The Spring Scale Test: a reliable and valid tool for explaining fall history.

نویسندگان

  • Louis DePasquale
  • Lisa Toscano
چکیده

BACKGROUND & PURPOSE Although perturbations can result in falls, objective practical tests of balance that incorporate perturbations have not received as much attention as other balance measures. The purposes of this study were to: (1) describe a new clinical waist pull perturbation balance test protocol, the Spring Scale Test (SST), (2) determine the test-retest reliability of the SST, and (3) examine the convergent and known groups validity of the SST relative to 4 other balance related measures. METHODS Fifty-eight community-dwelling older adults underwent same-day test-retest of the SST, with predictable, one-pound incremental, horizontal sagittal plane manual waist pulls. Twenty-nine subjects (mean age 83.5) had at least one fall in the prior 2 years. Twenty-nine subjects (mean age 78.0) were nonfallers. RESULTS The mean (SD) SST performance of 7.5% (1.4) of Total Body Weight (TBW) for fallers and 12.3% (1.7) TBW for nonfallers differed significantly (p < .001). High test-retest reliability was supported by ICC of 0.94 [95% CI = 0.89 - 0.96], a method error (ME) of 0.74 and coefficient of variation of the ME of 7.25%. There was moderate to good convergent validity of the SST with all 4 relevant measures of gait and balance: gait speed (r = 0.53, p = .001), single limb stance (r = - 0.54, p = .001), tandem stance (r = 0.55, p = .001), Timed Up and Go (r = - 0.67, p=.001). The SST score at 10% TBW had high known groups validity with the area under the receiver operating characteristic curve of 0.99, sensitivity of.93 and specificity of.97. Logistic regression revealed that no other variable added to the explanation of fall status once the variance attributable to the SST 10% TBW (91.1%) was included in the predictive equation. CONCLUSIONS The SST is a quantitative, reliable, and valid clinical measure of standing balance. The SST 10% TBW cutoff score was the most discriminating indicator of fall history.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Development and Validation of Smoking Abstinence Self-efficacy Scale among Iranian Female Adolescents

Background: Among different factors, self-efficacy is one of the most suitable components for predicting smoking behavior among adolescents. Therefore, it is essential to design a native tool to measure this high-risk behavior in adolescents and implement prevention programs in this age group. Aim: This study aimed to design and validate a smoking abstine...

متن کامل

بررسی مقدماتی ویژگی‌های روان‌سنجی پرسشنامه سه جنبه تاریک شخصیت

Introduction: The Dark Triad Scale is a new tool for quick and easy recognition in the field of personality. This study examined the Construct Validity of Dark Triad Questionnaire. Methods: The population included all active users who have an email. 272 people were selected as the sample by using the snowball sampling method. Data were analyzed by confirmatory factor analysis and AMCS-22 softw...

متن کامل

Validation of the Persian version of the internet gaming disorder-20 Test among the students of Tabriz University of Medical Sciences

Background & Aim: The American Psychiatrists Association has inserted Internet gaming disorder into Section III of DSM-V. The IGD-20 test has been introduced as a tool for investigating IGD. This study aims to assess the validity of the Persian version of IGD-20 test. Methods: In this methodological study, 394 undergraduate students of Tabriz University of Medical Sciences were included using ...

متن کامل

Psychometric Evaluation of “Teachers’ Sense of Efficacy Scale” (TSES)

Introduction: Teacher efficacy is the belief of a teacher that he can affect the behavior and academic achievement of learners. Many efforts have been made to measure teacher efficacy but there is no valid and reliable instrument to measure it in Iran. Therefore, this study was performed to translate and psychologically evaluate “teachers’ sense of efficacy scale” (TSES). Methods: This descrip...

متن کامل

The Validity and Reliability of the Persian Version of the Impact on Participation and Autonomy (IPA-p) Scale in Patients with Positive Angiography

Background: Cardiovascular disease often leads to limitations in patient activities. Therefore, providing a valid and reliable tool to measure the level of participation and autonomy can be used for improving their health. This study aimed to determine the validity and reliability of the Persian version of a participation and autonomy scale (IPA-p) in patients with positive angiography. Materi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of geriatric physical therapy

دوره 32 4  شماره 

صفحات  -

تاریخ انتشار 2009