Evidence map›Paper›PMID 39548372›Full record

ArticleBMC geriatrics2024

Standing balance test for fall prediction in older adults: a 6-month longitudinal study.

Daniela Cristina Carvalho de Abreu, Anne Caroline Lima Bandeira, Paola Errera Magnani, Douglas Augusto de Oliveira Grigoletto, José Roberto de Faria Junior, Vitor Roberto Sanchez Teixeira, Victoria Message Fuentes, Roberta de Matos Brunelli Braghin

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daniela Cristina Carvalho de AbreuDepartment of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes, Ribeirão Preto, SP, 14049-900, Brazil. dabreu@fmrp.usp.br.ORCID 0000-0003-4681-2613
Anne Caroline Lima BandeiraDepartment of Health Sciences, Ribeirão Preto Medical School, Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.
Paola Errera MagnaniDepartment of Health Sciences, Ribeirão Preto Medical School, Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.
Douglas Augusto de Oliveira GrigolettoDepartment of Health Sciences, Ribeirão Preto Medical School, Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.
José Roberto de Faria JuniorDepartment of Health Sciences, Ribeirão Preto Medical School, Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.
Vitor Roberto Sanchez TeixeiraDepartment of Health Sciences, Ribeirão Preto Medical School, Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.
Victoria Message FuentesDepartment of Health Sciences, Ribeirão Preto Medical School, Postgraduate Program in Rehabilitation and Functional Performance, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.
Roberta de Matos Brunelli BraghinPhysiotherapist at Clinical Hospital, Ribeirão Preto School of Medicine, University of São Paulo (USP), Ribeirão Preto (SP), Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA core component of older adult health care assessment includes identifying fall risk, which also includes identifying those with subtle balance deficits.

objectiveTo compare body displacement of the Center of Pressure (CoP) and time held during the balance test. Also, to examine whether balance tests at baseline can predict falls after 6 months.

methodsA longitudinal study with 153 community-dwelling older adults, between 60-89 years old. Anteroposterior (AP) and mediolateral (ML) amplitude and velocity CoP displacements were assessed in four upright positions using a force platform: double-leg, semi-tandem, tandem, and single-leg stances, with a maximum duration of 30 s each. Adjusted repeated measures ANOVA were used to compare the differences among the balance positions. Comparisons between males and females were also conducted. Logistic regression adjusted for confounders was performed to verify whether upright balance tests can predict future falls.

resultsAs the base of support narrows, body sway increases. A decrease in stance time was observed across the balance stages, i.e., double-leg/semi-tandem versus tandem versus single-leg stances. The mean duration held in the single-leg stance was 14.8 s and for tandem was 22.2 s. Similar stance durations were observed for double-leg and semi-tandem stances. Males were able to maintain balance positions longer than females even with greater CoP displacement. ML amplitude of CoP displacement and the time held during tandem and single-leg positions were able to predict falls after 6 months (p < 0.05).

conclusionIn clinical practice in which only stance time is recorded, it is possible to interchangeably use the double-leg or semi-tandem stance. To identify early signs of imbalance, we suggest setting a time limit for the balance test equal to or greater than 23 s, as 10 s appear to be insufficient to detect subtle balance deficits. The time maintenance on tandem and single-leg positions was able to predict future falls.

Indexed as

Accidental FallsPostural BalanceStanding PositionAgedAged, 80 and overFemaleGeriatric AssessmentHumansLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsAgingBody swayCenter of pressureForce platformSex difference

Identifiers

PMID39548372
PMCPMC11566129

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.