Skip to main content
Log in

Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Four common tests of balance and mobility were administered to 45 healthy women, aged 55–71 years: Sharpened Romberg (also defined as tandem stance), eyes open and closed; One-Legged Stance Test, eyes open and closed; Functional Reach; and Sit-To-Stand test. Two independent observers scored the tests, which were performed on two successive days. Inter-rater (IRR) and test-retest reliability (TRR) were good. Across the six different tests, Intraclass Correlation Coefficients ranged from 0.95 to 0.99 for scoring consistency between raters, and from 0.73 to 0.93 within raters. This is in line with previous findings based on similar subjects and similar, though not identical, testing procedures. Intercorrelations between the scores were moderate: r coefficients ranged 0.40–0.66. The results suggest that this simple test battery provides reliable scores, and that the different tests relate to a homogeneous construct, while not being redundant. It thus seems worthwhile to further investigate whether they represent and measure a unidimensional domain, rather than conceptually different dimensions, in view of achieving a unique measure of balance performance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Alexander N.B.: Postural control in older adults. J. Am. Geriatr. Soc. 42: 93–108, 1994.

    CAS  PubMed  Google Scholar 

  2. Harada N., Chiu V., Damron-Rodriguez J.A., Fowler E., Siu A., Reuben D.B.: Screening for balance and mobility impairment in elderly individuals living in residential care facilities. Phys. Ther. 75: 462–469, 1995.

    CAS  PubMed  Google Scholar 

  3. Harada N., Chiu V., Fowler E., Lee M., Reuben D.B.: Physical therapy to improve functioning of older people in residential care facilities. Phys. Ther. 75: 830–839, 1995.

    CAS  PubMed  Google Scholar 

  4. Berg K.: Balance and its measure in the elderly: a review. Physiotherapy Canada 41: 240–246, 1989.

    Article  Google Scholar 

  5. Fregly A.R., Smith M.J., Graybiel A.: yRevised normative standards of performance of men on a quantitative ataxia test battery. Acta Otolaryngol. 75: 10–16, 1973.

    Article  CAS  PubMed  Google Scholar 

  6. Bohannon R.W., Larkin P.A., Cook A.C., Gear J., Singer J.: Decrease in timed balance test scores with aging. Phys. Ther. 64: 1067–1070, 1984.

    CAS  PubMed  Google Scholar 

  7. Briggs R.C., Gossman M.R., Birch R., Drews J.E., Shaddeau S.A.: Balance performance among non-institutionalized elderly women. Phys. Ther. 69: 748–756, 1989.

    CAS  PubMed  Google Scholar 

  8. Iverson B.D., Gossman M.R., Shaddeau S.A., Turner M.E.: Balance performance, force production, and activity levels in non-institutionalized men 60 to 90 years of age. Phys. Ther. 70: 348–355, 1990.

    CAS  PubMed  Google Scholar 

  9. Duncan P.W., Weiner D.K., Chandler J., Studenski S.: Functional reach: a new clinical measure of balance. J. Gerontol. 45: M192–M197, 1990.

    Article  CAS  PubMed  Google Scholar 

  10. Duncan P.W., Studenski S., Chandler J., Prescott B.: Functional reach: predictive validity in a sample of elderly male veterans. J. Gerontol. 47: M93–M98, 1992.

    Article  CAS  PubMed  Google Scholar 

  11. Weiner D.K., Duncan P.W., Chandler J., Studenski S.A.: Functional reach: a marker of physical frailty. J. Am. Geriatr. Soc. 40: 203–207, 1991.

    Google Scholar 

  12. Csuka M., McCarty D.J.: Simple method for measurement of lower extremity muscle strength. Am. J. Med. 78: 77–81, 1985.

    Article  CAS  PubMed  Google Scholar 

  13. MacRae P.G., Lacourse M., Moldavon R.: Physical performance measures that predict faller status in community-dwelling older adults. JOSPT16: 123–128, 1992.

    Article  CAS  PubMed  Google Scholar 

  14. Mathias S., Nayak U.S.L., Isaacs B.: Balance in elderly patients: the “get up and go” test. Arch. Phys. Med. Rehabil. 67: 387–389, 1986.

    CAS  PubMed  Google Scholar 

  15. Johnston M.V., Keith R.A., Hinderer S.R.: Measurement standards for interdisciplinary medical rehabilitation. Arch. Phys. Med. Rehabil. 73: S3–S23, 1992.

