The Balance Outcome Measure for Elder Rehabilitation (BOOMER)
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 backrest. |
| Functional Reach | Individual reaches as far forward as possible in a standing position without losing balance. |
| Timed Static Stance | Standing with feet together and 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]
Validity[edit | edit source]
Concurrent validity:[edit | edit source]
The BOOMER correlates with FIM and MEMS[1]. It has shown high correlation with the Berg Balance Scale at both admission (ρ=.91; P<.01) and on discharge (ρ=.68; P<.01) from geriatric rehabilitation units (n=134)[2]. A second study[3] also showed BOOMER scores highly associated with BBS scores (r = .93, p < 0.001), as well as with raw scores on the de Morton Mobility Index (r = .89, p < 0.001) and moderate associations with perceived confidence on the Activities-specific Balance Confidence scale (r > .52, p < 0.001).
Responsiveness[edit | edit source]
A minimum clinically significant change in the BOOMER is 3 points over a 17-point scale range[1]. Change scores between admission and discharge for the BOOMER and BBS displayed moderate correlation (ρ=.55; P<.01), while those between the BOOMER and gait speed displayed only fair correlation (ρ=.33 P<.01).
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 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.
- ↑ 2.0 2.1 2.2 2.3 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.
- ↑ Kuys SS, Crouch T, Dolecka UE, Steel M, Low Choy NL. Use and validation of the Balance Outcome Measure for Elder Rehabilitation in acute care. New Zealand Journal of Physiotherapy. 2014; 42(1): 16-21.
