A pilot study to detect balance impairment in older adults using an instrumented one-leg stance test

2.50
Hdl Handle:
http://hdl.handle.net/10547/623901
Title:
A pilot study to detect balance impairment in older adults using an instrumented one-leg stance test
Authors:
Bassement, Jennifer; Shukla, Brajesh; Yadav, Sandeep; Vijay, Vivek; Mathur, Arvind; Hewson, David ( 0000-0002-7656-4000 )
Other Titles:
Instrumented OLS detection of balance impairment
Abstract:
The aim of this study was to investigate whether parameters from an instrumented one-leg stance on a force plate test could provide relevant information related to fall risk in older people. Twenty-five community dwelling older people and 25 young subjects performed a one-leg stance while standing on a force plate, with parameters related to transferring weight onto one leg and postural sway in singe-leg stance evaluated. Older participants were classified as being at risk of falling if their performance did not meet one of the previously-established cut-offs for the Five Times Sit-To-Stand and Timed-Up-and-Go tests. Eleven older participants were classified as having a risk of falls. The only significant difference between groups during the weight transfer phase was in the mediolateral displacement, with the fall risk group having less sway than the other groups, signifying a more precautionary approach. With respect to postural sway, both the younger subjects and the no fall risk group stabilised sufficiently to decrease their sway compared to initial values after four and six seconds, respectively. In contrast, the fall risk group was unable to stabilise during the one-leg stance, and continued to sway throughout the 10-sec recording period. These findings suggest that the normal one-leg stance test might not be suitable to detect fall risk. In contrast, an instrumented version of the test could provide valuable additional information that could identify risk of falling in older people.
Affiliation:
Centre Hospitalier de Valenciennes; Indian Institute of Technology Jodhpur; Asian Centre for Medical Education, Research & Innovation, Jodhpur; University of Bedfordshire
Citation:
Bassement J, Shukla B, Yadav, S, Vijay V, Mathur A, Hewson, DJ (2020) 'A pilot study to detect balance impairment in older adults using an instrumented one-leg stance test', Journal of Biomechanical Engineering, (), pp.-.
Publisher:
American Society of Mechanical Engineers
Journal:
Journal of Biomechanical Engineering
Issue Date:
12-Mar-2020
URI:
http://hdl.handle.net/10547/623901
DOI:
10.1115/1.4046636
PubMed ID:
32154835
Additional Links:
https://asmedigitalcollection.asme.org/biomechanical/article-abstract/doi/10.1115/1.4046636/1080698/A-Pilot-Study-to-Detect-Balance-Impairment-in?redirectedFrom=fulltext
Type:
Article
Language:
en
ISSN:
0148-0731
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorBassement, Jenniferen
dc.contributor.authorShukla, Brajeshen
dc.contributor.authorYadav, Sandeepen
dc.contributor.authorVijay, Viveken
dc.contributor.authorMathur, Arvinden
dc.contributor.authorHewson, Daviden
dc.date.accessioned2020-03-23T11:47:16Z-
dc.date.available2020-03-23T11:47:16Z-
dc.date.issued2020-03-12-
dc.identifier.citationBassement J, Shukla B, Yadav, S, Vijay V, Mathur A, Hewson, DJ (2020) 'A pilot study to detect balance impairment in older adults using an instrumented one-leg stance test', Journal of Biomechanical Engineering, (), pp.-.en
dc.identifier.issn0148-0731-
dc.identifier.pmid32154835-
dc.identifier.doi10.1115/1.4046636-
dc.identifier.urihttp://hdl.handle.net/10547/623901-
dc.description.abstractThe aim of this study was to investigate whether parameters from an instrumented one-leg stance on a force plate test could provide relevant information related to fall risk in older people. Twenty-five community dwelling older people and 25 young subjects performed a one-leg stance while standing on a force plate, with parameters related to transferring weight onto one leg and postural sway in singe-leg stance evaluated. Older participants were classified as being at risk of falling if their performance did not meet one of the previously-established cut-offs for the Five Times Sit-To-Stand and Timed-Up-and-Go tests. Eleven older participants were classified as having a risk of falls. The only significant difference between groups during the weight transfer phase was in the mediolateral displacement, with the fall risk group having less sway than the other groups, signifying a more precautionary approach. With respect to postural sway, both the younger subjects and the no fall risk group stabilised sufficiently to decrease their sway compared to initial values after four and six seconds, respectively. In contrast, the fall risk group was unable to stabilise during the one-leg stance, and continued to sway throughout the 10-sec recording period. These findings suggest that the normal one-leg stance test might not be suitable to detect fall risk. In contrast, an instrumented version of the test could provide valuable additional information that could identify risk of falling in older people.en
dc.language.isoenen
dc.publisherAmerican Society of Mechanical Engineersen
dc.relation.urlhttps://asmedigitalcollection.asme.org/biomechanical/article-abstract/doi/10.1115/1.4046636/1080698/A-Pilot-Study-to-Detect-Balance-Impairment-in?redirectedFrom=fulltexten
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF-
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectbalanceen
dc.subjectfallen
dc.subjectgeriatricen
dc.subjectscreeningen
dc.subjectB741 Geriatric Nursingen
dc.titleA pilot study to detect balance impairment in older adults using an instrumented one-leg stance testen
dc.title.alternativeInstrumented OLS detection of balance impairmenten
dc.typeArticleen
dc.contributor.departmentCentre Hospitalier de Valenciennesen
dc.contributor.departmentIndian Institute of Technology Jodhpuren
dc.contributor.departmentAsian Centre for Medical Education, Research & Innovation, Jodhpuren
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalJournal of Biomechanical Engineeringen
dc.date.updated2020-03-23T11:25:45Z-

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