Factors Influencing Balance in Healthy Community-dwelling Women Age 60 and Older

Nemmers, Theresa M.; Miller, Janice Williams

doi:10.1519/00139143-200831030-00003

Cited by 30 publications

(7 citation statements)

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“…The full BESTest and brief-BESTest have not previously been studied in relation to the TUG or SLS, but the mini-BESTest has been shown to be associated with both in individuals with chronic stroke [25]. Our findings for the relationship between BESTest scores and physical activity (r = 0.33-0.40) were also similar to previous reports of the association between the PASE and measures of balance in older adults (r = 0.33-0.38) [16,21] and in patients with COPD, in which the PASE showed similar correlations with the BESTest (r = 0.40) [6].…”

Section: Discussionsupporting

confidence: 88%

“…A moderate association between the ABC scale and other measures of balance has been shown previously in communitydwelling elderly (r = 0.54) [21]. Our results are also in line with research describing the relationship between the BESTest and the ABC scale in a variety of clinical populations (r = 0.69) [4] and with work showing a similar association (r = 0.66) between scores on the mini-BESTest and ABC scale in people with Parkinson's disease [22].…”

Section: Discussionsupporting

confidence: 61%

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Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years and older

et al. 2015

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 61%

Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years and older

et al. 2015

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“…19 In healthy, older individuals, risk factors for balance dysfunction include reduced physical activity, forward head posture, and increased age. 20 Adequate musculoskeletal health is necessary to maintain normal balance as reduced balance has been shown to be a risk factor for musculoskeletal injury and poorer balance scores are indicative of lower extremity injury. 21 , 22 Neurological conditions including multiple sclerosis, 23 , 24 Parkinson’s disease, 25 , 26 Alzheimer’s disease, 27 , 28 stroke, 29 , 30 essential tremor, 31 vertigo, 32 and traumatic brain injury and concussion 33 , 34 have been shown to cause significant balance impairments compared with controls.…”

Section: Discussionmentioning

confidence: 99%

K-D Balance: An objective measure of balance in tandem and double leg stances

Zhang

Talaber²,

Truong

et al. 2019

DIGITAL HEALTH

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Background and objectiveSubjective grade-based scoring balance assessments tend to be lengthy and have demonstrated poor repeatability and reliability. This study examined the reliability of a mobile balance assessment tool and differences in balance measurements between individuals at risk for a balance deficit secondary to a diagnosed neurological or musculoskeletal condition and a control group of healthy individuals. MethodsObjective balance testing was measured using K-D Balance on a compatible iPhone. Seventy-seven participants were enrolled (control group, n = 44; group at risk for balance deficits, n = 33). Mean and standard deviation of K-D Balance were recorded for each stance. Intra-rater reliability was calculated by repeating the trial.ResultsOverall balance scores were superior for the control group compared with the group at risk for balance deficits in double leg stance (mean (SD): 0.15 (0.12) versus 0.18 (0.13), p = 0.260), tandem stance right leg (mean (SD): 0.27 (0.17) versus 0.45 (0.49), p = 0.028), and tandem stance left leg (mean (SD): 0.26 (0.17) versus 0.35 (0.35), p = 0.136). Intra-rater reliability was good to excellent for K-D Balance double leg stance (intra-class correlation coefficient (ICC) = 0.80, 95% confidence interval (CI) 0.58–1.03), tandem stance right leg (ICC = 0.96, 95% CI 0.86–1.06) and tandem stance left leg (ICC = 0.98, 95% CI 0.95–1.0).ConclusionsK-D Balance revealed differences in balance performance between healthy individuals compared with individuals with neurological or musculoskeletal impairment. Objective balance measures may improve the accuracy and reliability of clinical balance assessment by detecting subtle differences in balance and aid in early detection of diseases that impair balance.

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“…The ABC-C consists of 16 items representing specific situations in daily life rated on a scale from 0% (no confidence) to 100% (complete confidence). The ABC has been validated for use with community-dwelling elderly [ 42 ] and people with various medical conditions, such as Parkinson’s disease [ 43 ] and stroke [ 44 , 45 ]. The ABC has also been translated into Chinese (Cantonese), and shows an excellent internal consistency (Cronbach’s alpha = .97) and a high test-retest reliability (intraclass correlation coefficient = .99) [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a combination of cognitive behavioral therapy and task-oriented balance training in reducing the fear of falling in patients with chronic stroke: study protocol for a randomized controlled trial

Liu

2018

Trials

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BackgroundThe consequences of falls are devastating for patients with stroke. Balance problems and fear of falling are two major challenges, and recent systematic reviews have revealed that habitual physical exercise training alone cannot reduce the occurrence of falls in stroke survivors. However, recent trials with community-dwelling healthy older adults yielded the promising result that interventions with a cognitive behavioral therapy (CBT) component can simultaneously promote balance and reduce the fear of falling. Therefore, the aim of the proposed clinical trial is to evaluate the effectiveness of a combination of CBT and task-oriented balance training (TOBT) in promoting subjective balance confidence, and thereby reducing fear-avoidance behavior, improving balance ability, reducing fall risk, and promoting independent living, community reintegration, and health-related quality of life of patients with stroke.MethodsThe study will constitute a placebo-controlled single-blind parallel-group randomized controlled trial in which patients are assessed immediately, at 3 months, and at 12 months. The selected participants will be randomly allocated into one of two parallel groups (the experimental group and the control group) with a 1:1 ratio. Both groups will receive 45 min of TOBT twice per week for 8 weeks. In addition, the experimental group will receive a 45-min CBT-based group intervention, and the control group will receive 45 min of general health education (GHE) twice per week for 8 weeks. The primary outcome measure is subjective balance confidence. The secondary outcome measures are fear-avoidance behavior, balance ability, fall risk, level of activities of daily living, community reintegration, and health-related quality of life.DiscussionThe proposed clinical trial will compare the effectiveness of CBT combined with TOBT and GHE combined with TOBT in promoting subjective balance confidence among chronic stroke patients.We hope our results will provide evidence of a safe, cost-effective, and readily transferrable therapeutic approach to clinical practice that reduces fear-avoidance behavior, improves balance ability, reduces fall risk, promotes independence and community reintegration, and enhances health-related quality of life.Trial registrationClinicalTrials.gov, NCT02937532. Registered on 17 October 2016.

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Factors Influencing Balance in Healthy Community-dwelling Women Age 60 and Older

Cited by 30 publications

References 0 publications

Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years and older

Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years and older

K-D Balance: An objective measure of balance in tandem and double leg stances

Effectiveness of a combination of cognitive behavioral therapy and task-oriented balance training in reducing the fear of falling in patients with chronic stroke: study protocol for a randomized controlled trial

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