Volume 28, Issue 3 (Avicenna Journal of Clinical Medicine-Autumn 2021)                   Avicenna J Clin Med 2021, 28(3): 194-202 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Talebi Ghane E, Ghanbari L, Shamloo Kazemi S, Heidari Moghadam R, Naderifar H. Development of a Model and Review of Clinical Methods of Balance Function in the Elderly Using Structural Equation Modeling. Avicenna J Clin Med 2021; 28 (3) :194-202
URL: http://sjh.umsha.ac.ir/article-1-2307-en.html
1- Assistant Professor, Department of Biostatistics, School of Health, Modeling of Noncommunicable Disease Research Center, Hamadan University of Medical Sciences
2- Assistant Professor, Department of Sports Injuries and Corrective Exercises, School of Physical Education, Astara Branch, Islamic Azad University
3- PhD Candidate, Department of Exercise Physiology, School of Sport Sciences, Bu-Ali Sina University
4- Professor, Department of Ergonomics, School of Health, Hamadan University of Medical Sciences
5- PhD in Sports Injury and Corrective Exercise, Center of Excellence for Occupational Health, Occupational Health and Safety Research Center, School of Public Health, Hamadan University of Medical Sciences , hnaderifar121@gmail.com
Abstract:   (1518 Views)
Background and Objective: Balance disorder is one of the most common problems in the elderly, leading to falls and serious injuries. One of the most important issues in the health of the elderly is balance and its related components. Therefore, the present study aimed to assess balance function tests, the relationship between age and anthropometric index, and perform equilibrium tests using structural equation modeling.
Materials and Methods: A total of 136 elderly men and women living in a retirement home in Hamadan were included in this cross-sectional study. Balance function tests included finger-to-nose test, maintaining balance on one foot, standing up and walking tests, and heel-toe walking tests. Data were analyzed using an independent t-test, Pearson correlation coefficient, and structural equation model with 95% confidence using SPSS (version 23) and EQS (version 6.1) software.
Results: The mean (standard deviation) age of the participants in this study was 66.05±2.83 and out of 136 patients, 77 (56.62%) cases were female. There was a significant difference between the mean scores of men and women in balance performance tests. In the Finger-to-nose test, women with the dominant and non-dominant hand performed the test in less time, and in other tests, the men performed faster. The intra-class correlation (ICC) coefficient obtained in all tests showed high repeatability of these tests. The coefficients obtained from the structural equation model showed that for every one year increase in age, the motor index and the anthropometric index increased and decreased significantly by 0.68 and 0.60 units, respectively. There was a decrease of 0.06 units in the mean of equilibrium performance tests. The model of fitted structural equations was confirmed based on the fitted goodness index (χ2 was not significant total, (0.095-0.077) 0.089: RMSEA, 0.918CFI: and GFI: 0.908).
Conclusion: Age and gender were effective on balance function tests and anthropometric indices. The mean motor index and anthropometric index increased and decreased significantly for every one year increase in age. Furthermore, among the balance performance tests, the most difficult test was related to standing on one leg.
Full-Text [PDF 1184 kb]   (516 Downloads)    
Type of Study: Original | Subject: Sport Medicine

References
1. Lunenfeld B, Stratton P. The clinical consequences of an ageing world and preventive strategies. Best Pract Res Clin Obstet Gynaecol. 2013;27(5):643-59. [DOI] [PubMed]
2. Alcazar J, Kamper RS, Aagaard P, Haddock B, Prescott E, Ara I, et al. Relation between leg extension power and 30-s sit-to-stand muscle power in older adults: validation and translation to functional performance. Sci Rep. 2020;10(1):1-8. [DOI] [PubMed]
3. Shukla BK, Jain H, Vijay V, Yadav SK, Mathur A, Hewson DJ, et al. A comparison of four approaches to evaluate the sit-to-stand movement. IEEE Trans Neural Syst Rehabil Eng. 2020;28(6):1317-24. [DOI] [PubMed]
4. Aranda MP, Kremer IN, Hinton L, Zissimopoulos J, Whitmer RA, Hummel CH, et al. Impact of dementia: Health disparities, population trends, care interventions, and economic costs. J Am Geriatr Soc. 2021;69(7):1774-83 [DOI] [PubMed]
5. Shareef MA, Kumar V, Dwivedi YK, Kumar U, Akram MS, Raman R, et al. A new health care system enabled bymachine intelligence: Elderly people's trust or losing self control. Technol Forecast Soc Change. 2021;162:120334. [DOI]
6. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med. 2001;82(8):1050-6. [DOI] [PubMed]
7. Aslankhani MA, Farsi A, Abdoli B, Zamani SSH, Fathi RZ. Identification of elderly falling risk by balance tests under dual tasks conditions. Salmand Iran J Ageing. 2010; 4(2):7-15.
8. Salavati M, Negahban H, Mazaheri M, Soleimanifar M, Hadadi M, Sefiddashti L, et al. The Persian version of the Berg Balance Scale: inter and intra-rater reliability and construct validity in elderly adults. Disabil Rehabil. 2012;34(20):1695-8. [DOI] [PubMed]
9. Kashani VO, Salmanzade M, Bahrami L. Determination of validity and reliability of the Persian version of the 9-item Berg balance scale in elderly people. Koomesh. 2018;20(1):25-33.
