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Test-retest reliability and minimal detectable change for center of pressure measures of postural stability in elderly subjects

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Author(s): Reza Salehi | Ismaeil Ebrahimi-Takamjani | Ali Esteki | Nader Maroufi | Mohammad Parnianpour

Journal: Medical Journal of the Islamic Republic of Iran
ISSN 1016-1430

Volume: 23;
Issue: 4;
Start page: 224;
Date: 2010;
Original page

Keywords: Reliability | Minimal Detectable Change | Center of Pressure | balance | Elder People

ABSTRACT
  Abstract   Background: Postural instability has been identified as a potential precursor of   falls in elderly subjects. Postural stability in quiet stance is commonly assessed with   center of pressure (COP) measures. The purpose of this study was to determine testretest reliability and minimal detectable change (MDC) for the center of pressure   (COP) measures in the elderly subjects.   Methods: Eighteen healthy elderly people over the age of 60 years participated in   this study. For each subject the COP was recorded during quiet upright stance on different levels of postural difficulty (eyes open versus eyes closed, firm surface versus   foam surface) and lean condition (forward and backward). All measurements were   done on two sessions with 7 days interval. These indices: mean velocity, standard deviation of amplitude, standard deviation of velocity, phase plane parameter and area   (95% confidence ellipse). Intraclass correlation coefficient (ICC), standard error of   measurement (SEM) and coefficient of variation (CV) were used to quantify testretest   reliability. The MDC for each measure was calculated to quantify intervention   effects.   Results: In general, test-retest reliability of COP measures in the elder subjects   was increased whenever postural difficulty of task increased in quiet standing. In   standing conditions, mean velocity and phase plane parameter were the most sensitive   and the most reliable measures. The lean range was the most sensitive and the   most reliable measure, in the lean conditions.   Conclusion: Center of pressure measures in the quiet standing especially in difficult   postural conditions demonstrated high sensitivity in the older subjects. These results   may be useful in quantification and assessment of balance performance and   treatment efficacy.  
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