Use of the “Fast Evaluation of Mobility, Balance, and Fear” in Elderly Community Dwellers: Validity and Reliability

Fabio, Richard P. Di; Seay, Russell E.

doi:10.1093/ptj/77.9.904

Cited by 43 publications

(17 citation statements)

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“…Our finding of a modest association between psychosocial variables and FOC performance suggests a connection between psychological state and physical/functional performance. This has important implications because better performance on functional balance and mobility tests is associated with fewer physical and functional limitations and a lower risk of falls [50][51].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial effects of an exercise program in older persons who fall

Means¹,

O’Sullivan²,

Rodell³

2003

JRRD

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Abstract-Falling is associated with psychosocial sequelae that may influence functional performance and fall risk. Exercise can improve psychosocial factors. To address the research questions (1) Do psychosocial variables differ among persons with and without falls? and (2) Among persons who fall, can exercise improve psychosocial variables? we evaluated psychosocial and functional performance variables in older persons with and without recent falls. A pretest and posttest design with a nonequivalent control group was used. Community-residing elderly individuals participated, 66 had falls in the past year (fallers) and 77 had no falls (nonfallers). Participants completed measures of self-esteem, depression, psychological impact, and functional performance at baseline and 6 weeks. Baseline descriptive characteristics for fallers and nonfallers were similar. Fallers then completed a 6-week exercise program. Exercise benefited fallers' self-esteem, depression, mobility, social role, social activity, and anxiety. Nearly 40% of fallers were clinically depressed before exercise and 24% were depressed after (p = 0.04). Psychosocial variables correlated significantly with quality of functional performance (p < 0.019). Among fallers, moderate exercise produced a significant improvement in psychosocial variables and functional performance (p < 0.045).

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Section: Discussionmentioning

confidence: 99%

Psychosocial effects of an exercise program in older persons who fall

Means¹,

O’Sullivan²,

Rodell³

2003

JRRD

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“…Possessing the ability to maintain various positions, to respond automatically to voluntary movements of the body and extremities, and to react to external perturbations represents a postural control domain required in daily life (2), and can be measured by some instruments for functional balance assessment (3)(4)(5)(6)(7)(8)(9) such as the Berg balance scale (2). However, no report regarding instruments for functional balance assessment is available in the Portuguese language in the scientific literature.…”

Section: Introductionmentioning

confidence: 99%

Brazilian version of the Berg balance scale

Miyamoto

Lombardi

Berg

et al. 2004

Braz J Med Biol Res

478

212

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The purpose of the present study was to translate and adapt the Berg balance scale, an instrument for functional balance assessment, to Brazilian-Portuguese and to determine the reliability of scores obtained with the Brazilian adaptation. Two persons proficient in English independently translated the original scale into Brazilian-Portuguese and a consensus version was generated. Two translators performed a back translation. Discrepancies were discussed and solved by a panel. Forty patients older than 65 years and 40 therapists were included in the cultural adaptation phase. If more than 15% of therapists or patients reported difficulty in understanding an item, that item was reformulated and reapplied. The final Brazilian version was then tested on 36 elderly patients (over age 65). The average age was 72 years. Reliability of the measure was assessed twice by one physical therapist (1-week interval between assessments) and once by one independent physical therapist. Descriptive analysis was used to characterize the patients. The intraclass correlation coefficient (ICC) and Pearson's correlation coefficient were computed to assess intra-and interobserver reliability. Six questions were modified during the translation stage and cultural adaptation phase. The ICC for intra-and interobserver reliability was 0.99 (P < 0.001) and 0.98 (P < 0.001), respectively. The Pearson correlation coefficient for intra-and interobserver reliability was 0.98 (P < 0.001) and 0.97 (P < 0.001), respectively. We conclude that the Brazilian version of the Berg balance scale is a reliable instrument to be used in balance assessment of elderly Brazilian patients.

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“…All the above-mentioned assessment scales lack a multidimensional approach, by not taking interactive factors, such as pain and insecurity, into account in the assessments. However, the Fast Evaluation of Mobility, Balance and Fear (FEMBAF) 24 includes mobility, fear of falling and pain, but not functions referring to the upper limbs. The FEMBAF is a mainly performance-based screening tool for the risk of falls in ambulatory older community dwellers.…”

Section: Introductionmentioning

confidence: 99%