Recommendations for a Core Outcome Set for Measuring Standing Balance in Adult Populations: A Consensus-Based Approach
Identifieur interne : 000560 ( Main/Exploration ); précédent : 000559; suivant : 000561Recommendations for a Core Outcome Set for Measuring Standing Balance in Adult Populations: A Consensus-Based Approach
Auteurs : Kathryn M. Sibley [Canada] ; Tracey Howe [Royaume-Uni] ; Sarah E. Lamb [Royaume-Uni] ; Stephen R. Lord [Australie] ; Brian E. Maki [Canada] ; Debra J. Rose [États-Unis] ; Vicky Scott [Canada] ; Liza Stathokostas [Canada] ; Sharon E. Straus [Canada] ; Susan B. Jaglal [Canada]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
Standing balance is imperative for mobility and avoiding falls. Use of an excessive number of standing balance measures has limited the synthesis of balance intervention data and hampered consistent clinical practice.
To develop recommendations for a core outcome set (COS) of standing balance measures for research and practice among adults.
A combination of scoping reviews, literature appraisal, anonymous voting and face-to-face meetings with fourteen invited experts from a range of disciplines with international recognition in balance measurement and falls prevention. Consensus was sought over three rounds using pre-established criteria.
The scoping review identified 56 existing standing balance measures validated in adult populations with evidence of use in the past five years, and these were considered for inclusion in the COS.
Fifteen measures were excluded after the first round of scoring and a further 36 after round two. Five measures were considered in round three. Two measures reached consensus for recommendation, and the expert panel recommended that at a minimum, either the Berg Balance Scale or Mini Balance Evaluation Systems Test be used when measuring standing balance in adult populations.
Inclusion of two measures in the COS may increase the feasibility of potential uptake, but poses challenges for data synthesis. Adoption of the standing balance COS does not constitute a comprehensive balance assessment for any population, and users should include additional validated measures as appropriate.
The absence of a gold standard for measuring standing balance has contributed to the proliferation of outcome measures. These recommendations represent an important first step towards greater standardization in the assessment and measurement of this critical skill and will inform clinical research and practice internationally.
Url:
DOI: 10.1371/journal.pone.0120568
PubMed: 25768435
PubMed Central: 4358983
Affiliations:
- Australie, Canada, Royaume-Uni, États-Unis
- Angleterre, Californie, Grand Londres, Manitoba, Ontario, Oxfordshire
- Londres, Oxford, Sydney, Toronto, Winnipeg
- Université d'Oxford, Université de Toronto, Université du Manitoba
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Rose</name><affiliation wicri:level="2"><nlm:aff id="aff007"><addr-line>California State University Fullerton, Fullerton, California, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>California State University Fullerton, Fullerton, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Scott, Vicky" sort="Scott, Vicky" uniqKey="Scott V" first="Vicky" last="Scott">Vicky Scott</name><affiliation wicri:level="1"><nlm:aff id="aff008"><addr-line>Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver</wicri:regionArea><wicri:noRegion>Vancouver</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff009"><addr-line>British Columbia Injury Research and Prevention Unit and Ministry of Health, Victoria, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>British Columbia Injury Research and Prevention Unit and Ministry of Health, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Stathokostas, Liza" sort="Stathokostas, Liza" uniqKey="Stathokostas L" first="Liza" last="Stathokostas">Liza Stathokostas</name><affiliation wicri:level="3"><nlm:aff id="aff010"><addr-line>Canadian Centre for Activity and Aging, Western University, London, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Centre for Activity and Aging, Western University, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Straus, Sharon E" sort="Straus, Sharon E" uniqKey="Straus S" first="Sharon E." last="Straus">Sharon E. 