Relationship of the sacral slope with early gait derangements in robust older women

Abstract Background Trunk pelvic dissociation is fundamental to the compensatory mechanism for muscle weakness during body bending. We carried out an early investigation of gait changes in a sample of community-dwelling women ≥60 years without gait complaints. The primary objective was to correlate spine and pelvic angles with performance tests and accelerometry parameters. The secondary objective was to correlate performance tests with accelerometry. Methods In this cross-sectional study, 54 community-dwelling women ≥60 years were subjected to Falls Efficacy Scale-International (FES-I), performance tests (Berg Balance Scale, Timed Up and Go, and Gait analysis), and radiographic analysis of sagittal alignment (Thoracic and Lumbar Cobb, Pelvic Incidence, Sacral Slope, and Pelvic Tilt angles). Gait speed was assessed in a 10-m comfortable walk, and accelerometry parameters were obtained in a 30-m walk distance. Results The sample, aged 72 ± 6 years, exhibited moderate correlation between Sacral Slope and Step Length (+ 0.615). Sacral Slope weakly correlated with FES-I (− 0.339), Berg Balance Scale (+ 0.367), and with further accelerometry data in the AP plane: RMS, (+ 0.439) and Stride Regularity (+ 0.475), p < 0.05, all. Lumbar Cobb weakly correlated with the following accelerometry data in the AP plane: Step Length (+ 0.405), RMS, (+ 0.392), and Stride Regularity (+ 0.345), p < 0.05, all. Additionally, Stride Regularity in AP moderately correlated with FES-I (0,561, p < 0.05), among other weak correlations between performance tests and accelerometry data in AP. Conclusions Early alterations in Sacral Slope and gait abnormalities in the AP plane may provide understanding of the early gait changes in robust older women.

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The Effects of a Divided-Attention Timed Stepping Accuracy Task on Balance, Strength, Endurance, and Functional Performance in Healthy Older Adults: A Pilot Study

Journal of Aging and Physical Activity ◽

10.1123/japa.2018-0010 ◽

2019 ◽

Vol 27 (4) ◽

pp. 521-528 ◽

Cited By ~ 1

Author(s):

Susan J. Leach ◽

Joyce R. Maring ◽

Ellen Costello

Keyword(s):

Older Adults ◽

Divided Attention ◽

Functional Performance ◽

Step Length ◽

Berg Balance Scale ◽

Primary Outcome Measure ◽

Community Dwelling ◽

Timed Up And Go ◽

Healthy Older Adults ◽

Stepping Accuracy

The aim of this study was to investigate whether a 6-week Divided-Attention Stepping Accuracy Task (DATSAT) intervention improved the primary outcome measure, maximal step length; other balance measures (Berg Balance scale and Timed Up and Go test); leg strength; endurance (6-min walk test); and functional tasks in 15 community-dwelling healthy older adults (age: 71.5 years, female: 46.7%) compared with 15 community-dwelling healthy older adults in a Bike and Strength (B&S) program (age: 73.8 years, female: 33.3%). Participants trained 3× per week, 30–60 min per session. Stepping-group differences were significant for all measures. B&S group improved in maximal step length (anterior and lateral), strength, and one functional task. Stepping group outperformed B&S group in Timed Up and Go and maximal step length posterior. B&S group outperformed stepping group in two strength measures. Exertion scores were lower for the stepping group. Overall, Divided-Attention Timed Stepping Accuracy Task training resulted in more within-group improvements and two between-group measures with less perceived effort and shorter intervention times.

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Functional Balance Assessment of Older Community Dwelling Adults: A Systematic Review of the Literature

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2007.1174 ◽

2007 ◽

Cited By ~ 1

Author(s):

Felicity Langley ◽

Shylie Mackintosh

Keyword(s):

Older Adults ◽

Concurrent Validity ◽

Berg Balance Scale ◽

Community Dwelling ◽

Balance Assessment ◽

Timed Up And Go ◽

Functional Balance ◽

Balance Scale ◽

Balance Tests ◽

Community Dwelling Older Adults

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before January 2007, assessing the use of these functional balance tests with community dwelling adults aged 65 years or above were included. The CINAHL, MEDLINE, Ageline, Amed, PubMed, Cochrane library, PEDro and Joanna Briggs Institute databases were searched. The methodological quality of studies was assessed using a checklist criteria adapted from the Cochrane Working Group for Screening and Diagnostic Tests. Results: Eight databases were searched and 21 studies were included. The majority of studies demonstrated low to moderate methodological quality scores. Despite limitations reported for clinical application with community dwelling older adults, the Berg Balance Scale and the Timed Up and Go Test have been most rigorously tested. Reliability and concurrent validity of the Balance Screening Tool and the Fullerton Advanced Balance Scale had also been established in this population, however only one study was retrieved for each. Conclusion: The Berg Balance Scale and Timed Up and Go Test have published reliability, validity with community dwelling older adults. Further testing of other functional balance tests is required to establish their reliability and validity in this target population.

