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Introduction to FallProof TM Balance Tests. Debbie Rose, Ph.D. Co-Director, Center for Successful Aging California State University, Fullerton. F all P roof TM Screening and Assessment Tools. Fall Risk 8 Foot Up and Go Functional Limitations Fullerton Advanced Balance (FAB) Scale

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introduction to fallproof tm balance tests

Introduction toFallProofTM Balance Tests

Debbie Rose, Ph.D.

Co-Director, Center for Successful Aging

California State University, Fullerton

f all p roof tm screening and assessment tools
FallProofTM Screening and Assessment Tools
  • Fall Risk
    • 8 Foot Up and Go
  • Functional Limitations
    • Fullerton Advanced Balance (FAB) Scale
    • Berg Balance Scale (BBS)
    • 50 Foot Walk at Preferred and Fast Speed
    • “Walkie-Talkie” Test
f all p roof tm screening and assessment tools3
FallProofTM Screening and Assessment Tools
  • Sensory Impairments
    • Modified version of the Clinical Test of Sensory Interaction in Balance (M-CTSIB)
  • Motor Impairments
    • Multidirectional Reach Test
f all p roof tm screening and assessment tools4
FallProofTM Screening and Assessment Tools
  • Physical Impairments
    • Senior Fitness Test Items – Chair Stand; Arm Curl; Chair Sit-and-Reach; Scratch Test; 2-Minute Step
  • Fear-of-Falling
    • Health/Activity Questionnaire
    • Balance Efficacy Scale (Optional)
fullerton advanced balance scale
Fullerton Advanced Balance Scale
  • Developed by Rose & Lucchese (2003).
  • Test demonstrates high test-retest reliability (.95)
  • Inter-rater reliability is also high, ranging from .94 to .97 when administered by experienced clinicians.
  • Scale is comprised of 10 items designed to measure multiple dimensions of balance.
  • Recommended for use with higher functioning community-dwelling older adults only.
fullerton advanced balance scale6
Fullerton Advanced Balance Scale
  • Test requires little equipment
  • Can be administered within 8 to 10 minutes
  • Has operational definitions by which to score each test item
  • Assesses more dimensions of balance when compared to the Berg Balance Scale
  • Expect to be less prone to ceiling effects
fullerton advanced balance scale7
Fullerton Advanced Balance Scale
  • Test Items include:
    • Standing with feet together, eyes closed
    • Reaching forward to grasp object
    • Turn 360 degrees
    • Stepping over an obstacle
    • Walking with feet in tandem position
    • Standing on one foot
fullerton advanced balance scale8
Fullerton Advanced Balance Scale
  • Test Items include:
    • Standing on foam, eyes closed.
    • Two-footed Jump for Distance
    • Walk with Head Turns
    • Backward Perturbation
  • Total Score Possible: 40 Points
balance dimensions
Balance Dimensions
  • Sensory reception and integration
    • Items 1; 3; 7; 9
  • Motor coordination
    • Items 2; 4; 5; 6; 8; 10
  • Musculoskeletal Integrity
    • Items 4; 5; 6; 7; 8
interpretation of item scores
Interpretation of Item Scores
  • Possible underlying Impairments?
    • Item 1- Standing with feet together and

eyes closed.

Weak hip abductor/adductor

muscles

Poor use of somatosensory Cues

Poor Center of Gravity Control

interpretation of item scores11
Interpretation of Item Scores
  • Possible underlying Impairments?
    • Item 8 – Two-footed jump for distance.

Lower body muscle weakness

Poor Center of Gravity Control

Poor upper and lower body

coordination

interpretation of item scores12
Interpretation of Item Scores
  • Possible underlying Impairments?
    • Item 9- Walk with Head Turns

Possible vestibular

impairment?

Poor use of vision

Poor dynamic COG control

interpretation of item scores13
Interpretation of Item Scores
  • Possible underlying Impairments?
    • Item 10 – Unexpected Backward Release

Absent or ineffective use of step

strategy

Lower body weakness

(reduced power)

Poor Center of Gravity Control

berg balance scale bbs
Berg Balance Scale (BBS)
  • Developed by Berg in 1989
  • Test comprised of 14 performance items
  • High validity, test-retest and rater reliability
  • Requires approximately 15 to 20 minutes to administer
  • Prone to ceiling effects when used with community-dwelling older adults.
berg balance scale
Berg Balance Scale
  • Test Items Include:
    • Rising from a chair
    • Standing independently for two minutes
    • Seated balance (if unable to stand independently)
    • Sitting down in a chair
    • Transfers between chairs
    • Standing with eyes closed
berg balance scale16
Berg Balance Scale
  • Test Items Include:
    • Standing with feet together
    • Leaning forward
    • Picking object up from floor
    • Turn to look over shoulders
    • 360 degree turn
    • Dynamic toe touching
    • Tandem Stance
    • Standing on one leg
modified version of bbs
Modified Version of BBS
  • In modified version of the test, the first 5 test items are deleted (Daschle et al., 1987)
  • High reliability and validity retained with modified version.
  • Total score reduced from 56 to 36 points
interpretation of item scores18
Interpretation of Item Scores

Possible impairments associated with low Scores:

  • Item 1 – lower and upper body weakness; poor dynamic COG control; Abnormal weight distribution.
  • Item 2 – Poor gaze stabilization; lower body weakness; abnormal weight distribution in standing.
  • Item 6 – Poor use of somatosensory inputs; Visual dependency and/or fear-of-falling; Lower body weakness.