Development of Dynamic Measures to Assess Balance Confidence and State Anxiety While Walking at Increasing Speeds in Young and Older Adults

Author:

Kongsuk Jutaluk12,Perumean-Chaney Suzanne E.3,Knight David C.4,Brown Cynthia J.56,Amara Amy W.7,Hurt Christopher P.18

Affiliation:

1. Rehabilitation Sciences, University of Alabama at Birmingham, Birmingham, AL, USA

2. Department of Physical Therapy, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok, Thailand

3. Department of Biostatistics, University of Alabama, Birmingham, AL, USA

4. Department of Psychology, University of Alabama, Birmingham, AL, USA

5. Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama, Birmingham, AL, USA

6. Birmingham/Atlanta VA Geriatric Research Education and Clinical Center (GRECC), Birmingham VAMC, Birmingham, AL, USA

7. Department of Neurology, University of Alabama, Birmingham, AL, USA

8. Department of Physical Therapy, University of Alabama, Birmingham, AL, USA

Abstract

The purpose of this study was to determine the test–retest reliability and construct validity of tools to assess how balance confidence (BC) and state anxiety (SA) change with progressively increasing walking speeds. Sixteen young adults and 15 older adults attended two sessions. Individuals began walking on a treadmill at 0.4 m/s Participants chose to continue increasing the treadmill speed (up to 2.0 m/s) or to discontinue the protocol while rating their BC and SA after completing each speed. BC at participants’ fastest speed attempted demonstrated high and moderate test–retest reliability among young (intraclass correlation coefficient [ICC] = .908) and older adults (ICC = .704). SA for young adults and older adults was good (ICC = .833) and fair (ICC = .490), respectively. Our measures also correlated with measures of dynamic stability while walking for young (r = −.67, p = .008) and older adults (r = .54, p = .046). Our dynamic measures of BC and SA are valid and reliable in young and older adults.

Publisher

Human Kinetics

Subject

Geriatrics and Gerontology,Gerontology,Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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