Discrepancies between balance confidence and physical performance among community-dwelling Korean elders: a population-based study

Ko, Young Mi; Park, Won Beom; Lim, Jae‐Young; Kim, Ki Woong; Paik, Nam–Jong

doi:10.1017/s1041610209009077

Cited by 19 publications

(8 citation statements)

References 38 publications

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“…And psychological factors also constitute an important element of the balance control system. Research has shown that balance confidence is related to performance in many aspects of daily living (Carpenter et al 2006;Ko et al 2009) and that those with a history of falls have less confidence in their balance (Lajoie and Gallagher 2004).…”

Section: Introductionmentioning

confidence: 99%

Golfers have better balance control and confidence than healthy controls

2011

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In a well-executed golf swing, golfers must maintain good balance and precise control of posture. Golfing also requires prolonged walking over uneven ground such as a hilly course. Therefore, repeated golf practice may enhance balance control and confidence in the golfers. The objective is to investigate whether older golfers had better balance control and confidence than non-golfing older, healthy adults. This is a cross-sectional study, conducted at a University-based rehabilitation center. Eleven golfers and 12 control subjects (all male; mean age: 66.2 ± 6.8 and 71.3 ± 6.6 years, respectively) were recruited. Two balance control tests were administered: (1) functional reach test which measured subjects' maximum forward distance in standing; (2) sensory organization test (SOT) which examined subjects' abilities to use somatosensory, visual, and vestibular inputs to control body sway during stance. The modified Activities-specific Balance Confidence (ABC) determined subject's balance confidence in daily activities. The golfers were found to achieve significantly longer distance in the functional reach test than controls. They manifested significantly better balance than controls in the visual ratio and vestibular ratio, but not the somatosensory ratio of the SOT. The golfers also reported significantly higher balance confidence score ratios. Furthermore, older adults' modified ABC score ratios showed positive correlations with functional reach, visual and vestibular ratios, but not with somatosensory ratio. Golfing is an activity which may enhance both the physical and psychological aspects of balance control. Significant correlations between these measures reveal the importance of the balance control under reduced or conflicting sensory conditions in older adults' balance confidence in their daily activities. Since cause-and-effect could not be established in the present cross-sectional study, further prospective intervention design is warranted.

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Section: Introductionmentioning

confidence: 99%

Golfers have better balance control and confidence than healthy controls

2011

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“…This moderate relationship between the POMA-B and BBS has been shown in other studies that have assessed the validity of the POMA in diverse populations. Ko et al [25] reported a moderate to high relationship between POMA, POMA-B, POMA-G and the activities specific balance confidence scores in Korean older adults evaluated with activities specific balance confidence scale (ABC), POMA, activities of daily living (ADL), and instrumental activities of daily living (IADL). Another investigation by Lin et al [26] in community-dwelling older adults demonstrated a moderate association between POMA-B and older adults' resources and services ADL scale.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis

Parveen

Noohu

2017

Hong Kong Physiotherapy Journal

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Objective: The objective of this study was to determine the psychometric properties of the Tinetti Performance-Oriented Mobility Assessment (POMA) scale to measure balance and gait impairments in individuals with knee osteoarthritis (OA). Methods: A convenient sample of 25 individuals with bilateral OA knee were recruited. The convergent validity was determined by correlation analysis between scores of Berg Balance Scale (BBS) with balance subscale (POMA-B) and the Timed Up and Go Test (TUGT) with gait subscale (POMA-G). The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined. Results: Score of BBS was significantly correlated with POMA-B scores, r s = 0.63, p = 0.001, whereas TUGT showed a negative correlation with POMA-G, r s = −0.481, p = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G. Conclusion: The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.

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“…This discrepancy between confidence in the ability to manage falls and observed performance during a fall risk assessment was specifically observed in a study of community-dwelling adults over 50 years old in Korea. 58 Because the FCS and FMS measure participants' perception of their ability to control falls, and not the actual function, perhaps only the perceptions of ability increase when cognitive functioning is impaired. One explanation for this discrepancy between reported perceived ability and observed ability is that people with cognitive impairments do not understand the self-report questionnaires despite the administration and clarification by researchers.…”

Section: Cognitive Functioning As a Predictive Factor For Fall Efficacymentioning

confidence: 99%

Predictors of Functional Improvements After Therapeutic Yoga Intervention for People with Parkinson’s Disease

Adams

Puymbroeck

Walter³

et al. 2019

International Journal of Yoga Therapy

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Parkinson's disease (PD) affects nearly 10 million people worldwide, leading to decreased mobility and balance and potential loss of independence. Yoga has been associated with improved function for people with PD, but the predictive factors for improved functional outcomes as a result of yoga participation remain unexamined. The objective of this secondary data analysis was to identify predictive factors of functional improvement for people with PD after an 8-week yoga intervention. Stepwise multiple linear regression was used to identify significant predictors of improvement in balance, fall control, PD symptoms, and activity constraints. Lower cognitive functioning was predictive of improvement in perceived control over falls, body responsiveness was predictive of improvement in PD-specific symptoms, and gait velocity was predictive of improvement in balance and activity constraints. Future research is warranted to evaluate the use of screeners to predict who is the best fit for yoga therapy. Additional research is needed to evaluate the need to include cognitive self-management training concurrent with yoga therapy.

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Discrepancies between balance confidence and physical performance among community-dwelling Korean elders: a population-based study

Cited by 19 publications

References 38 publications

Golfers have better balance control and confidence than healthy controls

Golfers have better balance control and confidence than healthy controls

Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis

Predictors of Functional Improvements After Therapeutic Yoga Intervention for People with Parkinson’s Disease

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