Balance Tests and Measures
Association of Dance-Based Mind-Motor Activities With Falls and Physical Function Among Healthy Older Adults A Systematic Review and Meta-analysis
Dual-task exercises in older adults: A structured review of current literature
Disseminating Tai Chi in the Community: Promoting Home Practice and Improving Balance
Betty Chewning, PhD, Dale Wilson, MA, Jane E Mahoney, MD, Kristine M Hallisy, PT, DSc, Nisaratana Sangasubana, PhD, Ronald Gangnon, PhD
Summary:
Falls among older adults is a pressing public health challenge. Considerable research documents that longer tai chi courses can reduce falls and improve balance. However, longer courses can be challenging to implement. Our goal was to evaluate whether a short 6-week modified tai chi course could be effective at reducing falls risk if older adults designed a personal home practice plan to receive a greater tai chi “dose” during the 6 weeks.
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Research Summary: BB4B and Cognition
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The Association Between Timed Up and Go Test and History of Falls: The Tromsø Study
Gyrd Thrane, Ragnar M Joakimsen and Eline Thornquist
Summary:
A relationship between TUG time and history of falls in men but not in women was determined. However, the clinical relevance of this associated is limited due to the relatively small statistical significance found between the results male fallers and non-fallers as well as the inconsistent results of falls questionnaires. The conclusion of the research was the TUG may not be used as a test of fall risk in an ambulatory elderly population.
Year study was published: 2018
Mean age of participants in study: 74-89 years
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Otago Exercise Program in the United States: Comparison of 2 Implementation Models
Balance Confidence and Fear of Falling Avoidance Behavior Are Most Predictive of Falling in Older Adults: Prospective Analysis
Merrill R. Landers, Sarrie Oscar, Jessica Sasaoka, Kyle Vaughn
Summary:
Physical-based measures (Berg Balance Scale, Sensory Organization Test, Timed “Up & Go”, and Dynamic Gait Index) as well as psychological-based measures (Falls Efficacy Scale, Activity Specific Balance Confidence Scale, and Fear of Falling Avoidance Behavior Questionnaire) were assessed during this study to determine which variable(s) were most predictive of falls in older adults. The results of this study concluded that balance confidence was the best predictor of falling, followed by fear of falling avoidance behavior, and the Time “Up & Go” (TUG). Fall history, presence of pathology, and physical tests did not predict falling. The study also concluded that psychological factors (balance confidence and fear avoidance) were stronger predictors of future falls than physical factors (gait, balance, visual acuity, etc.)
Year study was published: 2018
Mean age of participants in study: 72.2 years
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Effects of a Salsa Dance Training on Balance and Strength Performance in Older Adults
Urs Granacher, Thomas Muehlbauer, Stephanie A. Bridenbaugh, Madeleine Wolf, Ralf Roth, Yves Gschwind, Irene Wolf, Rui Mata, Reto W. Kressig
Summary:
In this 8 week of progressive salsa dancing, researchers investigated the effects of salsa dancing on measures of static/dynamic postural control and leg extensor power in older adults. The researchers concluded this was a safe and feasible exercise program for older adults and there was a significant increase in stride velocity in the salsa group as compared to the control group; however, there were no significant changes in gait variability and muscle power of leg extensors. This was the first study that has investigated the impact of salsa dancing no intrinsic fall-risk factors (stride velocity and leg extensor power) in older adults.
Year study was published: 2012
Mean age of participants in study: 71.6 years
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Factors Contributing to Single- and Dual-Task Timed “Up & Go” Test Performance in Middle-Aged and Older Adults Who Are Active and Dwell in the Community
Hui-Ya Chen, Pei-Fang Tang
H-Y. Chen, PT, PhD, School of Physical Therapy, Chung Shan Medical University, Taichung, Tai- wan, and Physical Therapy Room
Summary:
When comparing the factors that contribute to performance on the single- and dual-task (serial subtraction or carrying water) TUG tests in 64 participants the following factors were found to be associated with better performance on all TUG tests (single- and dual-task): younger age, hip extensor weakness, walking speed, general mental function, and Stroop scores for word and color. However, factors contributing to solely to dual-task TUG were influenced by age and focused attention, specifically for carrying water and serial subtraction, respectively. These results suggest the importance of the combined use of the 3 TUG tests.
Year study was published: 2015
Mean age of participants in study: 71.6 years old
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The Effect of Ballroom Dance on Balance and Functional Autonomy Among the Isolated Elderly
Eliane Gomes da Silva Borges a,b,c,*, Sama ́ria Ali Cader b,c,d, Rodrigo Gomes de Souza Vale b,c, Thales Henrique Pires Cruz b,c, Mauro Cezar de Gurgel de Alencar Carvalho b,c, Francisco Miguel Pinto b,c, Este ́lio H.M. Dantas b,c
Summary:
In this study based out of Brazil, 39/75 individuals from three long-term institutions participated in a 50 min Ballroom Dance Program that incorporated rumba, swing, samba, and bolero and took place 3 times a week. The control group (36/75 individuals) maintained their normal daily activities. These individuals were evaluated using the Latin American Group for Maturity (GDLAM) protocol to assess functional autonomy and the stabiolometer to assess physical balance. The results of this study concluded the ballroom dance program led to an increase in the level of functional autonomy and in physical balance.
