Predicting Which Older Adults Will or Will Not Fall Using the Fullerton Advanced Balance Scale

Hernandez, Danielle; Rose, Debra J.

doi:10.1016/j.apmr.2008.05.020

Cited by 147 publications

(125 citation statements)

References 25 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].…”

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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“…A Cronbach's alpha value of 0.81 was established for the total FAB scale score, confirming its good internal consistency (Klein et al, 2010). This is a performance-based measure that comprehensively addresses the multiple dimensions of balance, through static and dynamic balance activities performed in different sensory environments, and is considered to be useful for screening and identifying subtle changes in balance abilities, that act as precursor to an increased probability of falling (Hernandez and Rose, 2008). This balance assessment can be conducted in a relatively small area and its administration requires approximately 10-12 min.…”

Section: Outcome Measuresmentioning

confidence: 96%

“…Performance on each of the individual test items is scored using a 5-point ordinal scale (0-4), with a maximum score of 40 points possible, representing an optimal balance performance. Lower scores mean lower balance performance and higher probability for falling (Hernandez and Rose, 2008;Rose et al, 2006).…”

Section: Outcome Measuresmentioning

confidence: 99%

An evaluation of a nurse-led rehabilitation programme (the ProBalance Programme) to improve balance and reduce fall risk of community-dwelling older people: A randomised controlled trial

Gouveia

Jardim

Martins

et al. 2016

International Journal of Nursing Studies

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Objective: This study aims to assess the effect of a nurse-led rehabilitation programme (the ProBalance Programme) on balance and fall risk of community-dwelling older people from Madeira Island, Portugal. Design: Single-blind, randomised controlled trial. Setting: University laboratory.Participants: Community-dwelling older people, aged 65-85, with balance impairments. Participants were randomly allocated to an intervention group (IG; n = 27) or a wait-list control group (CG; n = 25). Intervention: A rehabilitation nursing programme included gait, balance, functional training, strengthening, flexibility, and 3D training. One trained rehabilitation nurse administered the group-based intervention over a period of 12 weeks (90 min sessions, 2 days per week). A wait-list control group was instructed to maintain their usual activities during the same time period. Outcome: Balance was assessed using the Fullerton Advanced Balance (FAB) scale. The time points for assessment were at zero (pre-test), 12 (post-test), and 24 weeks (follow up). Results: Changes in the mean (SD) FAB scale scores immediately following the 12-week intervention were 5.15 (2.81) for the IG and À1.45 (2.80) for the CG. At follow-up, the mean (SD) change scores were À1.88 (1.84) and 0.75 (2.99) for the IG and CG, respectively. The results of a mixed between-within subjects analysis of variance, controlling for physical activity levels at baseline, revealed a significant interaction between group and time (F (2, 42) = 27.89, p < 0.001, Partial Eta Squared = 0.57) and a main effect for time (F (2, 43) = 3.76, p = 0.03, Partial Eta Squared = 0.15), with both groups showing changes in the mean FAB scale scores across the three time periods. A significant main effect comparing

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Heterogeneity in fibromyalgia based upon cognitive and physical performance and psychological symptomology

Follick

Cherry

Rutledge

et al. 2016

Journal of the American Association of Nurse Practitioners

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Purpose This study sought to investigate the existence of subgroups within a fibromyalgia (FM) sample based on physical and cognitive performance measures, as well as self‐report psychological measures. A multisystem disorder characterized by widespread musculoskeletal pain and co‐morbid conditions, FM can lead to declines in cognitive functioning and difficulty with psychological health. Data sources Community participants (n = 57 women) recruited from support groups and university center databases provided documentation of having met the criteria for diagnosis of FM. Measures included validated performance and self‐report instruments. Analysis was completed using hierarchical cluster analysis; a four cluster solution was chosen for its level of interpretability. The resulting model identified four distinct subgroups based upon patterns of performance and symptomology. Significant group differences were found on pain, fatigue, stiffness, and level of physical activity. Conclusions Study results support the existence of subgroups among the FM population based on levels of cognitive and physical performance and psychological symptoms. Implications for practice Nurse practitioners aware of potential subgroups within FM should be better prepared to recommend treatment options for patients that target subgroup characteristics (e.g., high vs. low levels of psychological symptoms).

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Predicting Which Older Adults Will or Will Not Fall Using the Fullerton Advanced Balance Scale

Cited by 147 publications

References 25 publications

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

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

An evaluation of a nurse-led rehabilitation programme (the ProBalance Programme) to improve balance and reduce fall risk of community-dwelling older people: A randomised controlled trial

Heterogeneity in fibromyalgia based upon cognitive and physical performance and psychological symptomology

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