Comparison between balance assessment instruments for adult and elderly women in the community
DOI:
https://doi.org/10.11606/issn.2317-0190.v26i4a168823Keywords:
Postural Balance, Aged, WomenAbstract
Objective: To compare two balance assessment instruments, BESTest and Baropodometry, in community women and to verify the influence of age, comorbidities and vision on balance. Method: Cross-sectional, analytical study conducted with adult women (50 to 64 years old) and elderly women (65 years old and older). Balance was assessed by a baropodometric platform and the Balance Evaluation Systems Test (BESTest). T test, Anova, Bonferroni and Linear Regression were applied using the SPSS 23.0 software, adopting p <0.05. Results: 156 women participated in the study, 54 adults (59 years ± 3.93) and 102 elderly women (71 years ± 4.8). BESTest found that adult women performed better (p <0.01) than older women in the categories biomechanical restrictions, transitions and anticipations, sensory orientation, gait stability and total score. There was a relationship between BESTest and disease self-report in the elderly group in the biomechanical restrictions, transitions / anticipations and total score categories (p <0.01). Baropodometry identified altered lateral-lateral displacement with eyes closed between the groups (p = 0.01), and the elderly presented worse performance. However, the aforementioned tools had little relation to each other, and their association ranged from 5 to 11%. Conclusion: BESTest and baropometry were effective in detecting differences between the balance of adult and elderly women but had a low association with each other. It is suggested that they be adopted as complementary and not substitutable evaluations in the physiotherapist's clinical practice.
Downloads
References
Instituto Brasileiro de Geografia e Estatística. Longevidade, viver bem e cada vez mais. Retratos, a Revista do IBGE. 2019;16:1-28.
Duarte M, Freitas SMSF. Revisão sobre posturografia baseada em plataforma de força para avaliação do equilíbrio. Braz J Phys Ther. 2010; 14(3):183-92. Doi: https://doi.org/10.1590/S1413-35552010000300003
Drummond A, Paz CCSC, Menezes RL. Proprioceptive activities to postural balance of the elderly - systematic review. Fisioter Mov. 2018; 31:e003135. Doi: https://doi.org/10.1590/1980-5918.031.ao35
Shumway-Cook A, Woollacott MH. Controle Motor. Teoria e aplicações práticas. 2 ed. Barueri: Manole; 2002.
Kiss R, Schedler S, Muehlbauer T. Associations between types of balance performance in healthy individuals across the lifespan: a systematic review and meta-analysis. Front Physiol. 2018;9:1366. Doi: https://doi.org/10.3389/fphys.2018.01366
O'Hoski S, Winship B, Herridge L, Agha T, Brooks D, Beauchamp MK, et al. Increasing the clinical utility of the BESTest, mini-BESTest, and brief-BESTest: normative values in Canadian adults who are healthy and aged 50 years or older. Phys Ther. 2014;94(3):334-42. Doi: https://doi.org/10.2522/ptj.20130104
Viveiro LAP, Gomes GCV, Bacha JMR, Carvas Junior N, Kallas ME, Reis M, et al. Reliability, Validity, and Ability to Identity Fall Status of the Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in Older Adults Who Live in Nursing Homes. J Geriatr Phys Ther. 2019;42(4):E45-E54. Doi: https://doi.org/10.1519/JPT.0000000000000215
Alves R, Borel WP, Rossi BP, Vicente EJD, Chagas PSC, Felício DC. Test-retest reliability of baropodometry in young asyntomatic individuals during semi static and dynamic analysis. Fisioter Mov. 2018;31:e003114. Doi: https://doi.org/10.1590/1980-5918.031.ao14
Chaves MLF. Testes de avaliação cognitiva: Mini-Exame do Estado Mental [texto na Internet]. São Paulo; Academia Brasileira de Neurologia; c2019 [citado 2020 Abr 15]. Disponível em: http://www.cadastro.abneuro.org/site/arquivos_cont/8.pdf
Marques LT, Rodrigues NC, Angeluni EO, Pessanha FPAS, Alves NMC, Freire Júnior RC, et al. Balance evaluation of prefrail and frail community-dwelling older adults. J Geriatr Phys Ther. 2019;42(3):176-82. Doi: https://doi.org/10.1519/JPT.0000000000000147