10. Seyed Hoseini MA, Barati AH, Shirzad Araghi E, Akoochakian M, Naderifar H. The comparison of lower extremity malalignment during hurdle pre-flight and traditional approach at forward diving straight. J Rehabil Sci. 2021;8(3):132-8. [DOI]
11. Minoonejad H, Barati AH, Naderifar H, Heidari B, Kazemi AS, Lashay A. Effect of four weeks of ocular-motor exercises on dynamic visual acuity and stability limit of female basketball players. Gait posture. 2019;73:286-90. [DOI] [PubMed]
12. Naderifar H, Minoonejad H, Barati AH, Lashay A. Effect of a neck proprioceptive neuromuscular facilitation training program on body postural stability in elite female basketball players. J Rehabil Sci. 2018;5(2):41-5. [DOI]
13. Ackerman PL. Individual differences in skill learning: An integration of psychometric and information processing perspectives. Psychol Bull. 1987;102(1):3-27.
14. Kováčiková Z, Janura M, Sarvestan J, Zemková E, Pecho J. Tests revealing age-related changes in the functional performance of physically active older adults. J Phys Educ Sport. 2020;20(3):15-22. [DOI]
15. Almeida S, Paixão C, Marques A. Balance and healthy aging: a close relationship. Rev Port Med Geral Fam. 2020;36(5):383-95. [DOI]
16. Rahimi A, Balouchi R, Eslami R, Shahrokhi M. The relationship between back extensor muscle strength with dynamic balance and fear of falling in elderly people. JPSBS. 2016;4(7):114-24. [DOI]
17. Imanipour S, Hashemi Sheykhshabani S, Shafineya P, Ghotbi Varzaneh A. Studying the Correlation of Different Age Groups on the Role of Motional Control Standards and Anthropometric Indices. JRUMS. 2014;13(1):83-96.
18. Ivičević Uhernik A, Musić Milanović S. Anthropometric indices of obesity and hypertension in different age and gender groups of Croatian population. Coll Antropol. 2009;33(1):75-80. [PubMed]
19. Wall JC, Bell C, Campbell S, Davis J. The timed get-up-and-Go test revisited: measurement of the component tasks. J Rehabil Res Dev. 2000;37(1):109-13. [PubMed]
20. Carmeli E, Bar-Chad S, Lotan M, Merrick J, Coleman R. Five clinical tests to assess balance following ball exercises and treadmill training in adult persons with intellectual disability. J Gerontol A Biol Sci Med Sci. 2003;58(8):767-72. [DOI] [PubMed]
21. Riemann BL, Guskiewicz KM. Effects of mild head injury on postural stability as measured through clinical balance testing. J Athl Train. 2000;35(1):19-25. [PubMed]
22. Buatois S, Miljkovic D,Manckoundia P, Gueguen R, Miget P, Vançon G, et al. Five times sit to stand test is a predictor of recurrent falls in healthy community‐living subjects aged 65 and older. J Am Geriatr Soc. 2008;56(8):1575-7. [DOI] [PubMed]
23. Omaña H, Bezaire K, Brady K, Davies J, Louwagie N, Power S, et al. Functional Reach Test, Single-Leg Stance Test, and Tinetti Performance-Oriented Mobility Assessment for the Prediction of Falls in Older Adults: A Systematic Review. Phys Ther Res. 2021. [DOI] [PubMed]
24. Isles RC, Choy NLL, Steer M, Nitz JC. Normal values of balance tests in women aged 20–80. J Am Geriatr Soc. 2004;52(8):1367-72. [DOI] [PubMed]
25. Casey VA, Dwyer JT, Coleman KA, Valadian I. Body mass index from childhood to middle age: a 50-y follow-up. Am J Clin Nutr. 1992;56(1):14-8. [DOI] [PubMed]
26. Ponti F, Santoro A, Mercatelli D, Gasperini C, Conte M, Martucci M, et al. Aging and imaging assessment of body composition: from fat to facts. Front Endocrinol. 2020;10:861. [DOI]
27. Lin MR, Hwang HF, Hu MH, Wu HDI, Wang YW, Huang FC, et al. Psychometric comparisons of the timed up and go, one‐leg stand, functional reach, and Tinetti balance measures in community‐dwelling older people. J Am Geriatr Soc. 2004;52(8):138-43. [DOI]
28. Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, J Am Diet Assoc 2001;101(1):28-34. [DOI] [PubMed]
29. Stubbs B, Binnekade T, Eggermont L, Sepehry AA, Patchay S, Schofield P. Pain and the risk for falls in community-dwelling older adults: systematic review and meta-analysis. Arch Phys Med Rehabil. 2014;95(1):175-187. [DOI] [PubMed]
30. Desrosiers J, Hebert R, Bravo G, Dutil É. Upper-extremity motor co-ordination of healthy elderly people. Age and Ageing. 1995;24(2):108-12. [DOI] [PubMed]
31. Dai B, Ware WB, Giuliani CA. A structural equation model relating physical function, pain, impaired mobility (IM), and falls in older adults. Arch Gerontol Geriatr. 2012;55(3):645-52. [DOI] [PubMed]
32. Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther. 2007; 30(1):8-15. [DOI] [PubMed]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb