The relationship between the Activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction.
ABSTRACT People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction.
A retrospective review of 137 charts with the Activities-specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank-order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness.
A moderate correlation of r = 0.58 (p < 0.001) was found between the ABC Scale score and the DGI score in the total sample. Those with mild or moderate vestibular weakness had a correlation of r = 0.72 (p < 0.001) between the ABC Scale score and the DGI score, compared with a correlation of r = 0.48 in those with severe or total vestibular weakness.
Decreased balance confidence and increased fall risk are critical issues for people with vestibular dysfunction. The effects of aging did not have a significant impact on the relationship. The correlation between balance confidence and gait dysfunction was stronger in those with mild or moderate vestibular weakness, although those with severe or total weakness were more disabled by their vestibular symptoms.
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ABSTRACT: The purpose of this case report is to determine the effects of a dual-channel functional electrical stimulation (FES) system on gait and balance of a 57-year-old male diagnosed with spastic diplegic cerebral palsy (CP). Outcome measures included the: Activities-specific Balance Confidence Scale (ABC); Dynamic Gait Index (DGI); Observational Gait Scale (OGS) and Tinetti Performance Oriented Mobility Assessment (POMA). Assessments were completed with and without use of FES during the initial examination and after two, four and six weeks of intervention with FES. ABC Scale scores improved from 32.8 to 48.1% during the 6-week intervention. Scores on the DGI improved from 6/24 to 9/24 without FES and from 9/24 to 14/24 with FES. OGS scores improved on both legs with and without FES. Tinetti POMA scores improved from 12/28 to 15/28 without FES and decreased from 16/28 to 15/28 with FES. The patient demonstrated improvement in both objective and subjective measures. The use of FES facilitated improved gait and balance; however, the patient was still at increased risk for falls after the 6-week intervention despite improved scores on the ABC Scale, DGI, OGS and Tinetti POMA.Physiotherapy Theory and Practice 11/2014; DOI:10.3109/09593985.2014.982774
Dataset: temor a caer-Revista17(2) 13
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ABSTRACT: Objective: The aim of this systematic review was to assess the ability of the Activities-specific Balance Confidence (ABC) scale to predict the fall risk in older community-living adults. Methods: A systematic literature review was conducted from February 1, 2010, to October 8, 2010, through Pubmed, CINAHL and MEDLINE. Appraisal of full-text English articles, which were published from January 1996 to October 2010, provided the framework for this analysis. Results: On the basis of our inclusion/exclusion criteria, three studies qualified for inclusion in this review. Two of the three selected studies indicated a significant association between ABC scores and falls. The third study concluded that the ABC scale was unable to distinguish fallers from nonfallers. Conclusion: Despite the abundance of studies, which include the ABC scale, there is insufficient research that specifically examines the relationship between balance confidence scores with actual falls in community-dwelling older adults. In this population of adults, who live in the community and are aged at least 60 years, there is limited support for the hypothesis that the ABC scale can predict the fall risk.Physical & Occupational Therapy in Geriatrics 08/2011; 29(3). DOI:10.3109/02703181.2011.572249