Psychometric Properties of Falls Risk Assessment in Older People with Mild Cognitive Impairment and Dementia: A Systematic Review
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Creator 1. Suphanan Puengtanom
2. Plaiwan Suttanon
Title Psychometric Properties of Falls Risk Assessment in Older People with Mild Cognitive Impairment and Dementia: A Systematic Review
Publisher Text and Journal Publication
Publication Year 2561
Journal Title Vajira Medical Journal
Journal Vol. 62
Journal No. 4
Keyword Psychometric properties, falls, mild cognitive impairment, dementia, systematic review
URL Website https://tci-thaijo.org/index.php/VMED
Website title Vajira Medical Journal (วชิรเวชสาร)
ISSN 0125-1252
Abstract Abstract Objective: To systematically review psychometric properties of falls risk assessment in older people with mild cognitive impairment (MCI) and dementia. Methods: Electronic databases were searched from PubMed, Science Direct, Cochrane and Web of science collected from 1995 to September 2017. Inclusion criteria are older people more than or equal to 60 years with mild cognitive impairment and dementia. Results: Overall, 78 studies met inclusion criteria. Six studies passed quality assessments. Results for test-retest reliability were: Timed up and go test (TUG) (ICC 0.757 0.988), Five times sit to stand test (FTSTS) (ICC 0.94 0.97), Berg balance scale (BBS) (ICC 0.95), and Functional reach test (FRT) (ICC 0.81 0.84), respectively. Results for Intrarater reliability were: FRT (ICC 0.79), BBS and TUG (ICC 0.72). TUG had lowest standard error of measure (SEM) and minimal detectable change (MDC). Sensitivity and specificity of measurement in faller were founded only in TUG. TUG had results for sensitivity 23.6 and specificity 91.6 in people with mild cognitive impairment. Conclusion: TUG has the best scores of test-retest reliability and standard error of measure. Considering psychometric properties, among the four functional balance assessment tools, TUG would be the best assessment tools for measuring balance and falls risk in older people with mild cognitive impairment and dementia.
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