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A comparison of four functional test in discriminating fallers from non-fallers in older people

Chui, A., Au-Yeung, S. and Lo, Sing Kai 2003, A comparison of four functional test in discriminating fallers from non-fallers in older people, Disability and rehabilitation, vol. 25, no. 1, pp. 45-50.

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Title A comparison of four functional test in discriminating fallers from non-fallers in older people
Author(s) Chui, A.
Au-Yeung, S.
Lo, Sing Kai
Journal name Disability and rehabilitation
Volume number 25
Issue number 1
Start page 45
End page 50
Publisher Taylor & Francis
Place of publication London, England
Publication date 2003-01
Keyword(s) rehabilitation medicine
Summary Purpose : Which functional tests on mobility and balance can better screen older people at risk of falls is unclear. This study aims to compare the Berg Balance Scale (BBS), Tinetti Mobility Score (TMS), Elderly Mobility Scale (EMS) and Timed Up and Go test (TUG) in discriminating fallers from non-fallers in older people.
Method : This was a case-control study involving one rater who conducted a mobility and balance assessment on subjects using the four functional tests in random sequence. Subjects recruited included 17 and 22 older people with a history of single and multiple falls respectively from a public Falls Clinic, and 39 community-dwellers without fall history and whose age, sex and BMI matched those of the fallers. All subjects underwent the mobility and balance assessment within one day.
Results : Single fallers performed better than multiple fallers in all four functional tests but were worse than non-fallers in the BBS, TMS and TUG. The BBS demonstrated the best discriminating ability, with high sensitivity and specificity. The BBS item 'pick up an object from the floor' was the best at screening fallers.
Conclusion : BBS was the most powerful functional test of the four in discriminating fallers from non-faller.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2003, Taylor & Francis
Persistent URL http://hdl.handle.net/10536/DRO/DU:30006589

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