Reliability and Fall-Risk Predictability of the Short Form of the Fullerton Advanced Balance Scale in Iranian Older Adults

in Journal of Aging and Physical Activity

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Ehsan SinaeiRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Shiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Debra J. RoseCenter for Successful Aging, California State University, Fullerton, Fullerton, CA, USA

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Samira JavadpourRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Shiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Amin Kordi YoosefinejadRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

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Recently, a short form of the Fullerton Advanced Balance (SF-FAB) scale was reported as a good predictor of falls in older adults. However, we found no evidence regarding its reliability in non-American older adults. Therefore, we aimed to analyze the reliability and homogeneity of the SF-FAB scale to measure postural balance in Iranian older adults. Eighty-five community-dwelling older adults (70.75 ± 4.97 years) performed the SF-FAB test on two occasions 1 week apart. In both instances, four raters assessed the performance on the test. The SF-FAB scale (mean total score: 12.46 ± 3.53) revealed acceptable internal consistency (Cronbach’s α = .77), excellent intrarater reliability (intraclass correlation coefficient = .94–.99), and excellent interrater reliability (intraclass correlation coefficient = .92–.99). The overall prediction success rate was 83.5% with correctly classifying 95.6% of nonfallers and 35.3% of fallers. The SF-FAB scale can provide a quick screen of balance status in older adults to trigger referral to clinicians for a more comprehensive assessment.

Yoosefinejad (yoosefinejad@sums.ac.ir) is corresponding author, https://orcid.org/0000-0002-0907-5370

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