Assessment of postural balance using the Modified Sensory Integration Test in a population of non-fallers
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i2a226101Keywords:
Postural Balance, Aged, Accidental Falls, SmartphoneAbstract
Postural static balance relies on the integration of sensory inputs from various systems. Loss of this postural control increases the risk of falls. Objective: Assessing postural balance by measuring oscillation in degrees using the Clinical Test of Sensory Integration and modified Balance (mCTSIB) in non-faller individuals. Methods: Cross-sectional observational study. One hundred and seven individuals underwent mCTSIB on three types of surfaces with oscillation measured using a smartphone fixed to the trunk. Test performance was measured by mean and maximum trunk oscillation in degrees. Correlation, regression, ANOVA, and ROC curve analyses were performed, dividing the group into young adults and older adults. Results: Oscillation was affected by support surface and visual deprivation (p < 0.0001). Test performance was worse in older adults, with a 6% increase in fall risk for every 1-year increase in age (95% CI: 1.02-1.10). Mean total oscillation and mean oscillation with eyes open variables showed cut-off values with good sensitivity and specificity for predicting fall risk. Conclusion: Applying mCTSIB with oscillation measured in degrees using a mobile device provided an objective and quantitative assessment of postural balance suitable for outpatient settings as a low-cost, easy-to-apply, and highly accessible tool for discriminating fall risk.
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