PM&R
Volume 2, Issue 4 , Pages 254-258 , April 2010

The Influence of Initial Bipedal Stance Width on the Clinical Measurement of Unipedal Balance Time

  • James K. Richardson, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Health Systems, 325 East Eisenhower Parkway, Ann Arbor, MI 48103†
    • Corresponding Author InformationAddress correspondence to J.K.R.
    • ,
  • Chi Tang, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Health Systems, Ann Arbor, MI‡
    • ,
  • Chijioke Nwagwu, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Health Systems, Ann Arbor, MI§
    • ,
  • Joseph Nnodim, MD

      Affiliations

    • Department of Internal Medicine, Division of Geriatric Medicine, University of Michigan Health Systems, Ann Arbor, MI

Received 30 July 2009 ,Accepted 28 January 2010.

References 

  1. Wang CY, Hsieh CL, Olson SL, Wang CH, Sheu CF, Liang CC. Psychometric properties of the Berg Balance Scale in a community-dwelling elderly resident population in Taiwan. J Formosan Med Assoc. 2006;105(12):992–1000
  2. Crosbie J, Nimmo M, Banks M, Brownlee BA, Meldrum F. Standing balance responses in two populations of elderly women: A pilot study. Arch Phys Med Rehab. 1989;70:751–754
  3. Lord S, Rogers M, Howland A, Fitzpatrick R. Lateral stability, sensorimotor function and falls in older people. Am Geriatr Soc. 1999;47:1077–1081
  4. Greenspan SL, Meyers ER, Maitland LA, Resnick NJ, Hayes WC. Fall severity and bone mineral density as risk factors for hip fracture in ambulatory elderly. JAMA. 1994;271(2):128–133
  5. Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther. 1984;64(7):1067–1070
  6. Drusini AG, Eleazer GP, Calazzo M, Veronese E, Carrara N, Ranzato C. One-leg standing balance and functional status in an elderly community-dwelling population in Northeast Italy. Aging Clin Exp Res. 2002;14(1):42–46
  7. Vellas BJ, Wayne SJ, Romero L, Baumgartner RN, Rubenstein LZ, Garry PJ. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc. 1997;45:735–738
  8. Richardson JK. Factors associated with falls in older patients with diffuse polyneuropathy. J Am Geriatr Soc. 2002;50:1767–1773
  9. Hurvitz EA, Richardson JK, Werner RA, Ruhl A, Dixon M. Unipedal stance testing as an indicator of fall risk among older outpatients. Arch Phys Med Rehabil. 2000;81:587–591
  10. Hurvitz EA, Richardson JK, Werner RA. Unipedal stance testing in the assessment of peripheral neuropathy. Arch Phys Med Rehabil. 2001;82(2):198–204
  11. Richardson JK, Ashton-Miller JA, Lee SG, Jacob K. Moderate peripheral neuropathy impairs weight transfer and unipedal balance in the elderly. Arch Phys Med Rehabil. 1996;77(11):1152–1156
  12. Frzovic D, Morris ME, Vowels L. Clinical tests of standing balance: Performance of persons with multiple sclerosis. Arch Phys Med Rehabil. 2000;81:215–221
  13. Maki BE, Holliday PJ, Topper AK. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. J Gerontol. 1994;49(2):M72–M84
  14. Berg WP, Alessio HM, Mills EM, Tong C. Circumstances and consequences of falls in independent community-dwelling older adults. Age Aging. 1997;6:261–268
  15. Rogers MW, Pai YC. Dynamic transitions in stance support accompanying leg flexion movements in man. Ex Brain Res. 1990;81:398–402
  16. Jonsson E, Seiger A, Hirschfield H. One-leg stance in healthy young and elderly adults: A measure of postural steadiness?. Clin Biomech. 2004;19:688–694
  17. Son JB. Unipedal balance: Biomechanical analyses of the effects of age and disease. Doctoral dissertation, Department of Mechanical Engineering, University of Michigan 2006;
  18. Van den Bosch C, Gilsing MG, Lee SG, Richardson JK, Ashton-Miller JA. Peripheral neuropathy effect on ankle inversion and eversion detection thresholds. Arch Phys Med Rehabil. 1995;76:850–856
  19. Son J, Ashton-Miller JA, Richardson JK. Frontal plane ankle proprioceptive thresholds and unipedal balance. Muscle Nerve. 2009;39(2):150–157
  20. Gutierrez EM, Helber MB, Dealva D, Ashton-Miller JA, Richardson JK. Mild diabetic neuropathy affects ankle motor function. Clin Biomech. 2001;16(6):522–528
  21. Iverson BD, Gossman MR, Shaddeau SA, Turner ME. Balance performance, force production, and activity levels in non-institutionalized men 60 to 90 years of age. Phys Ther. 1990;70:348–355
  22. Mayson DJ, Kiely DK, LaRose SI, Bean JF. Leg strength or velocity of movement: Which is more influential on the balance of mobility limited elders?. Am J Phys Med Rehabil. 2008;87:969–976
  23. Bean JF, Kiely DK, LaRose S, Leveille SG. Which impairments are most associated with high mobility performance in older adults? (Implications for a rehabilitation prescription). Arch Phys Med Rehabil. 2008;89:2278–2284
  24. Berg K, Wood-DAuphinnee S, Williams JI, Gayton D. Measuring balance in the elderly: Preliminary development of an instrument. Physiother Can. 1989;41:304–311
  25. Bohannon RW, Leary KM. Standing balance and function over the course of acute rehabilitation. Arch Phys Med Rehabil. 1995;76:994–996
  26. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34:11–26

 This CME activity is designated for 1.0 AMA PRA Category 1 Credit™ and can be completed online at me.aapmr.org. Log on to www.me.aapmr.org, go to Lifelong Learning (CME) and select Journal-based CME from the drop down menu. This activity is FREE to AAPM&R members and $25 for non-members.

PII: S1934-1482(10)00086-9

doi: 10.1016/j.pmrj.2010.01.017

PM&R
Volume 2, Issue 4 , Pages 254-258 , April 2010

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