{"id":1160,"date":"2022-10-10T16:18:25","date_gmt":"2022-10-10T16:18:25","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=1160"},"modified":"2022-10-10T16:18:25","modified_gmt":"2022-10-10T16:18:25","slug":"ijpr-2022-158","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2022-158","title":{"rendered":"IJPR.2022.158"},"content":{"rendered":"

<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong> \u00a0Original Research<\/h3>\n

Volume 10; Issue 5 (October 2022)<\/strong><\/h3>\n

Page No.:<\/strong> 4369-4381<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2022.158<\/h3>\n

Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study<\/h3>\n

Nupur Hajela PT, DPT, PhD *1<\/sup>, Peggy R. Trueblood PT, PhD 2<\/sup>, Sheryl Flynn PT, PhD 3<\/sup>.<\/strong><\/p>\n

1 <\/sup>California State University, Fresno, USA.<\/p>\n

2 <\/sup>Pacific Northwest University of Health Sciences, USA. \u00a0<\/p>\n

3 <\/sup>Blue Marble Health, USA.<\/p>\n

Corresponding author: \u00a0<\/strong>Dr. Nupur Hajela, PT, DPT, PhD Assistant Professor, Department of Physical Therapy, California state University, Fresno; \u00a0Director, Rehabilitation Technologies & Outcomes Research, Central California Sports Sciences Institute Co-Director, Gait Balance and Mobility Research and Education Center 5315 Campus Drive M\/S PT29 Fresno, CA 93740-8031, USA. E-Mail:<\/strong> nhajela@mail.fresnostate.edu<\/p>\n

ABSTRACT<\/strong><\/p>\n

Background:<\/strong> One in four older adults in the age range 65 and above, report falls in the US each year. Some falls cause injuries or even deaths and can pose a significant economic burden on society. This pilot study compares two different methods of measuring fall risk in older adults. The goal of this research is to investigate the feasibility of a digital fall risk assessment tool, compared with the traditional functional gait and balance assessments.
Methods:<\/strong> Community dwelling older adults aged 60 years or older were recruited. Physical therapy students guided the participants through the following traditional paper-based tests: Berg Balance Scale (BBS) or Fullerton Advanced Balance (FAB), 30 Second Chair Stand (30CST), 50-foot Walk Test, Balance Efficacy Scale (BES), and the Center for Epidemiologic Studies – Depression Scale (CES-D). All participants then independently completed the following digitally guided tests using the Health in Motion\u00a9 (Blue Marble Health) remote therapeutic monitoring platform that comprised of Fall Risk Questionnaire (FRQ), One Leg Stand Test (OLST), 30 Second Sit to Stand Test (30STST), and 2 Question Depression Screen (2QDS).
Results:<\/strong> This pilot study involved six female and one male community-dwelling older adults aged 67-90 years (81.57 \u00b1 8.07). In general, the digital fall risk assessments correlated with some of the traditional paper-based fall risk tests. Specifically, there was a statistically significant moderate correlation between the digital fall risk questionnaire (FRQ) and the paper-based BES (r=0.77, p=0.043), and CES-D (r=0.76, p=.046). There was a statistically significant very strong correlation between the digital OLST and the 50-foot walk preferred speed (r=0.80, p=0.056), fast speed (r=0.92, p=.0009), and moderate correlation with 30CST (r=0.79, p=0.033). Further, there was a 100% match between both digital and paper-based depression tests. In terms of average total duration of administering the test, the digital fall risk assessment takes 7 minutes in comparison to 60 minutes with traditional balance and gait assessment.
Conclusion:<\/strong> During the global COVID-19 pandemic and beyond, digital fall risk self-assessment tools can enable clinicians to collect asynchronous, objective, and standardized assessments prior to their telehealth visits.
KEYWORDS:<\/strong> Fall Prevention, Fall Screening, Self-Assessment Mhealth App, Telehealth, Pro Bono Balance Clinic, Remote Patient Monitoring.<\/p>\n

REFERENCES<\/strong><\/p>\n

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\n \t Cite this article:<\/strong><\/span> Nupur Hajela PT, DPT, PhD, Peggy R. Trueblood PT, PhD, Sheryl Flynn PT, PhD.\u00a0 Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study. Int J Physiother Res 2022;10(5):4369-4381. DOI: 10.16965\/ijpr.2022.158 \n <\/div>\t\n\t\t\n\n\n

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Type of Article: \u00a0Original Research Volume 10; Issue 5 (October 2022) Page No.: 4369-4381 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2022.158 Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study Nupur Hajela PT, DPT, PhD *1, Peggy R. Trueblood PT, PhD 2, Sheryl Flynn
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