Discriminative and Evaluative Properties of the Activities-specific Balance Confidence (ABC) Scale

Myers, Anita M.; Fletcher, Paula C.; Myers, Ann H.; Sherk, Wendy

doi:10.1093/gerona/53a.4.m287

Cited by 469 publications

(356 citation statements)

References 16 publications

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“…Static balance was determined using the sensory organisation test (SOT) performed on a Neurocom Smart Balancemaster (Neurocom, OR, USA) [16]. Falls self-efficacy was also determined using the Activities-Specific Balance Confidence scale (ABC score; a higher score represents greater balance confidence) [32].…”

Section: Physical Functionmentioning

confidence: 99%

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

et al. 2014

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ObjectiveTo determine if supervised exercise minimises treatment toxicity in patients with prostate cancer initiating androgen-deprivation therapy (ADT). This is the first study to date that has investigated the potential role of exercise in preventing ADT toxicity rather than recovering from established toxicities. Patients and MethodsSixty-three men scheduled to receive ADT were randomly assigned to a 3-month supervised exercise programme involving aerobic and resistance exercise sessions commenced within 10 days of their first ADT injection (32 men) or usual care (31 men). The primary outcome was body composition (lean and fat mass). Other study outcomes included bone mineral density, physical function, blood biomarkers of chronic disease risk and bone turnover, general and prostate cancer-specific quality of life, fatigue and psychological distress. Outcomes were compared between groups using analysis of covariance adjusted for baseline values. ResultsCompared to usual care, a 3-month exercise programme preserved appendicular lean mass (P = 0.019) and prevented gains in whole body fat mass, trunk fat mass and percentage fat with group differences of −1.4 kg (P = 0.001), −0.9 kg (P = 0.008) and −1.3% (P < 0.001), respectively. Significant between-group differences were also seen favouring the exercise group for cardiovascular fitness (peak oxygen consumption 1.1 mL/kg/min, P = 0.004), muscular strength (4.0-25.9 kg, P ≤ 0.026), lower body function (-1.1 s, P < 0.001), total cholesterol: high-density lipoprotein-cholesterol ratio (-0.52, P = 0.028), sexual function (15.2, P = 0.028), fatigue (3.1, P = 0.042), psychological distress (-2.2, P = 0.045), social functioning (3.8, P = 0.015) and mental health (3.6-3.8, P ≤ 0.022). There were no significant group differences for any other outcomes. ConclusionCommencing a supervised exercise programme involving aerobic and resistance exercise when initiating ADT significantly reduced treatment toxicity, while improving social functioning and mental health. Concurrent prescription of supervised exercise when initiating ADT is therefore advised to minimise morbidity associated with severe hypogonadism.

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Section: Physical Functionmentioning

confidence: 99%

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

et al. 2014

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“…The Activities-Specific Balance Confidence Scale (ABC Scale) is a 16-item self-report survey assessing the confidence a patient has in their balance during certain activities [22]. The patient rates their confidence on a scale of 0% (no confidence) to 100% (complete confidence) for each item.…”

Section: The Activity Balance Confidence Scale (Abcs)mentioning

confidence: 99%

Relationship of backward walking to clinical outcome measures used to predict falls in the older population: A factor analysis

Maritz¹,

Silbernagel²,

Pohlig³

2017

Phys Ther Rehabil

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Background: Backward walking has been found to be a more sensitive measure to detect fallers than forward walking. It involves greater reliance on neuromuscular control to make up for the lack of vision. In fact, backward walking speed has been determined to more accurately identify fallers in the older population than forward walking. This study examined if backward walking measures more than one underlying factor while also examining the relationship between it and other clinical measures used to identify falls risk. Methods: A convenience sample of 57 older adults (10 males and 47 females) with a mean age of 78.8 years (SD 8.9 years) participated in this cross-sectional study. Subjects walked backward on the GAITRite ® computerized walkway system recording gait velocity, stride and step length, stance and swing time, single and double support. Additionally, subjects were tested on clinical measures commonly used to assess falls risk which included the Timed up and go test, Four square step test, Activity-specific balance confidence scale, single heel rise test and the 30-second chair stand test. An exploratory factor analysis with Maximum Likelihood extraction and Varimax rotation was performed on various aspects of backward walking. The relationship between the backwards walking factor scores and selected clinical measures was tested using Spearman correlations and regression. Results: Results revealed that there are two factors associated with backward walking: cadence and velocity. Cadence was only mildly correlated to 30-second chair stand test, r=0.29; whereas velocity was highly correlated with each of the known predictors of falls used, all r>0.44. Conclusion: Given theses findings, a clinician could quickly measure backward walking velocity and count the number of steps an individual takes in order to screen those at-risk for falls.

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“…The Activities-Specific Balance Confidence scale (ABC Scale) is a 16-item self-report survey assessing the confidence someone has in their balance during certain activities [20]. The person rates their confidence on a scale of 0% (no confidence) to 100% (complete confidence) for each item.…”

Section: The Activity Balance Confidence Scale (Abc)mentioning

confidence: 99%

The effect of a 5-week group-based exercise program on strength, balance, mobility, and gait in the older adult population: A pilot study

Chopra¹,

Dougherty²,

Johnston³

et al. 2017

Phys Ther Rehabil

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Background: Falls are the fifth leading cause of death among adults aged 65 years and older. Lower extremity weakness and decreased balance are two important risk factors associated with falls in the older population. Current research suggests that in order to produce effective outcomes, an exercise program for older adults needs to be at least 10 weeks in length. Methods: 18 of 23 participants over the age of 60 years (17 female, 1 male; mean age 74 years) completed this pre-test-post-test design. The participants tested on the following outcome measures: 30-second Chair Stand test for lower extremity strength, Four Square Step test (FSST) for dynamic balance, Timed Up and Go (TUG) test for mobility, Activity-Specific Balance Confidence scale (ABC) for balance confidence and GAITRite® for forward and backward walking velocity. Participants attended a 45-minute group-based exercise program twice a week for 5 weeks at a local church. The program included a 5 minute warm up, 10 minutes of stretching, 20 minutes of strengthening for both upper and lower extremities with resistance as well as core work, 5 minutes of balance training and 5 minutes of cool down exercises. Results: A significant difference was found in the pre-and post-test measures of backward gait velocity (p=0.034), forward gait velocity (p=0.016), 30-sCST (p=0.001), TUG (p=0.022), and the FSST (p=0.001). Although there was no statistically significant differences found in the ABC scale, the overall scores increased. Conclusion:This 5-week group-based exercise program was effective at improving forward and backward gait velocity as well as decreasing the clinical risk for falls in older adults. It is recommended that elements of this program be incorporated into physical therapy practice. Additionally, upon conclusion of physical therapy treatment, older adults should be encouraged to participate in community-based group exercise programs to maintain overall health and wellness and prevent future falls.

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Discriminative and Evaluative Properties of the Activities-specific Balance Confidence (ABC) Scale

Cited by 469 publications

References 16 publications

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

Relationship of backward walking to clinical outcome measures used to predict falls in the older population: A factor analysis

The effect of a 5-week group-based exercise program on strength, balance, mobility, and gait in the older adult population: A pilot study

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