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

2017 ◽  
Vol 29 (2) ◽  
pp. 232-234 ◽  
Author(s):  
Yong-Jin Jeon ◽  
Gyoung-Mo Kim
Keyword(s):  
Berg Balance Scale ◽  
Community Dwelling ◽  
Balance Scale

scholarly journals Concurrent and Construct Validity of Scores on the Timed Movement Battery

2001 ◽  
Vol 81 (2) ◽  
pp. 789-798 ◽  
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.

scholarly journals Psychometric Properties of the Berg Balance Scale in a Community-dwelling Elderly Resident Population in Taiwan

2006 ◽  
Vol 105 (12) ◽  
pp. 992-1000 ◽  
Author(s):  
Ching-Yi Wang ◽  
Ching-Lin Hsieh ◽  
Sharon L. Olson ◽  
Chun-Hou Wang ◽  
Ching-Fan Sheu ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Resident Population ◽  
Balance Scale ◽  
Elderly Resident

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

2007 ◽  
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.

scholarly journals Use of the Berg Balance Scale for Predicting Multiple Falls in Community-Dwelling Elderly People: A Prospective Study

2008 ◽  
Vol 88 (4) ◽  
pp. 449-459 ◽  
Author(s):  
Susan W Muir ◽  
Katherine Berg ◽  
Bert Chesworth ◽  
Mark Speechley
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Predictive Validity ◽  
Fall Risk ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Health Concern ◽  
Likelihood Ratios ◽  
Discriminative Ability ◽  
Balance Scale

Background and Purpose Falls are a significant public health concern for older adults; early identification of people at high risk for falling facilitates the provision of rehabilitation treatment to reduce future fall risk. The objective of this prospective cohort study was to examine the predictive validity of the Berg Balance Scale (BBS) for 3 types of outcomes—any fall (≥1 fall), multiple falls (≥2 falls), and injurious falls—by use of sensitivity, specificity, receiver operating characteristic (ROC) curves, area under the curve, and likelihood ratios. Subjects and Methods A sample of 210 community-dwelling older adults received a comprehensive geriatric assessment at baseline, which included the BBS to measure balance. Data on prospective falls were collected monthly for a year. The predictive validity of the BBS for the identification of future fall risk was evaluated. Results The BBS had good discriminative ability to predict multiple falls when ROC analysis was used. However, the use of the BBS as a dichotomous scale, with a threshold of ≤45, was inadequate for the identification of the majority of people at risk for falling in the future, with sensitivities of 25% and 45% for any fall and for multiple falls, respectively. The use of likelihood ratios, maintaining the BBS as a multilevel scale, demonstrated a gradient of risk across scores, with fall risk increasing as scores decreased. Discussion and Conclusion The use of the BBS as a dichotomous scale to identify people at high risk for falling should be discouraged because it fails to identify the majority of such people. The predictive validity of this scale for multiple falls is superior to that for other types of falls, and the use of likelihood ratios preserves the gradient of risk across the whole range of scores.

scholarly journals Age- and Gender-Related Test Performance in Community-Dwelling Elderly People: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and Gait Speeds

2002 ◽  
Vol 82 (2) ◽  
pp. 128-137 ◽  
Author(s):  
Teresa M Steffen ◽  
Timothy A Hacker ◽  
Louise Mollinger
Keyword(s):  
Elderly People ◽  
Berg Balance Scale ◽  
Community Dwelling ◽  
Walk Test ◽  
Clinical Tests ◽  
Balance Scale ◽  
Six Minute Walk Test ◽  
Age Related ◽  
Test Retest Reliability ◽  
Minute Walk

Abstract Background and Purpose. The interpretation of patient scores on clinical tests of physical mobility is limited by a lack of data describing the range of performance among people without disabilities. The purpose of this study was to provide data for 4 common clinical tests in a sample of community-dwelling older adults. Subjects. Ninety-six community-dwelling elderly people (61–89 years of age) with independent functioning performed 4 clinical tests. Methods. Data were collected on the Six-Minute Walk Test (6MW), Berg Balance Scale (BBS), and Timed Up & Go Test (TUG) and during comfortable- and fast-speed walking (CGS and FGS). Intraclass correlation coefficients (ICCs) were used to determine the test-retest reliability for the 6MW, TUG, CGS, and FGS measurements. Data were analyzed by gender and age (60–69, 70–79, and 80–89 years) cohorts, similar to previous studies. Means, standard deviations, and 95% confidence intervals for each measurement were calculated for each cohort. Results. The 6MW, TUG, CGS, and FGS measurements showed high test-retest reliability (ICC [2,1]=.95–.97). Mean test scores showed a trend of age-related declines for the 6MW, BBS, TUG, CGS, and FGS for both male and female subjects. Discussion and Conclusion. Preliminary descriptive data suggest that physical therapists should use age-related data when interpreting patient data obtained for the 6MW, BBS, TUG, CGS and FGS. Further data on these clinical tests with larger sample sizes are needed to serve as a reference for patient comparisons.

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