Clinical assessment of balance: Normative data, and gender and age effects

The purpose of this study was to provide age specific normative data of clinical gait and balance tests and to determine to what extent gender contributes to differences in postural control. Standing balance and walking performance was tested in 318 asymptomatic adults. The logistic regression, using both 10- and 30-second time limits as a dichotomization point, revealed a significant age effect for standing on foam with eyes closed, tandem Romberg with eyes closed (TR-EC), and one leg stance (eyes open and closed). The actual effect of decline was different for each test. Both tandem gait and dynamic gait index showed a ceiling effect up to 60 years of age, with a rapid decline of performance for subjects in their seventies. Linear regression equations indicated that for both men and women, timed up and go test (TUG) times increased with age, but even older subjects should perform the TUG in 10 seconds or less. Women performed significantly poorer on the TUG and TR-EC (30-second time limit).

[1]  Richard W. Bohannon.  One-legged balance test times. , 1994, Perceptual and motor skills.

[2]  D. Krebs,et al.  Relationship among balance impairments, functional performance, and disability in people with peripheral vestibular hypofunction. , 2000, Physical therapy.

[3]  S. Studenski,et al.  Functional reach: a new clinical measure of balance. , 1990, Journal of gerontology.

[4]  C. Darlington,et al.  Further evidence for age-related deficits in human postural function. , 1999, Journal of vestibular research : equilibrium & orientation.

[5]  P. Gerdhem,et al.  Is there a relationship between balance, gait performance and muscular strength in 75-year-old women? , 1999, Age and ageing.

[6]  M. Gossman,et al.  Balance performance, force production, and activity levels in noninstitutionalized men 60 to 90 years of age. , 1990, Physical therapy.

[7]  S. Lord,et al.  Shoe Characteristics and Balance in Older Women , 1996, Journal of the American Geriatrics Society.

[8]  L. Nashner,et al.  Gender differences in the balance of healthy elderly as demonstrated by dynamic posturography. , 1994, Journal of gerontology.

[9]  K. Musselman,et al.  Gender-related differences in physical performance among seniors. , 2005, Journal of aging and physical activity.

[10]  A B Schultz,et al.  What leads to age and gender differences in balance maintenance and recovery? , 1997, Muscle & nerve. Supplement.

[11]  A. Håkansson,et al.  Effects of specific rehabilitation for dizziness among patients in primary health care. A randomized controlled trial , 2004, Clinical rehabilitation.

[12]  P. A. Hageman,et al.  Age and gender effects on postural control measures. , 1995, Archives of physical medicine and rehabilitation.

[13]  M. Schroll,et al.  Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study. , 1996, The journals of gerontology. Series A, Biological sciences and medical sciences.

[14]  R. Hardy,et al.  Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[15]  M. Gossman,et al.  Balance performance among noninstitutionalized elderly women. , 1989, Physical therapy.

[16]  F Franchignoni,et al.  Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females , 1998, Aging.

[17]  D M Buchner,et al.  A cross-sectional validation study of the FICSIT common data base static balance measures. Frailty and Injuries: Cooperative Studies of Intervention Techniques. , 1995, The journals of gerontology. Series A, Biological sciences and medical sciences.

[18]  D. Wrisley,et al.  The influence of footwear on timed balance scores of the modified clinical test of sensory interaction and balance. , 2004, Archives of physical medicine and rehabilitation.

[19]  H. Bliddal,et al.  Postural sway in normal subjects aged 20–70 years , 2003, Clinical physiology and functional imaging.

[20]  Potvin Ar,et al.  The neurological examination: advancements in its quantification. , 1975 .

[21]  K. Syndulko,et al.  Human Neurologic Function and the Aging Process † , 1980, Journal of the American Geriatrics Society.

[22]  G. Gehlsen,et al.  Falls in the elderly: Part II, Balance, strength, and flexibility. , 1990, Archives of physical medicine and rehabilitation.

[23]  M. Samson,et al.  Relationships between physical performance measures, age, height and body weight in healthy adults. , 2000, Age and ageing.

[24]  Sadao Suzuki,et al.  Gender differences in platform measures of balance in rural community-dwelling elders. , 2005, Archives of gerontology and geriatrics.

[25]  A. Smith,et al.  Gender differences in balance performance at the time of retirement. , 2005, Clinical biomechanics.

[26]  L. Mollinger,et al.  Age‐ and Gender‐related Test Performance in Community‐dwelling Adults , 2005, Journal of neurologic physical therapy : JNPT.

[27]  R W Bohannon,et al.  Decrease in timed balance test scores with aging. , 1984, Physical therapy.

[28]  G. Andersson,et al.  Randomized Controlled Trial of Vestibular Rehabilitation Combined with Cognitive-Behavioral Therapy for Dizziness in Older People , 2001, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[29]  P. Haavisto,et al.  Postural Balance in a Random Sample of 7,979 Subjects Aged 30 Years and Over , 2006, Gerontology.

[30]  A Graybiel,et al.  Revised normative standards of performance of men on a quantitative ataxia test battery. , 1973, Acta oto-laryngologica.

[31]  J. Furman,et al.  Is Perception of Handicap Related to Functional Performance in Persons with Vestibular Dysfunction? , 2004, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[32]  A. Shumway-cook.  Normal postural control , 2001 .

[33]  E. Hansson,et al.  Effects of specific rehabilitation for dizziness among patients in primary health care. A randomized controlled trial. , 2004, Clinical rehabilitation.

[34]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[35]  E. Skargren,et al.  Effects of home training and additional physical therapy on recovery after acute unilateral vestibular loss- a randomized study , 2005, Clinical rehabilitation.

[36]  M. Samson,et al.  Differences in gait parameters at a preferred walking speed in healthy subjects due to age, height and body weight , 2001, Aging.

[37]  L. Mollinger,et al.  Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. , 2002, Physical therapy.

[38]  M. Gossman,et al.  Balance performance and step width in noninstitutionalized, elderly, female fallers and nonfallers. , 1989, Physical therapy.

[39]  A B Schultz,et al.  Age and gender differences in single-step recovery from a forward fall. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[40]  A. Jette,et al.  Reliability of clinical balance outcome measures in the elderly. , 1998, Physiotherapy research international : the journal for researchers and clinicians in physical therapy.

[41]  M. Redfern,et al.  Functional reach and single leg stance in patients with peripheral vestibular disorders. , 1996, Journal of vestibular research : equilibrium & orientation.

[42]  H. Cohen,et al.  A study of the clinical test of sensory interaction and balance. , 1993, Physical therapy.