The Balance Outcome Measure for Elder Rehabilitation (BOOMER): Difference between revisions

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== Objective  ==
== Objective  ==
The Balance Outcome Measure for Elder Rehabilitation (BOOMER) was developed to assist in clinical practice to quantify standing balance.<ref name="haines">Haines, T., Kuys, S. S., Morrison, G., Clarke, J., Bew, P., &amp; McPhail, S. (2007). Development and validation of the balance outcome measure for elder rehabilitation. Archives of physical medicine and rehabilitation, 88(12), 1614-1621.</ref> The combination of a variety of single-item outcome measures makes the BOOMER a highly feasible and applicable tool that is both time and resource efficient.<ref name="haines" />  
The Balance Outcome Measure for Elder Rehabilitation (BOOMER) was developed to assist in clinical practice to quantify standing balance.<ref name="haines">Haines T, Kuys SS, Morrison G, Clarke J, Bew P, McPhail S. Development and validation of the balance outcome measure for elder rehabilitation. Arch Phys Med Rehabil. 2007; 88(12): 1614-1621.</ref> The combination of a variety of single-item outcome measures makes the BOOMER a highly feasible and applicable tool that is both time and resource efficient.<ref name="haines" />
{| class="wikitable"
!Test
!Description
|-
|Step Test
|One foot is repeatedly placed on top of a 7.5cm step and returned back down to the ground
 
as many times as able in 15 sec. The average between legs is then calculated for scoring.
|-
|Timed Up and Go
|From a seated position, individual stands, walks 3m, turns 180°, walks 3m back to chair and sits
 
down with back resting against the backrest.
|-
|Functional Reach
|Individual reaches as far forward as possible in a standing position without losing balance.
|-
|Timed Static Stance
|Feet together with eyes closed.
|}
== Intended Population  ==
== Intended Population  ==


Older adults with deficiencies in standing balance.<ref name="kuys">Kuys, S.S., Morrison, G., Bew, P.G., Clarke, J., &amp; Haines, T.P. (2011). Further validation of the balance outcome measure for elder rehabilitation. Archives of physical medicine and rehabilitation, 92(1), 101-105.</ref>  
Older adults with deficiencies in standing balance.<ref name="kuys">Kuys SS, Morrison G, Bew, PG, Clarke J, Haines TP. Further validation of the balance outcome measure for elder rehabilitation. Arch Phys Med Rehabil. 2011; 92(1):101-105.</ref>  


== Method of Use  ==
== Method of Use  ==
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'''Table: '''BOOMER scoring<ref name="kuys" />  
'''Table: '''BOOMER scoring<ref name="kuys" />  


{| width="500" border="1" cellpadding="1" cellspacing="1"
{| class="wikitable" width="500" border="1" cellpadding="1" cellspacing="1"
|-
|-
| '''Tests'''  
| '''Tests'''  

Revision as of 05:59, 23 August 2018

Original Editor - Ben Kasehagen

Top Contributors - Lauren Lopez, Ben Kasehagen, Lucinda hampton, Evan Thomas, Kim Jackson, 127.0.0.1, Admin, Scott Buxton, WikiSysop, Claire Knott and Amrita Patro

Objective[edit | edit source]

The Balance Outcome Measure for Elder Rehabilitation (BOOMER) was developed to assist in clinical practice to quantify standing balance.[1] The combination of a variety of single-item outcome measures makes the BOOMER a highly feasible and applicable tool that is both time and resource efficient.[1]

Intended Population[edit | edit source]

Older adults with deficiencies in standing balance.[2]

Method of Use[edit | edit source]

Instructions[edit | edit source]

The BOOMER consists of the following four tests:

Test Description
Step Test One foot is repeatedly placed on top of a 7.5cm step and returned back down to the ground

as many times as able in 15 sec. The average between legs is then calculated for scoring.

Timed Up and Go From a seated position, individual stands, walks 3m, turns 180°, walks 3m back to chair and sits

down with back resting against the backrest.

Functional Reach Individual reaches as far forward as possible in a standing position without losing balance.
Timed Static Stance Feet together with eyes closed.

The four components of the BOOMER are performed in one session. Areas of interest are identified with treatment continued as appropriate.

Scoring[edit | edit source]

An individual's performance on each measure will be converted to a 5-point ordinal scale. The scale ranges from 0 (unable to perform the test (or 0 on FR)) to 4 (excellent) with a maximum score of 16.[2]

Table: BOOMER scoring[2]

Tests 0 1 2 3 4
Step test (ave) Unable 0 - 5 5 - 8 8 - 12 >12
TUG (sec) Unable ≥ 30
 29 - 20 19 - 10 <10
FR (cm) 0 1 - 15 16 - 20 21 - 30 > 30
Standing (eyes closed) (sec) Unable 0 - 30 30 - 60 60 - <90 90

Evidence[edit | edit source]

Comparison to similar tests; Function instrument motor score (FIM) and Modified elderly mobility scale (MEMS)[1]

  • Good correlation with motor FIM (admission p=.73 and discharge p=.72)
  • Good correlation with MEMS (admission p=.88 and discharge p=.83)

p = Spearman p correlation coefficient

Links[edit | edit source]

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 Haines T, Kuys SS, Morrison G, Clarke J, Bew P, McPhail S. Development and validation of the balance outcome measure for elder rehabilitation. Arch Phys Med Rehabil. 2007; 88(12): 1614-1621.
  2. ↑ 2.0 2.1 2.2 Kuys SS, Morrison G, Bew, PG, Clarke J, Haines TP. Further validation of the balance outcome measure for elder rehabilitation. Arch Phys Med Rehabil. 2011; 92(1):101-105.
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