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

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'''Original Editor '''- [[User:Ben Kasehagen|Ben Kasehagen]]  
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== Objective<br>  ==
<div>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 make the BOOMER a highly feasible and applicable tool that is both time and resource efficient.<ref name="haines" /></div>
<br> The BOOMER consists of the following four tests;


*Timed static stance feet together eyes closed
== Objective  ==
*Functional reach (FR)  
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 make the BOOMER a highly feasible and applicable tool that is both time and resource efficient.<ref name="haines" />
*Step test - Foot placed on top of a 7.5cm step and returned to the ground. Performed as many times as able in 15 sec.
*Timed up and go (TUG) - From a seated position, individual stands, walks 3m, turn 180°, walks 3m back to chair and sits with back resting against the back rest


== Intended Population<br> ==
The BOOMER consists of the following four tests:
*Timed static stance - Feet together with eyes closed.
*Functional reach (FR) - Individual reaches as far forward as possible in a standing position without losing balance.
*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 (TUG) - From a seated position, individual stands, walks 3m, turns 180°, walks 3m back to chair and sits down with back resting against the backrest
 
== 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, 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>  


== Method of Use  ==
== Method of Use  ==
<div>The four components of the BOOMER are performed in one session. Areas of interest are identified with treatment continued as appropriate.&nbsp;</div><div></div><div></div>
The four components of the BOOMER are performed in one session. Areas of interest are identified with treatment continued as appropriate.
== Results  ==
== Results  ==
<div>An individual's performance on each measure will be converted to a 5-point ordinal scale (0 - 4). The scale ranges from 0 (unable to perform the test (or 0 on FR)) to 4 (excellent) with a maximum score of 16.<ref name="kuys" /></div>  
An individual's performance on each measure will be converted to a 5-point ordinal scale (0 - 4). The scale ranges from 0 (unable to perform the test (or 0 on FR)) to 4 (excellent) with a maximum score of 16.<ref name="kuys" />  
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<br>  


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== Evidence<br> ==
== Evidence  ==
 
Comparison to similar tests; Function instrument motor score (FIM) and Modified elderly mobility scale (MEMS)<ref name="haines" />  
Comparison to similar tests; Function instrument motor score (FIM) and Modified elderly mobility scale (MEMS)<ref name="haines" />  
<div>Good correlation with motor FIM (admission p=.73 and discharge p=.72)</div><div>Good correlation with MEMS (admission p=.88 and discharge p=.83)</div><div>p = Spearman p correlation coefficient</div>
*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  ==
== Links  ==
*[https://research-repository.griffith.edu.au/handle/10072/63634 Use and validation of the Balance Outcome Measure for Elder Rehabilitation in acute care]


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
<div class="researchbox">
<rss>Feed goes here!!</rss>
</div>
== References  ==
== References  ==


Revision as of 18:47, 3 November 2017

Original Editor - Ben Kasehagen

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

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 make the BOOMER a highly feasible and applicable tool that is both time and resource efficient.[1]

The BOOMER consists of the following four tests:

  • Timed static stance - Feet together with eyes closed.
  • Functional reach (FR) - Individual reaches as far forward as possible in a standing position without losing balance.
  • 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 (TUG) - From a seated position, individual stands, walks 3m, turns 180°, walks 3m back to chair and sits down with back resting against the backrest

Intended Population[edit | edit source]

Older adults with deficiencies in standing balance.[2]

Method of Use[edit | edit source]

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

Results[edit | edit source]

An individual's performance on each measure will be converted to a 5-point ordinal scale (0 - 4). 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, S. S., Morrison, G., Clarke, J., Bew, P., & McPhail, S. (2007). Development and validation of the balance outcome measure for elder rehabilitation. Archives of physical medicine and rehabilitation, 88(12), 1614-1621.
  2. ↑ 2.0 2.1 2.2 Kuys, S.S., Morrison, G., Bew, P.G., Clarke, J., & Haines, T.P. (2011). Further validation of the balance outcome measure for elder rehabilitation. Archives of physical medicine and rehabilitation, 92(1), 101-105.
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