Predictive Ability of the Three-Time Stand and Walk Test to Determine Frailty and its Associations with Fear of Falling and Cognitive Function in Community-Dwelling Older Adults

Kumfu, Sirintip; Poncumhak, Puttipong

doi:10.4235/agmr.22.0072

Cited by 3 publications

(3 citation statements)

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“…Among all the tests, it was found that the TTSW had the highest predictive value, followed by the SLS, both of which had outstanding predictive abilities. The TTSW is very challenging and demanding for muscles in the lower extremities, and for assessing balance control and walking ability [ 16 ]. While the SLS is a test that reduces the base of support and appears to be a simple test, it is actually a very difficult task for older individuals who need to maintain posture in a stationary position on the narrow base of support for as long as they can.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the TTSW we previously developed has excellent reliability (ICCs = 0.991; 95% CI = 0.984 to 0.996) [ 14 ]. The outcome of the test is used to indicate the risk of falling and frailty in older individuals [ 15 , 16 ]. Other balance tests, including FRT and SLS, have been reported to be useful for detecting balance impairment in the older individuals [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Ability of Static and Dynamic Balance Tests to Determine the Risk of Falls among Older Community-Dwelling Individuals

Poncumhak

Srithawong

Duangsanjun

et al. 2023

JFMK

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This study aimed to examine the validity of balance tests and compare their diagnostic accuracy to determine the risk of falls among older community-dwelling individuals. Eighty-five older participants were assessed based on their demographics and fall data. They were then assessed for the ability to perform balance measures, including five times sit-to-stand tests (FTSSTs), timed up and go tests (TUGs), three times stand and walk tests (TTSWs), functional reach tests (FRTs), and single-leg stance tests (SLSs). The correlation between fall data and balance measures was found to be significant for all parameters (p < 0.05). The TTSW showed the highest level of ability to indicate the risk of falls among older community-dwelling adults with sensitivity = 92.68%, specificity = 84.09%, and AUC = 0.931 (95%CI = 0.860 to 1.000). These findings confirm the benefits of the practical functional balance measures to determine the risk of falls among older community-dwelling individuals.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the Ability of Static and Dynamic Balance Tests to Determine the Risk of Falls among Older Community-Dwelling Individuals

Poncumhak

Srithawong

Duangsanjun

et al. 2023

JFMK

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“…1) Falls are a major public health issue in community-dwelling older adults, resulting in a lower quality of life and dependency. 2,3) In particular, impaired balance and sensory perception, leg muscle weakness, and decreased agility have been proposed as major risk factors for falls and increased fear of falling. [3][4][5] Previous research identified moder-been used to improve balance ability and reduce the rate of falling in older adults.…”

Section: Introductionmentioning

confidence: 99%

Integrated Effects of Thai Essential Oil and Balance Exercise on Parameters associated with Falls in Older Adults at Risk of Falling: A Randomized Controlled Study

Areeudomwong

Duangyod

Sutalangka

et al. 2023

Ann Geriatr Med Res

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Background: Reducing the risk of falling by improving balance and leg strength may be a preventive strategy. This study evaluated the integrated effects of Thai essential oil and balance exercises on parameters associated with Falls in community-dwelling older adults at risk of falling.Methods: Fifty-six participants were randomly allocated to either the intervention group (IG), which performed balance exercises while smelling Thai essential oil scents of Zanthoxylum limonella (Dennst.) Alston, or the control group (CG), which performed balance exercises while receiving a control patch. Balance exercises were practiced for 12, 30-minute sessions over 4 weeks. Static and dynamic balance with eyes open and eyes closed (EC), leg muscle strength, agility, and fear of falling were assessed at baseline, after the 4-week intervention, and at 1 month after the last intervention session.Results: Both groups showed significant improvements in static and dynamic balance, ankle plantarflexor strength, and agility after the 4-week intervention (p<0.05), which persisted at the 1-month follow-up (p<0.05). Compared to the CG, the IG demonstrated significantly better static balance in terms of elliptical sway area (p=0.04) and center of pressure (CoP) velocity (p=0.001) during EC, as well as ankle plantarflexor strength (p=0.01). The IG also maintained a significantly greater improvement in CoP velocity during EC (p=0.01).Conclusion: Integrated Thai essential oil and balance exercises improved static balance and ankle plantarflexor strength compared to the balance exercise with a control patch in older adults at risk of falling.

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Association between Gait Speed and Balance Disorders in Older Adults from 12 High Andean Peruvian Communities, 2013–2019

Oliva-Zapata,

Ururi-Cupi,

Salazar-Talla

et al. 2024

Ann Geriatr Med Res

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Background: Gait speed is associated with a higher prevalence of balance disorders in older adults residing at high altitudes. This study investigated this association in older adults from 12 high-altitude Andean Peruvian communities. Methods:We performed a secondary data analysis from an analytical cross-sectional study of adults >60 years of age, residing in 12 high-altitude Andean Peruvian communities, enrolled between 2013 and 2019. The exposure and outcome variables were gait speed (categorized in tertiles), and balance disorders (defined as a functional reach value of ≤20.32 cm), respectively. We built generalized linear models of the Poisson family with a logarithmic link function and robust variances, and estimated crude prevalence ratios (cPR) and adjusted prevalence ratios (aPR) with 95% confidence intervals (CIs). Results:We analyzed 418 older adults; 38.8% (n=162) were male, and the mean age was 73.2 ± 6.9 years. The mean gait speed and functional reach were 0.66 ± 0.24 m/s and 19.9 ± 6.48 cm, respectively. In the adjusted regression model, the intermediate (aPR=1.88; 95% CI: 1.39-2.55; p<0.001) and low (aPR=2.04; 95% CI: 1.51-2.76; p<0.001) tertiles of gait speed were associated with a higher prevalence of balance disorders. Conclusions:The intermediate and low tertiles of gait speed were associated with a higher prevalence of balance disorders among older adult residents of 12 high-altitude Andean communities. We recommend further research on the behavior of this association to propose interventions for these vulnerable groups and reduce the impact of geriatric conditions.

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Predictive Ability of the Three-Time Stand and Walk Test to Determine Frailty and its Associations with Fear of Falling and Cognitive Function in Community-Dwelling Older Adults

Abstract: Research protocols of the study were approved by the institutions' human research ethics committees (Ethics Committee reference number: 2/064/61).

Cited by 3 publications

References 36 publications

Comparison of the Ability of Static and Dynamic Balance Tests to Determine the Risk of Falls among Older Community-Dwelling Individuals

Comparison of the Ability of Static and Dynamic Balance Tests to Determine the Risk of Falls among Older Community-Dwelling Individuals

Integrated Effects of Thai Essential Oil and Balance Exercise on Parameters associated with Falls in Older Adults at Risk of Falling: A Randomized Controlled Study

Association between Gait Speed and Balance Disorders in Older Adults from 12 High Andean Peruvian Communities, 2013–2019

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