Psychometric Comparisons of the Timed Up and Go, One‐Leg Stand, Functional Reach, and Tinetti Balance Measures in Community‐Dwelling Older People
- 19 July 2004
- journal article
- research article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 52 (8) , 1343-1348
- https://doi.org/10.1111/j.1532-5415.2004.52366.x
Abstract
Objectives: To compare the practicality, reliability, validity, and responsiveness of the timed up and go (TUG), one‐leg stand (OLS), functional reach (FR), and Tinetti balance (TB) performance measures in people aged 65 and older.Design: A prospective study.Setting: Shin‐Sher Township of Taichung County, west‐central Taiwan.Participants: Twelve hundred community‐dwelling older people.Measurements: During an initial assessment at their residences, participants were interviewed for demographics, cognition, fall history, use of a walking aid, and activities of daily living (ADLs), in addition to completing the four balance tests. Falls were ascertained by telephone every 3 months for a 1‐year follow‐up; the four balance measures and ADLs were also reassessed at the end of the follow‐up year.Results: Of the four balance measures, the OLS had the lowest participation rate, and participation of people who were cognitively impaired had fallen in the previous year, used a walking aid, or suffered from an ADL disability was lower than for their counterparts. The time to complete the tests ranged from 58 seconds for OLS, to 160 seconds for the TB. All four balance measures exhibited excellent test‐retest reliability and discriminant validity but poor responsiveness to fall status. The TB showed better discriminant, convergent, and predictive validities and responsiveness to ADL changes than the other three tests.Conclusion: According to psychometric properties, the most suitable performance measure for evaluating balance in community‐dwelling older people was the TB, followed by the TUG.Keywords
This publication has 15 references indexed in Scilit:
- Responsiveness and predictability of gait speed and other disability measures in acute strokeArchives of Physical Medicine and Rehabilitation, 2001
- In ReplyJournal of the American Geriatrics Society, 1998
- The Association Between Chronic Illness and Functional Change Among Participants in a Comprehensive Geriatric Assessment ProgramJournal of the American Geriatrics Society, 1998
- Physical Performance Measures in Aging ResearchJournal of Gerontology, 1989
- Visual, Vestibular and Somatosensory Contributions to Balance Control in the Older AdultJournal of Gerontology, 1989
- Risk Factors for Falls among Elderly Persons Living in the CommunityNew England Journal of Medicine, 1988
- Fall risk index for elderly patients based on number of chronic disabilitiesThe American Journal of Medicine, 1986
- Performance‐Oriented Assessment of Mobility Problems in Elderly PatientsJournal of the American Geriatrics Society, 1986
- The Development, Validity, and Reliability of the Oars Multidimensional Functional Assessment QuestionnaireJournal of Gerontology, 1981
- “Mini-mental state”Journal of Psychiatric Research, 1975