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Sibley</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Community Health Sciences, University of Manitoba, Winnipeg</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Toronto Rehabilitation Institute- University Health Network, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Rehabilitation Institute- University Health Network, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Howe, Tracey" sort="Howe, Tracey" uniqKey="Howe T" first="Tracey" last="Howe">Tracey Howe</name><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Health and Life Sciences, Glasgow Caledonian University, Glasgow</wicri:regionArea><wicri:noRegion>Glasgow</wicri:noRegion></affiliation></author><author><name sortKey="Lamb, Sarah E" sort="Lamb, Sarah E" uniqKey="Lamb S" first="Sarah E." last="Lamb">Sarah E. Lamb</name><affiliation wicri:level="4"><nlm:aff id="aff004"><addr-line>Centre for Rehabilitation Research, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Rehabilitation Research, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region><settlement type="city">Oxford</settlement></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R." last="Lord">Stephen R. Lord</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Neuroscience Research Australia, University of New South Wales, Sydney, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Neuroscience Research Australia, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement></placeName></affiliation></author><author><name sortKey="Maki, Brian E" sort="Maki, Brian E" uniqKey="Maki B" first="Brian E." last="Maki">Brian E. Maki</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Toronto Rehabilitation Institute- University Health Network, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Rehabilitation Institute- University Health Network, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff006"><addr-line>University of Toronto, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Rose, Debra J" sort="Rose, Debra J" uniqKey="Rose D" first="Debra J." last="Rose">Debra J. Rose</name><affiliation wicri:level="2"><nlm:aff id="aff007"><addr-line>California State University Fullerton, Fullerton, California, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>California State University Fullerton, Fullerton, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Scott, Vicky" sort="Scott, Vicky" uniqKey="Scott V" first="Vicky" last="Scott">Vicky Scott</name><affiliation wicri:level="1"><nlm:aff id="aff008"><addr-line>Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver</wicri:regionArea><wicri:noRegion>Vancouver</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff009"><addr-line>British Columbia Injury Research and Prevention Unit and Ministry of Health, Victoria, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>British Columbia Injury Research and Prevention Unit and Ministry of Health, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Stathokostas, Liza" sort="Stathokostas, Liza" uniqKey="Stathokostas L" first="Liza" last="Stathokostas">Liza Stathokostas</name><affiliation wicri:level="3"><nlm:aff id="aff010"><addr-line>Canadian Centre for Activity and Aging, Western University, London, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Canadian Centre for Activity and Aging, Western University, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Straus, Sharon E" sort="Straus, Sharon E" uniqKey="Straus S" first="Sharon E." last="Straus">Sharon E. Straus</name><affiliation wicri:level="4"><nlm:aff id="aff006"><addr-line>University of Toronto, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Jaglal, Susan B" sort="Jaglal, Susan B" uniqKey="Jaglal S" first="Susan B." last="Jaglal">Susan B. Jaglal</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Toronto Rehabilitation Institute- University Health Network, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Rehabilitation Institute- University Health Network, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff006"><addr-line>University of Toronto, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Standing balance is imperative for mobility and avoiding falls. Use of an excessive number of standing balance measures has limited the synthesis of balance intervention data and hampered consistent clinical practice.</p></sec><sec id="sec002"><title>Objective</title><p>To develop recommendations for a core outcome set (COS) of standing balance measures for research and practice among adults.</p></sec><sec id="sec003"><title>Methodology</title><p>A combination of scoping reviews, literature appraisal, anonymous voting and face-to-face meetings with fourteen invited experts from a range of disciplines with international recognition in balance measurement and falls prevention. Consensus was sought over three rounds using pre-established criteria.