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Introduction to FallProofTM Balance Tests

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Introduction to FallProofTM Balance Tests Debbie Rose, Ph.D. Co-Director, Center for Successful Aging California State University, Fullerton FallProofTM Screening and ... – PowerPoint PPT presentation

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Title: Introduction to FallProofTM Balance Tests

1
Introduction toFallProofTM Balance Tests

Debbie Rose, Ph.D.
Co-Director, Center for Successful Aging
California State University, Fullerton

2
FallProofTM Screening and Assessment Tools

Fall Risk
8 Foot Up and Go
Functional Limitations
Fullerton Advanced Balance (FAB) Scale
Berg Balance Scale (BBS)
50 Foot Walk at Preferred and Fast Speed
Walkie-Talkie Test

3
FallProofTM Screening and Assessment Tools

Sensory Impairments
Modified version of the Clinical Test of Sensory
Interaction in Balance (M-CTSIB)
Motor Impairments
Multidirectional Reach Test

4
FallProofTM Screening and Assessment Tools

Physical Impairments
Senior Fitness Test Items Chair Stand Arm
Curl Chair Sit-and-Reach Scratch Test 2-Minute
Step
Fear-of-Falling
Health/Activity Questionnaire
Balance Efficacy Scale (Optional)

5
Fullerton Advanced Balance Scale

Developed by Rose Lucchese (2003).
Test demonstrates high test-retest reliability
(.95)
Inter-rater reliability is also high, ranging
from .94 to .97 when administered by experienced
clinicians.
Scale is comprised of 10 items designed to
measure multiple dimensions of balance.
Recommended for use with higher functioning
community-dwelling older adults only.

6
Fullerton Advanced Balance Scale

Test requires little equipment
Can be administered within 8 to 10 minutes
Has operational definitions by which to score
each test item
Assesses more dimensions of balance when compared
to the Berg Balance Scale
Expect to be less prone to ceiling effects

7
Fullerton Advanced Balance Scale

Test Items include
Standing with feet together, eyes closed
Reaching forward to grasp object
Turn 360 degrees
Stepping over an obstacle
Walking with feet in tandem position
Standing on one foot

8
Fullerton Advanced Balance Scale

Test Items include
Standing on foam, eyes closed.
Two-footed Jump for Distance
Walk with Head Turns
Backward Perturbation
Total Score Possible 40 Points

9
Balance Dimensions

Sensory reception and integration
Items 1 3 7 9
Motor coordination
Items 2 4 5 6 8 10
Musculoskeletal Integrity
Items 4 5 6 7 8

10
Interpretation of Item Scores

Possible underlying Impairments?
Item 1- Standing with feet together and
eyes closed.
Weak hip abductor/adductor
muscles
Poor use of somatosensory Cues
Poor Center of Gravity Control

11
Interpretation of Item Scores

Possible underlying Impairments?
Item 8 Two-footed jump for distance.
Lower body muscle weakness
Poor Center of Gravity Control
Poor upper and lower body
coordination

12
Interpretation of Item Scores

Possible underlying Impairments?
Item 9- Walk with Head Turns
Possible vestibular
impairment?
Poor use of vision
Poor dynamic COG control

13
Interpretation of Item Scores

Possible underlying Impairments?
Item 10 Unexpected Backward Release
Absent or ineffective use of step
strategy
Lower body weakness
(reduced power)
Poor Center of Gravity Control

14
Berg Balance Scale (BBS)

Developed by Berg in 1989
Test comprised of 14 performance items
High validity, test-retest and rater reliability
Requires approximately 15 to 20 minutes to
administer
Prone to ceiling effects when used with
community-dwelling older adults.

15
Berg Balance Scale

Test Items Include
Rising from a chair
Standing independently for two minutes
Seated balance (if unable to stand independently)
Sitting down in a chair
Transfers between chairs
Standing with eyes closed

16
Berg Balance Scale

Test Items Include
Standing with feet together
Leaning forward
Picking object up from floor
Turn to look over shoulders
360 degree turn
Dynamic toe touching
Tandem Stance
Standing on one leg

17
Modified Version of BBS

In modified version of the test, the first 5 test
items are deleted (Daschle et al., 1987)
High reliability and validity retained with
modified version.
Total score reduced from 56 to 36 points

18
Interpretation of Item Scores

Possible impairments associated with low Scores
Item 1 lower and upper body weakness poor
dynamic COG control Abnormal weight
distribution.
Item 2 Poor gaze stabilization lower body
weakness abnormal weight distribution in
standing.
Item 6 Poor use of somatosensory inputs Visual
dependency and/or fear-of-falling Lower body
weakness.