IJCEMR

Article http://dx.doi.org/10.26855/ijcemr.2024.01.002

Reliability, Sex, and Direction Differences in the New Balance Ability Test for Middle-aged and Older People

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Yoshinori Nagasawa1,*, Shinichi Demura2, Yoshimasa Matsuura3

1Department of Health and Sports Sciences, Kyoto Pharmaceutical University, Kyoto, Japan.

2College of Human and Social Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan.

3Faculty of Liberal Arts, Sciences and Global Education, Osaka Metropolitan University, Sakai, Osaka, Japan.

*Corresponding author: Yoshinori Nagasawa

Published: January 30,2024

Abstract

This study aimed to examine the reliability of a new test that evaluates differences in balance ability, sex, and evaluation parameters when moving in the back/forth or left/right direction, as well as contact times, total contact time, and their relations during an unstable standing posture in middle-aged and older people. The participants were 31 Japanese individuals (17 men: mean age, 61.8 years; standard deviation (SD) = 8.3; 14 women: mean age, 56.9 years; SD = 9.6). They were instructed to maintain a stable standing posture for 1 minute on the plate of the new device without contacting the edge of a contact-sensing plate. This device leans the plate either back/forth or left/right when standing on the plate and can measure times and their time of contact with the plate edge. The test was performed twice with a 1-minute interval after one practice trial in either condition (back/forth or left/right direction). The time per contact (total contact time/contact times) was used as an evaluation parameter. Insignificant differences were found between trials in evaluation parameters, contact times, and total contact time in both back/forth and left/right directions. Intraclass correlation coefficients (ICC) were ≥0.7 in both directions. A two-way analysis of variance showed insignificant interaction or main effects of sex and direction conditions for the evaluation parameter and the total contact time. Although no significant interaction was found for contact times, a significant main effect was found for sex. The post hoc test showed that men had higher values and larger effect sizes (Cohen’s d back/forth: 1.21, left/right: 1.27) than women in both back/forth and left/right directions. A correlation analysis showed relatively high correlations between back/forth and left/right direction evaluation parameters in both sexes (Men: r = 0.71, Women: r = 0.80). In conclusion, this new balance ability test has a high reliability in middle-aged and older people, and the evaluation parameter does not indicate sex differences or differences in the amount of back/forth and left/right movement. The relations between the parameters of back/forth and left/right directions are high in both sexes.

References

[1] Gusi, N., Adsuar, J. C., Corzo, H., del Pozo-Cruz, B., Olivares, P. R., & Parraca, J. A. (2012). Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalized older people: a randomised trial. Journal of Physiotherapy, 58, 97-104.

[2] Kuzuya, M. (2015). The Cutting-edge of Medicine; Sarcopenia and frailty in super-aged society. The Journal of the Japanese Society of Internal Medicine, 104(12), 2602-2607.

[3] Morley, J. E. (2016). Frailty and sarcopenia in elderly. Springer-Verlag Wien, s439-s445.

[4] Kasahara, M., Yamasaki, H., Aoki, U., Yokoyama, H., Omori, Y., & Hiraki, K. (2001). Relationship between one leg standing time and knee extension strength in elderly patients. The Japanese Journal of Physical Fitness and Sports Medicine, 50, 369-374.

[5] Takakura, S., Ohgi, S., & Akiyama, T. (2004). Standing postural control test using the elderly balance board type N and predicting falls. Journal of the Japanese Physical Therapy Association, 31(6), 364-368.

[6] Murata, S., Tsuda, A., Inatani, F., & Tanaka Y. (2005). Physical and cognitive factors associated with falls among the elderly with disability at home. Journal of the Japanese Physical Therapy Association, 32(2), 88-95.

[7] Murata, S., Kai, Y., Mizota, K., Yamasaki, S., Yumioka, M., Otao, H., & Takeda, I. (2006). Relationship between one-leg stand-ing duration with vision and physical function among community dwelling older adults. Rigakuryoho Kagaku, 21(4), 437-440.

[8] Murata, S. & Tsuda, A. (2006). A prospective study of the relationship between physical and cognitive factors and falls in the elderly disabled at home. Journal of the Japanese Physical Therapy Association, 33(3), 97-104.

[9] Hirase, T., Inokuchi, S., Shiozuka, J., Nakahara, K., & Matsusaka, N. (2008). Relationship between balance ability and lower extremity muscular strength in the elderly: Comparison by gender, age, and Tokyo Metropolitan Institute of Gerontology (TMIG) index of competence. Rigakuryoho Kagaku, 23(5), 641-646.

[10] Uchida, Y., Demura, S., & Hirai, H. (2018). Influence of hand help pressure on body sway and leg muscle activity during one-leg stance. Advances in Research, 17(5), 1-9.

[11] Shibata, Y., Okada, E., Nakamura, M., & Ojima, T. (2021). Effects of locomotion training in community-dwelling older individuals attending clubs. Nihon Koshu Eisei Zasshi, 68(3), 180-185.

