Traumatic Brain Injury, Acquired Brain Injury, Accidental Falls
Conditions
Keywords
Fall risk, Rehabiliation, Physical Therapy, Functional Gait Assessment, mini-Balance Evaluation Systems Test, Berg Balance Scale, Psychometric properties, Validity, Inter-rater reliability, Montreal Cognitive Assessment
Brief summary
The purpose of this research study is to investigate how useful three balance tests are in predicting fall risk in the individual with traumatic brain injury (TBI). These tests are the Functional Gait Assessment (FGA), the Berg Balance Scale (BBS), and the mini-Balance Evaluation Systems Test (mini-BESTest).
Detailed description
The purpose of the proposed study is to investigate the reliability and predictive validity of three balance measures, the Berg Balance Scale (BBS), the Functional Gait Assessment (FGA) and the mini-Balance Evaluation Systems Test (mini-BESTest), among individuals with history of traumatic brain injury. Participants will complete a health history questionnaire and six-month fall history. When available, fall history will be corroborated with a family member that resides with the participant. Participants will complete the Montreal Cognitive Assessment. Each participant will then participate in a 45-minute evaluation using the three performance-based outcome measures, with order randomized, with two blinded assessors. Six and 12 month follow-up of number of falls will occur via telephone. Statistical analysis with investigate the inter-rater reliability, predictive validity of fall risk and to determine cut off scores for fallers vs. non fallers in the population.
Interventions
OTHERFunctional Gait Assessment
Balance assessment
Balance assessment
OTHERBerg Balance Scale
Balance assessment
Sponsors
Texas Woman's University
The University of Texas Health Science Center, Houston
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* community dwelling * medically stable * able to stand at least one minute unsupported (with/without assistive device) * able to ambulate 20 feet (with/without assistance or assistive device) * able to follow one step instructions or visual demonstrations.
Exclusion criteria
* presence of partial or non-weight bearing on a lower extremity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total score on Functional Gait Assessment | Baseline | — |
| total score on Berg Balance Scale | Baseline | — |
| total on mini-Balance Evaluation System Test | Baseline | — |
| reported fall history | six month | a fall is defined as unplanned and unexpected contact with the floor or lower surface not due to medical emergency (stroke, seizure, cardiac event) or environmental hazards (chair collapsing, earthquake) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Montreal Cognitive Assessment | Baseline | assessment of mild cognitive deficits |
Countries
United States
Outcome results
None listed