36][37][38][39][40], diagnose ataxia and other vestibular disorders [29,41], test for vertigo [42], tropical ataxic neuropathy [43], traumatic brain injury [40], peripheral neuropathy [44], and functional mobility [45][46][47][48]. The TWT is considered a clinically efficacious test of dynamic balance in medical text books [29,49] and for research purposes [2,50].…”

Section: Introductionmentioning

confidence: 99%

“…Lark & Pasupuleti [2] referenced any situation that maximally narrowed an individual's base of support (BOS) maximally challenged her/his dynamic balance, therefore,walking tests that serve to maximally narrow an individual's BOS, theoretically, should maximally challenge her/his dynamic walking balance. Many laboratory tests and components of functional performance test batteries, such as the Fullerton Advanced Balance Scale [3,4], the LIFE pilot study protocol [5], Good Walkers Test [6], and the Established Populations for Epidemiologic Studies of the Elderly (EPIDOS) Prospective Study balance protocol [7] reported to test dynamic walking balance, most frequently used to predict those at risk for falls. These test batteries have been validated specifically for the elderly population which has been identified as a population predisposed to impaired dynamic walking balance and falls [8][9][10] hence, limiting these tests' capacity towards accurately depicting dynamic walking balance in a healthy, younger population.…”

Section: Introductionmentioning

confidence: 99%

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Concurrent validation of the tandem walk test as a measure of dynamic walking balance in a healthy population

Robertson¹,

Gregory²

2017

Phys Ther Rehabil

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Background: The purpose of this study was to determine the possible concurrent validity of the tandem walk test as a measure of dynamic walking balance. Methods: Forty-nine healthy participants, age range 20-75 years (mean age 40.1 ± 17.1 years), performed the ten step tandem walk test and two clinical tests of dynamic balance using the Biodex Balance System (Biodex Medical Systems, Shirley, NY) dynamic limits of stability protocol and measures of gait variability assessed through gait center of pressure, spatial, and temporal parameters derived from an instrumented treadmill (h/p/cosmos sports & medical gmbh, Nussdorf-Traunstein, Germany; Zebris FDM-T, Isny im Allgau, Germany). Results: A moderate-high correlation was demonstrated between the ten step tandem walk test eyes open and measures of gait variability, step width (r=0.64 p<0.05) and step time variability ( r=0.67 p<0.05), age (r=0.69 p<0.05), and Biodex Balance System dynamic limits of stability (r=0.81 p<0.05). A moderate relationship was found between the ten step tandem walk test eyes open and measures of gait center of pressure variability (r=0.52 p<0.05). Correlation coefficient values between the ten step tandem walk test eyes open and Biodex Balance System dynamic limits of stability, gait temporal, center of pressure, and spatial parameters demonstrated increased strength when adjusted for age. Conclusion: The ten step tandem walk test demonstrated a moderate to high relationship with clinical tests of dynamic balance: Biodex Balance System dynamic limits of stability and gait center of pressure, spatial, and time parameters in a healthy population demonstrating concurrent validity as an objective measure of dynamic walking balance in a healthy population between the ages of 20 and 75 years.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Concurrent validation of the tandem walk test as a measure of dynamic walking balance in a healthy population

Robertson¹,

Gregory²

2017

Phys Ther Rehabil

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“…22 The Timed-Up-and-Go (TUG) 26 is an example of dynamic balance wherein a participant is asked to stand up from a chair, walk a short distance, turn around, return and sit down. The Berg Balance Scale (BBS) 27 and the Fullerton Advanced Balance Scale (FAB) 28 evaluate both static and dynamic activities to derive a composite score. FOF is commonly operationalized as ''low perceived self-efficacy'' in one's ability to avoid a fall during routine activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Yoga for Balance in a Healthy Population

Jeter

Nkodo

Moonaz

et al. 2014

The Journal of Alternative and Complementary Medicine

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Objective: A systematic review was done of the evidence on yoga for improving balance. Design: Relevant articles and reviews were identified in major databases (PubMed, MEDLINE Ò , IndMed, Web of Knowledge, EMBASE, EBSCO, Science Direct, and Google Scholar), and their reference lists searched. Key search words were yoga, balance, proprioception, falling, fear of falling, and falls. Included studies were peerreviewed articles published in English before June 2012, using healthy populations. All yoga styles and study designs were included. Two (2) raters individually rated study quality using the Downs & Black (DB) checklist. Final scores were achieved by consensus. Achievable scores ranged from 0 to 27. Effect size (ES) was calculated where possible. Results: Fifteen (15) of 152 studies (age range 10-93, n = 688) met the inclusion criteria: 5 randomized controlled trials (RCTs), 4 quasi-experimental, 2 cross-sectional, and 4 single-group designs. DB scores ranged from 10 to 24 (RCTs), 14-19 (quasi-experimental), 6-12 (cross-sectional), and 11-20 (single group). Studies varied by yoga style, frequency of practice, and duration. Eleven (11) studies found positive results ( p < 0.05) on at least one balance outcome. ES ranged from -0.765 to 2.71 (for 8 studies) and was not associated with DB score. Conclusions: Yoga may have a beneficial effect on balance, but variable study design and poor reporting quality obscure the results. Balance as an outcome is underutilized, and more probing measures are needed.

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“…Specifically, the inter-day reliability of the Multiple-Lunge test appears substantially greater than that reported for the TUG (ICC = 0.56),29 quite similar to that of the 5-STS (ICC 0.82-0.89),30, 31 but somewhat lower than that reported for the FSST (ICC = 0.93-0.98)15 and FAB (Spearman rank correlation coefficient = 0.96). 6 These results suggest that the Multiple-Lunge test exhibits sufficient inter-day test-retest reliability to be a useful tool in evaluating the success of falls risk intervention programmes in this population.…”

Section: Discussionmentioning

confidence: 90%