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Related Experiment Video

Updated: Apr 27, 2026

Quantitative Static and Dynamic Assessment of Balance Control in Stroke Patients

Quantitative Static and Dynamic Assessment of Balance Control in Stroke Patients

Published on: May 17, 2020

Reconceptualizing balance: attributes associated with balance performance.

Julia C Thomas¹, Charles Odonkor², Laura Griffith³

¹Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, United States.

Experimental Gerontology

|June 22, 2014

Summary

Falls self-efficacy, trunk extensor muscle endurance, sensory loss, and leg velocity are key factors impacting balance in older adults. These attributes, identified through the Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) balance test, are crucial for fall prevention strategies.

Keywords:

Activity Balance Body systems Boston Rehabilitative Impairment Study of the Elderly FICSIT

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Published on: December 11, 2013

Area of Science:

Gerontology
Rehabilitation Science
Biomedical Engineering

Background:

Balance impairment is a significant risk factor for falls in older adults.
Screening for balance deficits is essential for implementing fall prevention interventions.
The Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) balance test is a common tool for assessing balance.

Purpose of the Study:

To identify attributes associated with balance performance in older adults using the FICSIT balance test.
To analyze baseline data from the Boston Rehabilitative Impairment Study of the Elderly (Boston RISE) cohort.

Main Methods:

Cross-sectional secondary analysis of 364 primary care patients aged 65-96.
Outcome measure: FICSIT-4 balance assessment.
Covariates included self-efficacy, pain, depression, executive function, vision, sensory loss, reaction time, kyphosis, range of motion, trunk extensor muscle endurance, leg strength, and leg velocity.

Main Results:

After adjusting for age and gender, significant predictors of balance performance were falls self-efficacy, trunk extensor muscle endurance, sensory loss, and leg velocity at peak power.
The average FICSIT-4 score was 6.7 (±2.2) out of 9.
Participants averaged 76.5 years, were 67% female, and had 4.1 chronic conditions.

Conclusions:

Balance performance is linked to behavioral and physiological factors, many of which can be improved through rehabilitation.
Findings support the view of balance as a multidimensional activity, aligning with the International Classification of Functioning, Disability, and Health (ICF) model.
Targeting specific attributes like self-efficacy and physical function can enhance balance and reduce fall risk in older adults.