[12] Uchida, Y. & Demura, S. (2016). Body sway and muscle activity during assisted one-and two-leg stances in the elderly, Advances in Research, 7(3), 1-9.

[13] The Japanese Orthopaedic Association. (2021). The brochure of locomotion in Japan, 2013. https://www.med.or.jp/dl-med/doctor/ssi/sports25/sports25_k14.pdf.

[14] Hayashi, F., Asai, Y., Morimoto, H., Maruyama, T., Watanabe, M., Lohman E. B., Johnson E. G., & Kashiwa, N. (2012). The postural control in different conditions among the healthy elderly person. Journal of Health Sciences, Nihon Fukushi University, 15, 11-16.

[15] Suzuki, Y., Nakata, Y., Kato, H., Tanabe, Y., Iwabuchi, S., & Ishikawa, K. (2015). Association between age and dynamic balance capability assessed by use of force plates. The Japanese Journal of Physical Fitness and Sports Medicine, 64(4), 419-425.

[16] Morita, M., Urabe, Y., Takeuchi, T., & Maeda, N. (2018). Effects on ankle muscle activity of the tilt direction of a balance board. Rigakuryoho Kagaku, 33(3), 395-400.

[17] Kitabayashi, T., Shinichi, D., Yamaji, S., Nakada, M., Noda, M., & Imaoka, K. (2002). Gender differences and relationships be-tween physical parameters on evaluating the center of foot pressure in static standing posture. Equilibrium Research, 61(1), 16-27.

[18] Oyama, Y., Murayama, T., & Ohta, T. (2019). Influence of standing posture on a stable surface affecting center-of-pressure sway and stability in standing posture on an unstable surface in middle-aged women. Japan Journal of Test and Evaluation of Physical Education and Sports, 18, 59-69.

[19] Cohen, J. (1988). Statistical power analysis in the behavioral sciences, 2nd Edition, Academic Press.

[20] Ministry of Health, Labour and Welfare. (2019). II. Results of physical status survey, The National Health and Nutrition Survey in Japan, 2019, 115-168. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/eiyou/r1-houkoku_00002. html.

[21] Jackson, A., Jackson A. S., & Bell, J. (1980). A comparison of alpha and the intraclass reliability coefficients. Research Quarter-ly for Exercise and Sport, 51, 568-571.

[22] Tabachnick, B. G. & Fidell, L. S. (2006). Using multivariate statistics. 5th International Edition, Boston, MA: Pearson/Allyn & Bacon.

[23] Demura, S., Yamaji, S., Noda, M., Kitabayashi, T., & Nagasawa, Y. (2001). Examination of parameters evaluating the center of foot pressure in static standing posture from the viewpoints of trial-to-trial reliability and interrelationships among parameters. Equilibrium Research, 60 (1), 44-55.

[24] Aoki, H., Demura, S., Yamaji, S., Nagasawa, Y., Nakatani, T., & Nadamoto, M. (2023). Sex and age-level differences of center of pressure sway variables and their inter-relations during static standing posture in healthy people. The Journal of Education and Health Science, 68 (4), 247-257.

[25] Ogaya, S., Ikezoe, T., Tsuboyama, T., & Ichihashi, N. (2009). Postural control on a wobble board and stable surface of young and elderly people. Rigakuryoho Kagaku, 24 (1), 81-85.

[26] Gatev, P., Thomas, S., Kepple, T., & Hallett, M. (1999). Feedforward ankle strategy of balance during quiet stance in adults. The Journal of Physiology, 514(3), 915-928.

[27] Loram, I. D., Kelly, S. M., & Lakie, M. (2001). Human balancing of an inverted pendulum: is sway size controlled by ankle im-pedance? The Journal of Physiology, 532(3), 879-891.

[28] Winter, D. A., Patla, A. E., Ishac, M., & Gage, W. H. (2003). Motor mechanisms of balance during quiet standing. Journal of Electromyography and Kinesiology, 13(1), 49-56.

[29] Fujiwara, K., Murata, S., Kamijou, K., Komatsu, Y., Nagasumi, T., Horie, J., Kubo, A., & Aoyama, H. (2012). Generation and sex differences of the body function of elderly person’s participating in long-term care prevention projects. West Kyushu Journal of Rehabilitation Sciences, 5, 33-36.

[30] Shiota, K., Hosoda, M., Takanashi, A., Matsuda, M., Miyajima, S., Aizawa, J., & Ikeda, M. (2008). The relationship between muscle power and balance in postural control. Rigakuryoho Kagaku, 23(6), 817-821.

How to cite this paper

Reliability, Sex, and Direction Differences in the New Balance Ability Test for Middle-aged and Older People

How to cite this paper: Yoshinori Nagasawa, Shinichi Demura, Yoshimasa Matsuura. (2024) Reliability, Sex, and Direction Differences in the New Balance Ability Test for Middle-aged and Older PeopleInternational Journal of Clinical and Experimental Medicine Research8(1), 8-16.

DOI: http://dx.doi.org/10.26855/ijcemr.2024.01.002