Prospective evaluation of balance and mobility tests as part of the World Falls Guidelines algorithm.
Background Falls are the leading cause of unintentional injury in older adults. While guidelines recommend balance and mobility tests to identify individuals at risk, their ability to predict future falls and improve the World Falls Guidelines (WFG) risk stratification remains uncertain. Methods A 1...
| Publicado en: | Age & Ageing Vol. 55; no. 2; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513156&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513156 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Feb2026 vid: 55 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513156 10.1093/ageing/afag028 ppf: 1 ppct: 10 formats: tig: atl: Prospective evaluation of balance and mobility tests as part of the World Falls Guidelines algorithm. aug: au: Saunders, Stephanie Speechley, Mark Griffith, Lauren E Kuspinar, Ayse Sibley, Kathryn M Raina, Parminder D'amore, Cassandra Richardson, Julie Noble, Tara Beauchamp, Marla K affil: School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton ON, Canada Department of Epidemiology and Biostatistics, Western University Department of Health Research Methods, Evidence, and Impact, McMaster UniversityMcMaster Institutes for Research on Aging, McMaster University School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton ON, CanadaMcMaster Institutes for Research on Aging, McMaster University Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton ON, CanadaDepartment of Physical Therapy, University of British Columbia School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton ON, CanadaDepartment of Health Research Methods, Evidence, and Impact, McMaster UniversityMcMaster Institutes for Research on Aging, McMaster University School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton ON, CanadaMcMaster Institutes for Research on Aging, McMaster UniversityDixon Hall, McMaster Institute for Research on Aging, McMaster University su: Canada Analysis of variance Old age Risk assessment Independent living Research funding Receiver operating characteristic curves Data analysis Questionnaires Kruskal-Wallis Test Descriptive statistics Chi-squared test Diagnosis Gait in humans Longitudinal method Statistics Confidence intervals Data analysis software Walking speed Accidental falls Postural balance Physical mobility Algorithms Predictive validity Sensitivity & specificity (Statistics) sug: subj: Analysis of variance Old age Canada Risk assessment Independent living Research funding Receiver operating characteristic curves Data analysis Questionnaires Kruskal-Wallis Test Descriptive statistics Chi-squared test Diagnosis Gait in humans Longitudinal method Statistics Confidence intervals Data analysis software Walking speed Accidental falls Postural balance Physical mobility Algorithms Predictive validity Sensitivity & specificity (Statistics) keyword: ageing community community dwelling copyrightHolder:British Geriatrics Society copyrightYear:2026 criterion validity fall risks falls functional tests guidelines https://dx.doi.org/10.1093/ageing/afag028 injury inLanguage:en measurement properties mobility older adult older people performance-based tests physical tests postural control practice guidelines psychometric publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41697879/ walking speed ageing community community dwelling copyrightHolder:British Geriatrics Society copyrightYear:2026 criterion validity fall risks falls functional tests guidelines https://dx.doi.org/10.1093/ageing/afag028 injury inLanguage:en measurement properties mobility older adult older people performance-based tests physical tests postural control practice guidelines psychometric publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41697879/ walking speed ab: Background Falls are the leading cause of unintentional injury in older adults. While guidelines recommend balance and mobility tests to identify individuals at risk, their ability to predict future falls and improve the World Falls Guidelines (WFG) risk stratification remains uncertain. Methods A 12-month prospective cohort study of community-dwelling older adults in Canada (≥65 years) who could walk 10 m without physical assistance. Balance and mobility assessments included the timed up and go (TUG) at usual and fast pace and with a cognitive dual task (cog), the Brief BESTest, five times sit-to-stand, single-leg stance (SLS) and gait speed. Falls were recorded prospectively using monthly fall calendars and quarterly telephone interviews. Results Of 514 participants who completed baseline assessments, 486 (95%) completed the 12-month follow-up. Mean age was 76.4 years, 64% were female, and 266 (52%) experienced ≥1 fall during follow-up. For predicting ≥1 fall, area under the curve (AUC) values ranged from 0.561 [95% confidence interval (CI) = 0.51–0.61] for SLS to 0.593 (95% CI = 0.50–0.69) for gait speed. For ≥2 falls, AUCs ranged from 0.581 (95% CI = 0.52–0.64) for TUGcog to 0.639 (95% CI = 0.54–0.74) for gait speed and for injurious falls from 0.620 (95% CI = 0.54–0.70) for TUGcog to 0.70 (95% CI = 0.54–0.86) for gait speed. Using the WFG algorithm without mobility tests deemed 282 participants as low risk, 41% of whom fell; adding mobility tests to the algorithm increased this proportion to 56%. Conclusion and relevance Common balance and mobility tests showed limited predictive validity for future falls. Incorporating these tests into the WFG algorithm did not improve fall risk stratification in community-dwelling older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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