PTOTOtherHong Kong journal of occupational therapy : HKJOT2024

Reliability and validity of five balance assessments battery in individuals with schizophrenia.

I-Chen Lin, Fu-Chen Chen, Chia-Hsiang Chen and 1 others

PMID 39539407

WHAT IT FOUND

In 26 adults with schizophrenia, the Star Excursion Balance Test and Timed Up-and-Go were the most useful balance measures, and best separated people with a fall history from those without.

Key findings

01The Star Excursion Balance Test and Timed Up-and-Go had the highest test-retest reliability among the five balance assessments.

02The Star Excursion Balance Test and Timed Up-and-Go had more significant correlations with force-plate measures than the other tests and significantly separated fallers from non-fallers.

03The Star Excursion Balance Test and Timed Up-and-Go had the highest area under the curve values for distinguishing fallers from non-fallers (.911 to 1.000 and .802).

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The sample was small, with 26 participants, so the results may not apply to other people with schizophrenia. Recruitment used convenience sampling from institutions in southern Taiwan. Participants were middle-aged and had long-standing illness, and the study did not exclude conditions such as acute metabolic syndrome that could affect safe testing. The faller and non-faller groups differed in education, vocational rehabilitation, and psychiatric symptom severity, which may affect the discriminant validity findings. The force plate comparison used static standing conditions, so the concurrent validity of dynamic tests such as Timed Up-and-Go and tandem walking is uncertain. The study compared people with and without fall history, not people followed over time to see who fell, so cutoff scores do not prove future fall prediction. One participant from each group dropped out because they could not follow the test protocol.

Declared interests

The authors declared no potential conflicts of interest. The research was partially supported by a grant from Tsyr-Huey Mental Hospital.

The easy way to misread this

Do not use the cutoff scores as proven fall prediction for your patients. They came from 26 people with fall history, not from following people over time to see who fell.

Read it on PubMed →