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Development of an objective balance assessment method for purposes of telemonitoring and telerehabilitation in elderly population

MATJACIC Z; BOHINC K; CIKAJLO I
DISABIL REHABIL , 2010, vol. 32, n° 3, p. 259-266
Doc n°: 145608
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638280902943215
Descripteurs : MA - GERONTOLOGIE, DF11 - POSTURE. STATION DEBOUT

Reliable assessment of balance abilities and determination of the
likelihood of falling in the elderly requires a skilled clinician to guide and
assist the individual throughout the scoring of a suitable balance assessment
method. The most widely used clinical instrument is the Berg Balance Scale (BBS).
The aim of this study was to develop an objective balance assessment measure that
would correlate well with BBS and could thus be used to test balancing abilities
remotely. METHODS: Twenty elderly individuals were divided into two groups:
fallers and non-fallers based on their falling records. Balance abilities were
assessed by means of BBS as well as through analysis of peak amplitude of
center-of-pressure (COP) responses that followed induced-sway, provoked by a
moveable standing frame in the medio-lateral plane.
An independent t-test was
used to compare BBS scores and COP based measures between both groups.
Additionally, correlation between both tests was determined by use of the Pearson
correlation coefficient. RESULTS: Fallers exhibited significantly lower BBS
scores as well as significantly lower peak values of COP responses. The coefficient of correlation between both tests was relatively high (0.68) and
statistically significant. CONCLUSION: The high degree of correlation between
both tests implies that the proposed objective balance testing apparatus and
methods could be used for remote assessment of balance abilities in the elderly,
which has implications for the development of home-based mobility training programs.

Langue : ANGLAIS

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