    CAS  PubMed  Google Scholar 

  16. Thapa P.B., Gideon P., Fought R.L., Kormicki M., Ray W.A.: Comparison of clinical and biomechanical measures of balance and mobility in elderly nursing home residents. J. Am. Geriatr. Soc. 42: 493–500, 1994.

    CAS  PubMed  Google Scholar 

  17. Tinetti M.E., Williams T.F., Mayewski R.: Fall risk index for elderly patients based on number of chronic disabilities. Am. J. Med. 80: 429–434, 1986.

    Article  CAS  PubMed  Google Scholar 

  18. Harris A.J.: Harris Tests of Lateral Dominance. The Psychological Corp., New York, 1958, p. 10.

    Google Scholar 

  19. Bohannon R.W.: One-legged balance test times. Percept. Mot. Skills 78: 801–802, 1994.

    Article  CAS  PubMed  Google Scholar 

  20. Hageman P.A., Leibowitz J.M., Blanke D.: Age and gender effects on postural control measures. Arch. Phys. Med. Rehabil. 76: 961–965, 1995.

    Article  CAS  PubMed  Google Scholar 

  21. Shrout P.E., Fleiss J.L.: Intraclass correlations: uses in assessing rater reliability. Psychol. Bull. 86: 420–428, 1979.

    Article  CAS  PubMed  Google Scholar 

  22. Heitmann D.K., Gossman M.R., Shaddeau S.A., Jackson J.R.: Balance performance and step width in non-institutionalized, elderly, female fallers and non-fallers. Phys. Ther. 69: 923–931, 1989.

    CAS  PubMed  Google Scholar 

  23. Potvin A.R., Tourtelotte W.W.: Quantitative examination of neurologic functions — Vol. II: Methodology for test and patient assessment and design of a computer-automated system. CRC Press Inc., Boca Raton (FA), 1985, pp. 59–68.

    Google Scholar 

  24. Rossiter-Fornoff J.E., Wolf S.L., Wolfson L.I., Buchner D.M., and the FICSIT Group: A cross-sectional validation study of the FICSIT common data base static balance measures. J. Gerontol. 50A: M291–M297, 1995.

    Article  Google Scholar 

  25. Seeman T.E., Charpentier P.A., Berkman L.F., Tinetti M.E., Guralnick J.M., Albert M., Blazer D., Rowe J.W.: Predicting changes in physical performance in a high-functioning elderly cohort: Mac Arthur studies of successful aging. J. Gerontol. 49: M97–M108, 1994.

    Article  CAS  PubMed  Google Scholar 

  26. Campbell A.J., Borrie M.J., Spears G.F.: Risk factors for falls in a community-based prospective study of people 70 years and older. J. Gerontol. 44: M112–M117, 1989.

    CAS  PubMed  Google Scholar 

  27. Guralnik J.M., Branch L.G., Cummings S.R., Curb J.D.: Physical performance measures in aging research. J. Gerontol. 44: M141–M146, 1989.

    Article  CAS  PubMed  Google Scholar 

  28. Nevitt M.C., Cummings S.R., Kidd S., Black D.: Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA 261: 2663–2668, 1989.

    Article  CAS  PubMed  Google Scholar 

  29. Lipsey M.W.: Design Sensitivity. Statistical Power for Experimental Research. SAGE, Newbury Park, 1990, pp. 100–101.

    Google Scholar 

  30. Berg K.O., Wood-Dauphinee S.L., Williams I., Maki B.: Measuring balance in the elderly: validation of an instrument. Can. J. Public Health 83: S7–S11, 1992.

    PubMed  Google Scholar 

  31. Berg K.O., Maki B.E., Williams J.I., Holliday P.J., Wood-Dauphinee S.L.: Clinical and laboratory measures of postural balance in an elderly population. Arch. Phys. Med. Rehabil. 73: 1073–1080, 1992.

    CAS  PubMed  Google Scholar 

  32. Lichtenstein M.J., Burger M.C., Shields S.L., Shiavi R.G.: Comparison of biomechanics platform measures of balance and videotaped measures of gait with a clinical mobility scale in elderly women. J. Gerontol. 45: M49–M54, 1990.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Franchignoni, F., Tesio, L., Martino, M.T. et al. Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females. Aging Clin Exp Res 10, 26–31 (1998). https://doi.org/10.1007/BF03339630

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03339630

Key words

Navigation