TINETTI’S POMA VERSUS HORAK’S BES TEST: CORRELATION WITH OTHER TOOLS OF BALANCE ASSESSMENT IN GERIATRIC AGE GROUP – AN ANALYTICAL OBSERVATIONAL STUDY
Journal Title: Stanley Medical Journal - Year 2017, Vol 4, Issue 1
Abstract
Context: Elderly population is growing gradually and the risk of fall increases with advancing age. It is important to predict the fall risk in order to prevent its unfavorable effects on quality of life of any elderly. Despite the availability of wide range of clinical tools to assess static and dynamic balance and their function, it is still difficult to select one to be followed. Aims: To correlate Tinetti’s Performance Oriented Mobility Assessment (POMA) and Horak’s Balance Evaluation System Test (BEST) with other clinical tools of balance and functional assessment and to analyze their pitfalls Settings and Design: Observational studyMethods and Material: The study group(S) included 46 elderly subjects (aged 60 to74, both sex) with purely age related balance complaints and all of them were assessed with clinical tools-POMA, BEST, Berg Balance Scale (BBS), Timed Up and Go (TUG), Unipedal Stance (UPS), Four square Step (FSS), Timed Sit& stand (TSS) and Functional Reach Test (FRT) and subjective assessment was done with Activity specific balance confidence (ABC). The control group(C) included 46 age group and sex matched subjects with no specific balance complaints and they were also assessed with the tools mentioned. Spearman’s rank correlation coefficient was used to analyze the data with significance level of 5%. Statistical analysis used: Spearman’s rank correlation coefficient was used to analyze the data with significance level of 5% .Results: In study group as well as control group, there was statistically significant positive correlation between POMA & BEST (rho: 0.64-S, 0.62-C) as well as each individually with other tools mentioned but with varying strength (POMA: 0.72-0.96, BEST: 0.58-0.86) except statistically significant strong inverse correlation with TUG, FSS, TSS (POMA: -0.71 to -0.88, BEST:-0.80 to -0.97). Conclusions: Despite both POMA & BEST correlated well with other tools, POMA showed stronger correlation with most of them especially with functional and subjective assessments, except with few which themselves were parameters of BEST. Though BEST directs towards balance system to be targeted, it is yet to be validated. This study concludes that POMA could be used as a single best clinically available balance assessment tool in elderly
Authors and Affiliations
Padmapriya P, Ramesh C, Jayakumar T, Thirunavukkarasu P
Keywords
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