Gervásio FL, Santos GA, Ribeiro DM, Menezes RL. Medidas temporoespaciais indicativas de quedas em mulheres saudáveis entre 50 e 70 anos avaliadas pela análise tridimensional da marcha. Fisioter Pesqui. 2016;23(4):358-64. Doi: https://doi.org/10.1590/1809-2950/15661923042016
Santos Bueno GA, Ribeiro DM, Gervásio FM, Correia AM, Menezes RL. Gait profile score identifies changes in gait kinematics in nonfaller, faller and recurrent faller older adults women. Gait Posture. 2019;72:76-81. Doi: https://doi.org/10.1016/j.gaitpost.2019.05.029
Ribeiro DM, Bueno GAS, Gervásio FM, Menezes RL. Foot-ground clearance characteristics in women: A comparison across different ages. Gait Posture. 2019;69:121‐125. Doi: https://doi.org/10.1016/j.gaitpost.2019.01.028
Dhand NK, Khatkar MS. Statulator: an online statistical calculator. Sample size calculator for comparing two independent means [Computer program]. c2014 [cited 2019 Aug 6]. Available from: http://statulator.com/SampleSize/ss2M.html
Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89(5):484-98. Doi: https://doi.org/10.2522/ptj.20080071
Baumfeld D, Baumfeld T, Rocha RL, Macedo B, Raduan F, Zambelli R, et al. Reliability of Baropodometry on the evaluation of plantar load distribution: a transversal study. Biomed Res Int. 2017;2017:5925137. Doi: https://doi.org/10.1155/2017/5925137
Declaração de Helsinque, Associação Médica Mundial [texto na Internet]. Campinas: FCM/UNICAMP; c2020 [citado 2020 Abr 15]. Disponível em: https://www.fcm.unicamp.br/fcm/sites/default/files/declaracao_de_helsinque.pdf
Crenshaw JR, Bernhardt KA, Atkinson EJ, Khosla S, Kaufman KR, Amin S. The relationships between compensatory stepping thresholds and measures of gait, standing postural control, strength, and balance confidence in older women. Gait Posture. 2018;65:74-80. Doi: https://doi.org/10.1016/j.gaitpost.2018.06.117
McCrum C, Gerards MHG, Karamanidis K, Zijlstra W, Meijer K. A systematic review of gait perturbation paradigms for improving reactive stepping responses and falls risk among healthy older adults. Eur Rev Aging Phys Act. 2017;14:3. Doi: https://doi.org/10.1186/s11556-017-0173-7
Piirtola M, Era P. Force platform measurements as predictors of falls among older people - a review. Gerontology. 2006;52(1):1-16. Doi: https://doi.org/10.1159/000089820
Wingert JR, Welder C, Foo P. Age-related hip proprioception declines: effects on postural sway and dynamic balance. Arch Phys Med Rehabil. 2014;95(2):253-61. Doi: https://doi.org/10.1016/j.apmr.2013.08.012
Dijkstra BW, Horak FB, Kamsma YP, Peterson DS. Older adults can improve compensatory stepping with repeated postural perturbations. Front Aging Neurosci. 2015;7:201. Doi: https://doi.org/10.3389/fnagi.2015.00201
Kwon YR, Choi YH, Gwang-Moon EOM, Junghyuk KO, Kim JW. Analysis of lateral balance in response to perturbation by surface tilts in young and elderly adults. J Mech Med Biol. 2018;18(7). Doi: https://doi.org/10.1142/S0219519418400092
Crenshaw JR, Bernhardt KA, Achenbach SJ, Atkinson Ej, Khosla S, Kaufman KR, et al. The Circumstances, Orientations, and Impact Locations of Falls in Community-Dwelling Older Women. Arch Gerontol Geriatr. 2017;73:240-247. Doi: https://doi.org/10.1016/j.archger.2017.07.011
Nandi T, Fisher BE, Hortobágyi T, Salem GJ. Increasing mediolateral standing sway is associated with increasing corticospinal excitability, and decreasing M1 inhibition and facilitation. Gait Posture. 2018;60:135-140. Doi: https://doi.org/10.1016/j.gaitpost.2017.11.021
Kelsey JL, Procter-Gray E, Hannan MT, Li W. Heterogeneity of falls among older adults: implications for public health prevention. Am J Public Health. 2012;102(11):2149-56. Doi: https://doi.org/10.2105/AJPH.2012.300677
Downloads
Published
Issue
Section
License
Copyright (c) 2019 Acta Fisiátrica

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.