The five-times-sit-to-stand-test (FTSST), the short version of the activities-specific balance confidence (ABC) scale, and fear of falling predict step execution time (SET) in older adults

2012 ◽  
Vol 54 (3) ◽  
pp. 434-438 ◽  
Author(s):  
Allon Goldberg
Keyword(s):  
Older Adults ◽  
Execution Time ◽  
Fear Of Falling ◽  
Short Version ◽  
Stand Test ◽  
Balance Confidence ◽  
Sit To Stand ◽  
Abc Scale

Effect of a Community-Based Argentine Tango Dance Program on Functional Balance and Confidence in Older Adults

2008 ◽  
Vol 16 (4) ◽  
pp. 435-453 ◽  
Author(s):  
Patricia McKinley ◽  
Allison Jacobson ◽  
Alain Leroux ◽  
Victoria Bednarczyk ◽  
Michel Rossignol ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Fear Of Falling ◽  
The Elderly ◽  
Epidemiologic Studies ◽  
Argentine Tango ◽  
Balance Confidence ◽  
Functional Balance ◽  
Sit To Stand ◽  
Walking Programs ◽  
Abc Scale

Tango-dancing and walking programs are compared in nondemented seniors at risk for falls. Fallers (N= 30) age 62–91 were randomly assigned to a 10-wk (40 hr, 2 hr 2×/wk) tango class or walk group. The Activities-specific Balance Confidence (ABC) scale, sit-to-stand scores, and normal and fast walk were measured pre-, post-, and 1 month postintervention. Two-way repeated-measures ANOVAs indicated a significant main effect (p< .01) for time on all measures. Group and interaction effects for ABC led to improvement only in tango because of high baseline mean for the walk group. Clinical improvements measured using Established Populations for Epidemiologic Studies of the Elderly scoring were greater for the tango group. From these preliminary results it is suggested that although both interventions are effective activities for increasing strength and walk speed, tango might result in greater improvements than walking in balance skills and in walking speed in the 10-wk intervention. The study needs to be repeated with a greater sample size to determine the effectiveness of walking on fear of falling.

scholarly journals Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults

Robotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 101
Author(s):  
Lara A. Thompson ◽  
Mehdi Badache ◽  
Joao Augusto Renno Brusamolin ◽  
Marzieh Savadkoohi ◽  
Jelani Guise ◽  
...  
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Robotic System ◽  
Control Group ◽  
Support Surface ◽  
Training Methods ◽  
Robotic Training ◽  
Balance Confidence ◽  
Balance Ability ◽  
Abc Scale

For the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance performance and balance confidence in older adults. Sixteen healthy older participants (69.7 ± 6.7 years old) were trained while donning a harness from a distinctive NaviGAITor robotic system. A control group of 11 healthy participants (68.7 ± 5.0 years old) underwent the same training but without the robotic system. Training included 6 weeks of standing and walking tasks while modifying: (1) sensory information (i.e., with and without vision (eyes-open/closed), with more and fewer support surface cues (hard or foam surfaces)) and (2) base-of-support (wide, tandem and single-leg standing exercises). Prior to and post-training, balance ability and balance confidence were assessed via the balance error scoring system (BESS) and the Activities specific Balance Confidence (ABC) scale, respectively. Encouragingly, results showed that balance ability improved (i.e., BESS errors significantly decreased), particularly in the nBWS group, across nearly all test conditions. This result serves as an indication that robotic training has an impact on improving balance for healthy aging individuals.

scholarly journals Clinical Measurement of Sit-to-Stand Performance in People With Balance Disorders: Validity of Data for the Five-Times-Sit-to-Stand Test

2005 ◽  
Vol 85 (10) ◽  
pp. 1034-1045 ◽  
Author(s):  
Susan L Whitney ◽  
Diane M Wrisley ◽  
Gregory F Marchetti ◽  
Michael A Gee ◽  
Mark S Redfern ◽  
...  
Keyword(s):  
Clinical Decision Making ◽  
Clinical Decision ◽  
Balance Disorders ◽  
Stand Test ◽  
Balance Confidence ◽  
Sit To Stand ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Confidence Scale ◽  
Better Than

Abstract Background and Purpose. People with balance disorders are characterized as having difficulty with transitional movements, such as the sit-to-stand movement. A valid and feasible tool is needed to help clinicians quantify the ability of people with balance disorders to perform transitional movements. The purpose of this study was to describe the concurrent and discriminative validity of data obtained with the Five-Times-Sit-to-Stand Test (FTSST). The FTSST was compared with the Activities-specific Balance Confidence Scale (ABC) and the Dynamic Gait Index (DGI). Subjects and Methods. Eighty-one subjects without balance disorders and 93 subjects with balance disorders were recruited for the study. Each subject was asked to stand from a 43-cm-high chair 5 times as quickly as possible. The ABC and DGI scores were recorded. Results. Subjects with balance disorders performed the FTSST more slowly than subjects without balance disorders. Discriminant analysis demonstrated that the FTSST correctly identified 65% of subjects with balance dysfunction, the ABC identified 80%, and the DGI identified 78%. The ability of the FTSST to identify subjects with balance dysfunction was better for subjects younger than 60 years of age (81%). Discussion and Conclusion. The FTSST displays discriminative and concurrent validity properties that make this test potentially useful in clinical decision making, although overall the ABC and the DGI are better than the FTSST at discriminating between subjects with and subjects without balance disorders.

scholarly journals Proposing Development and Utility of a Mobility Composite Measure in Patients with a Neurologic Disorder

