Measures of adult general performance tests: The Berg Balance Scale, Dynamic Gait Index (DGI), Gait Velocity, Physical Performance Test (PPT), Timed Chair Stand Test, Timed Up and Go, and Tinetti Performance-Oriented Mobility Assessment (POMA)

Hayes, Karen; Johnson, Matthew L.

doi:10.1002/art.11411

Cited by 68 publications

(43 citation statements)

References 57 publications

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“…The BBS score increased by 4 points, indicating a trend toward improved functional balance (Hayes & Johnson, 2003;Steffen, Hacker, & Mollinger, 2002). The BBS indicated improvement in balance activities of "turning 360 degrees" and "placing alternate foot on step or stool while standing unsupported."…”

Section: Discussionmentioning

confidence: 94%

Equine Assisted Activities and Therapies: A Case Study of an Older Adult

Wehofer

Goodson

Shurtleff

2013

Physical & Occupational Therapy In Geriatrics

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Falls are the leading cause of injuries and deaths in adults over the age of 65. The purpose of this case study is to explore the use of Equine Assisted Activities and Therapies (EAAT) to improve the mechanisms of balance, postural sway, fear of falling (FOF), and participation in older adults (OA). The participant (a 76-year-old woman), completed 10 Adaptive riding (AR) sessions over a six-week period, led by a Level II therapist (COTA/L and PATH certified riding instructor). Changes in function were assessed using the Berg Balance Scale (BBS), Activities-Specific Balance Confidence Scale (ABC), Activity Card Sort (ACS), and Video Motion Capture (VMC) system. Results indicated improved static standing balance, postural stability, and greater dynamic head and trunk control. Additionally, the participant expressed decreased FOF, decreased back pain, the ability to recover self after a fall, and an increase in activity participation as indicated in the ACS.

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Section: Discussionmentioning

confidence: 94%

Equine Assisted Activities and Therapies: A Case Study of an Older Adult

Wehofer

Goodson

Shurtleff

2013

Physical & Occupational Therapy In Geriatrics

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“…GVI significantly and positively correlated with the Berg Balance Scale, which is a widely used assessment of balance performance in older adults [30]. The relationship between GVI and other clinical measures of functional mobility and balance were not statistically significant, although the strength of the correlation coefficients suggest a moderate to strong effect for some measures.…”

Section: Discussionmentioning

confidence: 99%

Validity of the Gait Variability Index in older adults: Effect of aging and mobility impairments

Balasubramanian¹,

Clark²,

Gouelle³

2015

Gait & Posture

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Gait variability, defined as the fluctuation in spatiotemporal characteristics between steps, is suggested to be a sensitive indicator of mobility deficits with aging and pathological processes. A challenge in quantifying gait variability is the decision of which spatiotemporal parameters to assess because gait parameters may exhibit different amounts of variability and may differentially relate to mobility performance. The Gait Variability Index (GVI), a composite measure of variability across several gait parameters, was previously developed to overcome this challenge. The present study seeks to validate the use of GVI in the older adult population. A retrospective analysis of gait and clinical data was conducted using data pooled from five prior studies. The final data set included 105 younger adults (YA, age < 65) and 81 older adults (OA, age ≥ 65). The GVI of OA (91.92 ± 8.75) was significantly lower compared to the GVI of YA (100.79 ± 7.99). Within OA, the GVI was significantly lower (p < 0.0001) in individuals with mobility deficits (84.35 ± 9.03) compared to those with high mobility function (96.35 ± 8.86). Furthermore, GVI was associated with mobility function, including walking speed and performance on the Berg Balance Scale. Our findings imply that the GVI is a valid assessment for gauging spatiotemporal gait variability in older adults, is sensitive to differentiate between high-functioning older adults and those with mild to moderate mobility deficits and is associated with some clinical measures of functional mobility and balance.

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“…Because our results did not differ by sex, this is unlikely to have impacted our findings (25). Additionally, the instruments and cut points we selected, while validated and widely used in cancer survivor and other populations, (12, 15, 26, 31, 40) are not the only measures of physical performance available. Other self-report measures may have better concordance with the 6MW test and, or the PPT.…”

Section: Discussionmentioning

confidence: 99%

“…Participants with PPT scores ≤ 17 were classified as having a clinically identified physical performance limitation. A cut point of ≤17 corresponds to being unlikely to function in the community independently (12). The 6MW test is a general measure of physical fitness.…”

Section: Methodsmentioning

confidence: 99%

Measured versus Self-reported Physical Function in Adult Survivors of Childhood Cancer

Smith

Loftin

et al. 2014

Medicine &Amp; Science in Sports &Amp; Exercise

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Introduction/Purpose Childhood cancer survivors (CCS) experience late effects that interfere with physical function. Limitations in physical function can impact CCS abilities to actively participate in daily activities. The purpose of this investigation was to evaluate the concordance between self-reported physical performance and clinically evaluated physical performance among adult CCS. Methods CCS 18+ years of age and 10+ years from diagnosis who are participants in the St. Jude Lifetime Cohort study responded to the physical function section of the Medical Outcome Survey Short Form (SF36). Measured physical performance was evaluated with the physical performance test (PPT), and the six minute walk test (6MW). Results 1778 individuals (50.8% female) with a median time since diagnosis of 24.9 years (range 10.9-48.2) and a median age of 32.4 years (range 19.1-48.2) completed testing. Limitations in physical performance were self-reported by 14.1% of participants. The accuracy of self-report physical performance was 0.87 when the SF-36 was compared to the 6MW or PPT. Reporting inaccuracies most often involved reporting a physical performance limitation. Poor accuracy was associated with previous diagnosis of a bone or central nervous system tumor, lymphoma, older age, and large body size. Conclusion These results suggest that self-report, using the physical performance sub-scale of the SF-36 correctly identifies CCS who do not have physical performance limitations. In contrast, this same measure is less able to identify individuals who have performance limitations.

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Measures of adult general performance tests: The Berg Balance Scale, Dynamic Gait Index (DGI), Gait Velocity, Physical Performance Test (PPT), Timed Chair Stand Test, Timed Up and Go, and Tinetti Performance-Oriented Mobility Assessment (POMA)

Cited by 68 publications

References 57 publications

Equine Assisted Activities and Therapies: A Case Study of an Older Adult

Equine Assisted Activities and Therapies: A Case Study of an Older Adult

Validity of the Gait Variability Index in older adults: Effect of aging and mobility impairments

Measured versus Self-reported Physical Function in Adult Survivors of Childhood Cancer

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