Year study was published: 2012
Mean age of participants in study: 77 years old
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Effects of Dancing on the Risk of Falling Related Factors of Healthy Older Adults: A Systematic Review
Esther Lopez Fernandez-Arguelles, Juan Rodriguez-Mansilla, Luis Espejo Antunez, Elisa Maria Garrido-Ardila, Rafael Perez Munoz
Summary:
This article compiled data from 7 articles to determine the therapeutic effects of dancing as a physical exercise modality on balance, flexibility, gait, muscle strength, and physical performance in older adults. These studies did show positive effects on reducing the risk of falls in relation to improved balance, gait and dynamic mobility, strength and flexibility; however, they were unable to confirm that dance has significant benefits on the aforementioned factors based on scientific evidence due to problems with study designs.
Year study was published: 2015
Mean age of participants in study: 72 years old
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Dancing or Fitness Sport? The Effects of Two Training Programs on Hippocampal Plasticity and Balance Abilities in Healthy Seniors
Kathrin Rehfeld1, Patrick Müller1, Norman Aye, Marlen Schmicker,
Milos Dordevic1, Jörn Kaufmann, Anita Hökelmann and Notger G. Müller
Summary:
Dancing combines aerobic fitness, sensorimotor skills, and cognitive demands while maintaining a low risk of injury. In this study, an 18-month dancing intervention was compared to traditional health fitness training. Researchers were looking for both volume increases in the hippocampus, a region of the brain crucial for memory consolidation, learning and navigation in space, as well as improvements in balance. While both the dancing group and traditional fitness group both showed volume increases in the hippocampus, the dancing group showed increases in more areas of the hippocampus as well as significant increase in the balance score. From these results the researchers concluded dancing seems to be a promising intervention for both improving balance and hippocampal structure in the elderly.
Year study was published: 2017
Mean age of participants in study: 68 years old
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Evidence-Based Exercise Prescription for Balance and Falls Prevention: A Current Review of the Literature
by Tiffany E. Shubert, MPT, PhD
Summary:
The current best practices for physical therapists to effectively improve balance and manage fall risk in patients are those that incorporate a structured, progressing, individually tailored exercise program that meets the optimal exercise dose. These interventions need to continue even after discharge from physical therapy and therefore a continuum of care approach is needed in order to maintain progress, continue to improve upon their abilities, sustain meaningful and permanent changes in risk factors, and ultimately reduce falls risk.
Year study was published: 2011
Mean age of participants in study: N/A
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Exercise to Prevent Falls in Older Adults: An Updated Meta-Analysis and Best Practice Recommendations
by Catherine Sherrington, Anne Tiedemann, Nicola Fairhall, Jacqueline C.T. Close and Stephen R. Lord
Summary:
This updated systematic review compiled data from 99 comparisons from 88 randomized controlled trials, totaling 19,478 participants, looking at exercise as a single intervention to prevent falls. They concluded that exercise for falls prevention at least three (3) hours per week showed the greatest effects and should be targeted at both the general community as well as those at high risk of falls and may occur in both a group or home-based setting. The exercise programs should include: moderate to high challenges to balance as well as strength training, a sufficient dose of exercise, exercise needs to be ongoing, and should include a brisk walking training, unless they are a high risk falls individual.
Year study was published: 2017
Mean age of participants in study: 65+ years old
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Balance Confidence and Fear of Falling Avoidance Behavior Are Most Predictive of Falling in Older Adults
by Merrill R. Landers, Sarrie Oscar, Jessica Sasoka & Kyle Vaughn
Summary:
Physical-based measures (Berg Balance Scale, Sensory Organization Test, Timed “Up & Go”, and Dynamic Gait Index) as well as psychological-based measures (Falls Efficacy Scale, Activity Specific Balance Confidence Scale, and Fear of Falling Avoidance Behavior Questionnaire) were assessed during this study to determine which variable(s) were most predictive of falls in older adults. The results of this study concluded that balance confidence was the best predictor of falling, followed by fear of falling avoidance behavior, and the Time “Up & Go” (TUG). Fall history, presence of pathology, and physical tests did not predict falling. The study also concluded that psychological factors (balance confidence and fear avoidance) were stronger predictors of future falls than physical factors (gait, balance, visual acuity, etc.)
Year study was published: 2018
Mean age of participants in study: 72.2 years