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Can a Portable Balance System Predict Fall Risk in Community-Dwelling Older Women?

Marcia K Himes1, Barbara S Robinson, Jason L Shaw

  • 1Dep. of Physical Therapy, Missouri State University, 901 South National Ave., Springfield, MO 65897, USA. Tel 417-836-8998. MarciaKHimes@MissouriState.edu.

Journal of Allied Health
|June 1, 2021
PubMed
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A portable balance system effectively predicts fall risk in older women using the modified Clinical Test for Sensory Interaction on Balance (mCTSIB) and the Activities-specific Balance Confidence Scale (ABC). This tool aids early intervention to prevent falls.

Area of Science:

  • Gerontology
  • Biomechanics
  • Rehabilitation Science

Background:

  • Increased fall risk in older adults is associated with aging, female sex, and declines in postural control.
  • Community-dwelling older women are a population at risk for falls, necessitating effective screening tools.

Purpose of the Study:

  • To investigate the predictive capability of a portable balance system for fall risk in older women.
  • To determine the relationship between modified Clinical Test for Sensory Interaction on Balance (mCTSIB) scores, age, Activities-specific Balance Confidence Scale (ABC) scores, and Berg Balance Scale (BBS) scores.

Main Methods:

  • A non-experimental, prospective, cross-sectional, exploratory study design was employed.
  • Participants included 42 community-dwelling women aged 65 and over from independent living facilities.

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  • Data collected included mCTSIB, age, ABC, and BBS scores.

    • Main Results:

    • The mCTSIB (firm surface, eyes open) and ABC scores significantly predicted fall risk as measured by BBS scores (p<0.001, R2=0.67).
    • Age did not significantly improve the predictive model for fall risk.

    Conclusions:

    • A portable balance system, specifically the mCTSIB (firm surface, eyes open) combined with ABC scores, can effectively screen for fall risk in older women.
    • This screening approach facilitates early intervention by allied health professionals to prevent falls.