TY  - JOUR
PY  - 2019//
TI  - Validity and inter-observer reliability of the TURN 180 test to identify older adults who reported falls
JO  - Israel medical association journal : IMAJ
A1  - Gamerman, Yulia
A1  - Hoshen, Moshe
A1  - Herman Cohen, Avner
A1  - Alter, Zhana
A1  - Hadad, Luzit
A1  - Melzer, Itshak
SP  - 269
EP  - 274
VL  - 21
IS  - 4
N2  - BACKGROUND: Falls while turning are associated with increased risk of hip fracture in older adults. Reliable and clinically valid methods for turn ability assessments are needed. <br><br>OBJECTIVES: To explore the inter-observer reliability and known group validity of the TURN 180 test. <br><br>METHODS: We divided 78 independent older adults (mean age 76.6 ± 6.5 years) into three groups: non-fallers, infrequent fallers (1-2 falls per year), and recurrent fallers (> 2 falls per year). Participants underwent performance-based tests: Timed Up and Go (TUG), Performance Oriented Mobility Assessment (POMA), and Berg Balance Scale (BBS). TUG was videotaped for later analysis of the TURN 180 test by two blinded observers. <br><br>RESULTS: A significant difference was found in the TURN 180 test parameters among the groups (P < 0.04). TURN 180 was highly correlated with TUG (r = 0.81-0.89, P < 0.001) and BBS (r = -0.704-0.754, P < 0.0001) and moderately with POMA (r = -0.641-0.698, P < 0.0001). The number of steps was found to be the strongest parameter to determine fallers among older adults (specificity 96.3%, sensitivity 40%). Inter-rater reliability (intraclass correlation coefficient 0.91-0.96, P < 0.0001) was found to be excellent for the number of steps, time taken to accomplish a turn, and total test score categories. <br><br>CONCLUSIONS: The TURN 180 test is highly reliable and can identify the older adults who fall. Our results show that the TURN 180 test can serve as a good performance-based examination for research or clinical setting.<p />  <p>Language: en</p>
LA  - en
SN  - 1565-1088
UR  - http://dx.doi.org/
ID  - ref1
ER  -