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Revisão de dois instrumentos clínicos de avaliação para predizer risco de quedas em idosos

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/s1809-98232014000100017 ◽

2014 ◽

Vol 17 (1) ◽

pp. 177-189 ◽

Cited By ~ 8

Author(s):

Juliana Hotta Ansai ◽

Soraia Fernandes das Neves Glisoi ◽

Tamara de Oliveira ◽

Aline Thomaz Soares ◽

Kelem de Negreiros Cabral ◽

...

Keyword(s):

Berg Balance Scale ◽

Timed Up And Go ◽

Balance Scale

Introdução: Quedas são um problema clínico comum nos idosos, que pode reduzir sua mobilidade e independência. O uso de instrumentos simples para detecção do risco de quedas é fundamental para prevenção e tratamento de tais eventos. Não há, porém, consenso quanto aos testes mais adequados para cada situação. Objetivo: Revisar estudos sobre eficácia, sensibilidade e especificidade dos testes Timed Up and Go Test e Berg Balance Scale, a fim de verificar qual é o mais apropriado para predizer quedas em idosos. Métodos: Realizou-se revisão bibliográfica nas bases de dados MEDLINE, PubMed, ISI, LILACS e Portal de Periódicos CAPES, entre os anos de 2001 e 2011. Resultados: Foram selecionados 37 artigos, sendo 17 sobre a Berg Balance Scale e 20 sobre o Timed Up and Go Test. A revisão mostrou que os dois testes podem ser bons preditores de quedas, mas os artigos diferiram quanto à definição de queda e caidor, tipo de estudo, quantidade e característica da amostra e avaliação de quedas, levando a diferentes resultados quanto a nota de corte, sensibilidade, especificidade e predição de quedas. Há controvérsias quanto à capacidade de predição em perfis específicos, como os idosos ativos. Conclusão: Os testes avaliados são eficazes para predição de quedas, desde que adaptados para cada perfil. Novos estudos devem ser realizados com metodologia homogênea, a fim de favorecer a comparação de resultados sobre a eficácia desses testes.

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Measures of adult general performance tests: The Berg Balance Scale, Dynamic Gait Index (DGI), Gait Velocity, Physical Performance Test (PPT), Timed Chair Stand Test, Timed Up and Go, and Tinetti Performance-Oriented Mobility Assessment (POMA)

Arthritis & Rheumatism ◽

10.1002/art.11411 ◽

2003 ◽

Vol 49 (S5) ◽

pp. S28-S42 ◽

Cited By ~ 46

Author(s):

Karen W. Hayes ◽

Marjorie E. Johnson

Keyword(s):

Performance Test ◽

Berg Balance Scale ◽

Gait Velocity ◽

Performance Tests ◽

Physical Performance Test ◽

Timed Up And Go ◽

Chair Stand ◽

Mobility Assessment ◽

Dynamic Gait Index ◽

Dynamic Gait

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A comparison of the ceiling effect between Berg Balance Scale and Mini-BESTest in a group of balance trained community-dwelling older adults

Physiotherapy Quarterly ◽

10.5114/pq.2018.73368 ◽

2017 ◽

Vol 25 (2) ◽

pp. 3-9 ◽

Cited By ~ 1

Author(s):

Barbara Ban ◽

France Sevšek ◽

Darja Rugelj

Keyword(s):

Older Adults ◽

Berg Balance Scale ◽

Ceiling Effect ◽

Community Dwelling ◽

Balance Scale ◽

Community Dwelling Older Adults

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Comparison of the Berg Balance Scale and Fullerton Advanced Balance Scale to predict falls in community-dwelling adults

Journal of Physical Therapy Science ◽

10.1589/jpts.29.232 ◽

2017 ◽

Vol 29 (2) ◽

pp. 232-234 ◽

Cited By ~ 9

Author(s):

Yong-Jin Jeon ◽

Gyoung-Mo Kim

Keyword(s):

Berg Balance Scale ◽

Community Dwelling ◽

Balance Scale

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Comparison of Mini-Bestest and Berg Balance Scale to Evaluate Balance Deficits in Community Dwelling Stroke Survivors

