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The Multiple Tasks Test as a predictor of falls in older adults.

机译:多项任务测试可预测老年人跌倒的情况。

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PURPOSE: Falls are among the most common and serious problems facing the elderly. The Berg Balance Scale (BBS) is the gold standard in measuring falls risk. With higher functioning elders, a ceiling effect is often evidenced using the BBS. The purpose of this study was to determine if the Multiple Tasks Test (MTT) when used in high functioning community dwelling elderly correlated with the BBS. Secondly, this study assessed the unidimensionality of the MTT. If a relationship existed between the performance of multiple tasks and the potential loss of balance resulting in falls, then the MTT would be more appropriate than the BBS at predicting falls in higher functioning individuals. METHODS: Twenty-two independent community dwelling older adults were tested using both the MTT and the BBS on the same day at a senior center. DATA ANALYSIS: Correlations between the BBS and the MTT ranged between -0.765 and -0.79. The results of the Guttman's scalability analysis were a plus percentage ratio of 0.75 and an index of reproducibility of 0.93. Scales with these values are regarded as having evidence of unidimensionality. SUMMARY: All of the MTT tests correlated with the BBS. In addition, the MTT was found to be unidimensional. CONCLUSION: Although the MTT correlated with the BBS and was found to be a good cumulative measure, it would benefit from continued study to examine quantifiability, validity and reliability. With further refinement and study, the MTT may be useful at discriminating fallers from non-fallers in high functioning older adults.
机译:目的:跌倒是老年人面临的最常见和最严重的问题。伯格平衡量表(BBS)是衡量跌倒风险的金标准。对于功能较高的长者,通常使用BBS可以证明天花板效应。这项研究的目的是确定在高功能社区居民中使用多任务测试(MTT)是否与BBS相关。其次,本研究评估了MTT的一维性。如果在多项任务的执行与导致跌倒的潜在失衡之间存在关系,则MTT在预测高功能个体的跌倒方面将比BBS更合适。方法:当天在高级中心使用MTT和BBS对22位独立的社区居住老年人进行了测试。数据分析:BBS和MTT之间的相关性介于-0.765和-0.79之间。 Guttman的可伸缩性分析的结果是0.75的正百分比率和0.93的可重复性指数。具有这些值的标度被视为具有一维性的证据。摘要:所有的MTT测试都与BBS相关。此外,发现MTT是一维的。结论:尽管MTT与BBS相关,并且被认为是一种很好的累积量度,但它仍可通过继续研究检查量化性,有效性和可靠性而受益。通过进一步的完善和研究,MTT在区分高功能老年人中的跌倒者与非跌倒者方面可能很有用。

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