</p></sec><sec id="sec004"><title>Data sources</title><p>The scoping review identified 56 existing standing balance measures validated in adult populations with evidence of use in the past five years, and these were considered for inclusion in the COS.</p></sec><sec id="sec005"><title>Results</title><p>Fifteen measures were excluded after the first round of scoring and a further 36 after round two. Five measures were considered in round three. Two measures reached consensus for recommendation, and the expert panel recommended that at a minimum, either the Berg Balance Scale or Mini Balance Evaluation Systems Test be used when measuring standing balance in adult populations.</p></sec><sec id="sec006"><title>Limitations</title><p>Inclusion of two measures in the COS may increase the feasibility of potential uptake, but poses challenges for data synthesis. Adoption of the standing balance COS does not constitute a comprehensive balance assessment for any population, and users should include additional validated measures as appropriate.</p></sec><sec id="sec007"><title>Conclusions</title><p>The absence of a gold standard for measuring standing balance has contributed to the proliferation of outcome measures. These recommendations represent an important first step towards greater standardization in the assessment and measurement of this critical skill and will inform clinical research and practice internationally.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Shumway Cook, A" uniqKey="Shumway Cook A">A Shumway-Cook</name></author><author><name sortKey="Woollacott, Mh" uniqKey="Woollacott M">MH Woollacott</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Howe, Te" uniqKey="Howe T">TE Howe</name></author><author><name sortKey="Rochester, L" uniqKey="Rochester L">L Rochester</name></author><author><name sortKey="Neil, F" uniqKey="Neil F">F Neil</name></author><author><name sortKey="Skelton, Da" uniqKey="Skelton D">DA Skelton</name></author><author><name sortKey="Ballinger, C" uniqKey="Ballinger C">C Ballinger</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Molloy</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Californie</li><li>Grand Londres</li><li>Manitoba</li><li>Ontario</li><li>Oxfordshire</li></region><settlement><li>Londres</li><li>Oxford</li><li>Sydney</li><li>Toronto</li><li>Winnipeg</li></settlement><orgName><li>Université d'Oxford</li><li>Université de Toronto</li><li>Université du Manitoba</li></orgName></list><tree><country name="Canada"><region name="Manitoba"><name sortKey="Sibley, Kathryn M" sort="Sibley, Kathryn M" uniqKey="Sibley K" first="Kathryn M." last="Sibley">Kathryn M. Sibley</name></region><name sortKey="Jaglal, Susan B" sort="Jaglal, Susan B" uniqKey="Jaglal S" first="Susan B." last="Jaglal">Susan B. Jaglal</name><name sortKey="Jaglal, Susan B" sort="Jaglal, Susan B" uniqKey="Jaglal S" first="Susan B." last="Jaglal">Susan B. Jaglal</name><name sortKey="Maki, Brian E" sort="Maki, Brian E" uniqKey="Maki B" first="Brian E." last="Maki">Brian E. Maki</name><name sortKey="Maki, Brian E" sort="Maki, Brian E" uniqKey="Maki B" first="Brian E." last="Maki">Brian E. Maki</name><name sortKey="Scott, Vicky" sort="Scott, Vicky" uniqKey="Scott V" first="Vicky" last="Scott">Vicky Scott</name><name sortKey="Scott, Vicky" sort="Scott, Vicky" uniqKey="Scott V" first="Vicky" last="Scott">Vicky Scott</name><name sortKey="Sibley, Kathryn M" sort="Sibley, Kathryn M" uniqKey="Sibley K" first="Kathryn M." last="Sibley">Kathryn M. Sibley</name><name sortKey="Stathokostas, Liza" sort="Stathokostas, Liza" uniqKey="Stathokostas L" first="Liza" last="Stathokostas">Liza Stathokostas</name><name sortKey="Straus, Sharon E" sort="Straus, Sharon E" uniqKey="Straus S" first="Sharon E." last="Straus">Sharon E. Straus</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Howe, Tracey" sort="Howe, Tracey" uniqKey="Howe T" first="Tracey" last="Howe">Tracey Howe</name></noRegion><name sortKey="Lamb, Sarah E" sort="Lamb, Sarah E" uniqKey="Lamb S" first="Sarah E." last="Lamb">Sarah E. Lamb</name></country><country name="Australie"><noRegion><name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R." last="Lord">Stephen R. Lord</name></noRegion></country><country name="États-Unis"><region name="Californie"><name sortKey="Rose, Debra J" sort="Rose, Debra J" uniqKey="Rose D" first="Debra J." last="Rose">Debra J. Rose</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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