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Chad Swank ◽  
Sattam Almutairi ◽  
Ann Medley
Keyword(s):  
Outcome Measures ◽  
Walk Test ◽  
Composite Measure ◽  
Balance Confidence ◽  
Sit To Stand ◽  
Neurologic Disorders ◽  
The Individual ◽  
Abc Scale ◽  
A Prospective Study ◽  
10 Meter Walk Test

Background. Outcome measures typically assess single domains making holistic assessment difficult. Our purpose was to develop a mobility composite measure (MCM) based on four commonly used outcome measures and compare this composite score to the individual measures in patients with neurologic disorders.Methods. We retrospectively reviewed 148 medical records for inclusion of primary neurologic diagnosis and scoring for 5 times sit-to-stand test (5TSST), 10-meter walk test (10MWT), 2-minute walk test (2MWT), and activities-specific balance confidence (ABC) scale.Results. After establishing that a single concept was being assessed with interitem correlations, raw scores were converted to percentage of normal and combined into the MCM for analysis from admission to discharge. Scores on each measure significantly improved after intervention (5TSST,p<.001; 10MWT,p<.001; 2MWT,p<.001; ABC,p=.02). Mean MCM (n=93) admission scores were67.55±31.88% and discharge scores were74.81±34.39% (p=.002). On average, patients improved 7.26% on the MCM exceeding the threshold of expected error (MDC95= 3.59%).Conclusions. MCM detected change in patient outcomes statistically and clinically and appears to capture a holistic picture of functional status. We recommend a prospective study to further investigate a “composite measure” incorporating measures from several functional domains.

scholarly journals Comparing the short and original versions of the Activities-specific Balance Confidence (ABC) scale in older adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 790-790
Author(s):  
Chad Tiernan ◽  
Allon Goldberg
Keyword(s):  
Older Adults ◽  
Correlation Coefficient ◽  
Strong Association ◽  
Secondary Analysis ◽  
Community Dwelling ◽  
Tool Selection ◽  
Balance Confidence ◽  
Confidence Assessment ◽  
Abc Scale ◽  
Primary Predictor

Abstract Balance confidence assessment in older adults has implications for falls and quality of life. It remains unclear whether the original Activities-specific Balance Confidence (ABC-16) scale or the shortened 6-item (ABC-6) scale is recommended. To further inform the decision-making process of balance confidence tool selection, a secondary analysis of an existing dataset consisting of 77 community-dwelling older adults was performed. ABC-16 and ABC-6 association and agreement, internal consistencies, and relationships with self-rated health (SRH) were assessed. Participants were primarily female (80.5%) between the ages of 60 and 87 years. Results indicated a strong association between the scales [r = .97, p&lt;.001); ICC(2,1) = .80] but limited agreement (95% Limits of Agreement range = 22.1; mean difference of 7.2 points in the direction of the ABC-16). Cronbach’s alphas were .95 (ABC-16) and .89 (ABC-6), suggesting high internal consistency for both scales but possible item redundancy with the ABC-16. Regression model 1 (ABC-6 = primary predictor) explained more of the variance (R2=.36) in SRH compared to model 2 (ABC-16 = primary predictor; R2=.29). Hotelling’s t-test [t(74)=2.4, p=.008] indicated that the correlation coefficient (Multiple R) from the ABC-6 model was significantly higher than the correlation coefficient from the ABC-16 model. In conclusion, despite a high correlation, the two scales did not agree strongly and should not be considered interchangeable. Given that the ABC-16 takes longer to administer, does not relate to SRH as strongly, and could have redundant items, the ABC-6 should be considered for balance confidence assessment in older adults.

75 Functional Mobility and Balance Confidence as Correlates of Fall Risk in Older Adults Attending a Primary Health Care Clinic

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27
Author(s):  
Pavapriya Ponvel ◽  
Devinder Kaur Ajit Singh ◽  
Ee San Ng ◽  
Sheela Bai Pannir Selvam
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Fall Risk ◽  
Functional Mobility ◽  
Care Clinic ◽  
Balance Confidence ◽  
Primary Health Care Clinic ◽  
Primary Health ◽  
Abc Scale

Abstract Background Fall is one of the leading cause of unintentional injury among older adults. Information regarding functional mobility and balance confidence as correlates of fall risk in older adults attending a primary health care clinic is limited. This information is vital for fall screening and prevention. We aimed to examine if functional mobility and balance confidence were correlates of fall risk in older adults attending a primary health care clinic. Methods 106 older adults (≥60 years old) attending a primary health care clinic at Cheras, Malaysia participated in this cross-sectional study. Socio-demographic details and falls history were obtained using a structured questionnaire. Functional mobility and balance confidence were assessed using Timed Up and Go (TUG) test and Activities-Specific Balance Confidence (ABC) scale respectively. Fallers were categorised based on history of at least a fall in the past 12 months. Differences between faller and non-faller groups were distinguished using Independent T and Mann Whitney tests. Binomial logistic regression and receiver operating curve were performed to identify if functional mobility and balance confidence were correlates of falls risk and the cut off values for measures were obtained. Results TUG test and ABC scores differed significantly between the two groups (p&lt; 0.05). Both TUG test and ABC scale were identified as correlates of falls risk with r, R2 of 0.98, 0.26 (p&lt; 0.001) and 0.95, 0.12 (p&lt; 0.05) respectively. Cut off value of 9.02 seconds and above for TUG test and 82.81% and below for ABC score were identified as risk factor of falls among older adults. Conclusion The cut off values obtained from our study can be used as reference to screen older adults at risk of falls in Malaysian primary health care settings. Early fall risk screening and management is a part of falls prevention strategy in older adults.

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