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2016.08.258 ◽

2016 ◽

Vol 97 (10) ◽

pp. e84

Author(s):

Alka Bishnoi ◽

Sangeetha Madhavan

Keyword(s):

Berg Balance Scale ◽

Community Dwelling ◽

Stroke Survivors ◽

Balance Scale ◽

Balance Deficits

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RISING FROM THE FLOOR IN PERSONS WITH PARKINSON’S DISEASE

Innovation in Aging ◽

10.1093/geroni/igz038.1768 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S474-S475

Author(s):

Dennis W Klima ◽

Jeremy Stewart ◽

Frank Freijomil ◽

Mary DiBartolo

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Physical Performance ◽

Performance Measure ◽

Community Dwelling ◽

Gait Velocity ◽

Performance Tests ◽

Motor Patterns ◽

Timed Up And Go ◽

Cross Sectional

Abstract While considerable research has targeted gait, balance and preventing falls in individuals with Parkinson’s disease (PD), less in known about the ability to rise from the floor in this population. The aims of this study were to 1) Examine the relationship between locomotion and physical performance tests and the timed supine to stand performance measure and to 2) Identify both the time required and predominant motor patterns utilized by persons with PD to complete to floor rise transition. A cross-sectional design was utilized. Twenty community-dwelling older adults with PD (mean age 74.8+/-9.5 years; 13 men) performed a standardized floor rise test and locomotion tests in a structured task circuit. Subject demographic and anthropometric data were also collected. Statistical analyses included descriptive statistics and Pearson Product Moment correlations. Fifteen subjects (75%) demonstrated the crouch kneel pattern and fourteen (70%) used an all-4’s strategy to rise to stand. The mean time to rise from the floor was 14.9 (+/- 7.6) seconds and slower than published norms for persons without PD. Nine subjects required the use of a chair to perform floor recovery. Supine to stand performance time was significantly correlated with the: Dynamic Gait Index (r= - 0.66; p<0.002), Five Times Sit to Stand Test (r=0.78; p<0.001), Timed Up and Go Test (r=0.74; p<0.001), and gait velocity (r= -0.77; p<0.001). Rising from the floor demonstrates concurrent validity with locomotion and physical performance tests. Floor recovery techniques can be incorporated in fall prevention initiatives in conjunction with PD symptom management.

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Concurrent and Construct Validity of Scores on the Timed Movement Battery

Physical Therapy ◽

10.1093/ptj/81.2.789 ◽

2001 ◽

Vol 81 (2) ◽

pp. 789-798 ◽

Cited By ~ 34

Author(s):

Gwenda L Creel ◽

Kathye E Light ◽

Mary T Thigpen

Keyword(s):

Construct Validity ◽

Activities Of Daily Living ◽

Barthel Index ◽

Daily Living ◽

Assessment Tool ◽

Berg Balance Scale ◽

Community Dwelling ◽

Movement Speed ◽

Elderly Individuals ◽

Balance Scale

Abstract Background and Purpose. The Timed Movement Battery (TMB) is a new assessment tool designed to measure mobility in elderly individuals. “Mobility” was defined as a person's ability to maneuver his or her body independently in order to accomplish everyday tasks. The purpose of this study was to assess the concurrent and construct validity of scores obtained with the TMB as a measure of mobility in a group of elderly individuals who reported moderate or no difficulty in performing either basic or instrumental activities of daily living (BADL or IADL). Subjects. Thirty community-dwelling elderly people, with a mean age of 77.5 years (SD=7.0, range=65–92), participated in this study. Methods. Subjects responded to 2 questionnaires regarding their activities of daily living (ADL) (ie, Barthel Index and an 18-item ADL/IADL scale) and completed 3 assessments of mobility (ie, Berg Balance Scale, Timed “Up & Go” Test, and the TMB). Subjects were asked to perform the items on the TMB at a “self-selected” speed (their normal speed) and at a “maximum-movement” speed (as quickly as they could safely perform the items). Subjects' scores on the TMB were cross-correlated with data for 4 criterion tests (ie, Berg Balance Scale, Timed “Up & Go” Test, Barthel Index, and the 18-item ADL/IADL scale) using Spearman rank correlations and Pearson product moment correlations. Results. Composite scores of the TMB performed at self-selected speeds correlated highly with data for the criterion tests and differentiated between those subjects reporting difficulty with ADL and those reporting no difficulty. Conclusion and Discussion. These results support the validity of scores obtained with the TMB as a measure of mobility in this sample of elderly individuals with moderate or no reported difficulty with ADL.

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