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Published on: September 1, 2023
Development and validation of a clinic based balance assessment technology
Lorcan Walsh1, Barry R Greene, Denise McGrath
1Technology Research for Independent Living Centre. lwalsh@eeng.nuim.ie
Summary
A new portable balance measurement device shows high agreement with traditional force plates for assessing elderly fall risk. This technology offers a valid and reliable alternative for clinical balance assessments.
Area of Science:
- Gerontology
- Biomechanics
- Medical Technology
Background:
- Falls in older adults represent a significant global health challenge with substantial societal costs.
- Impaired balance and postural control are key indicators of fall risk in the elderly population.
- Current gold-standard balance assessment using force plates is costly, immobile, and requires expert operation.
Purpose of the Study:
- To evaluate the validity and reliability of a novel portable balance measurement system.
- To compare the performance of the portable system against a laboratory-grade force plate.
- To determine the potential of portable technology for accessible quantitative balance assessment.
Main Methods:
- Two participants (1 male, 1 female) completed 16 balance trials each, with eyes open and closed conditions.
- Simultaneous data collection using a portable pressure sensor platform and a laboratory force platform.
- Comparison of standard center of pressure (COP) metrics between the two measurement modalities.
Main Results:
- High levels of agreement were observed between the portable device and the force plate.
- Intraclass correlation coefficient (ICC), mean absolute error (MAE), and mean percentage error (MPE) indicated strong concordance.
- The portable system demonstrated reliability comparable to the established force plate method.
Conclusions:
- The portable quantitative balance measurement technology is a valid and reliable tool for assessing balance.
- This innovation offers a cost-effective and accessible alternative to traditional force plates for clinical use.
- The findings support the use of portable technology to improve the assessment of fall risk in the elderly.