Motor assessment | Description | Frequency of use | Time*group interaction effect size |
---|---|---|---|
Balance | |||
FICSIT-4 [49] | Task: performing four different stances with eyes open for 10 seconds: (a) feet together, (b) semi-tandem, (c) tandem, (d) single-leg Measurement: score [0–5], which rates performance according to ability to maintain stances | 1 RCT (n = 109) [50] | – |
Modified Clinical Test of Sensory Interaction of Balance [51] | Task: standing on a platform (NeuroCom Balance Master) as quietly as possible for 10 seconds under four sensory conditions: eyes open and closed standing on firm surface and foam Measurements: sway velocity [deg/s], composite score for all conditions | 1 RCT (n = 40) [52] | – |
Limits of Stability [51] | Task: standing on NeuroCom Balance Master and moving cursor from centre box directly to eight target boxes as fast and as close as possible by shifting weight Measurements: reaction time [s], movement velocity [deg/s], maximum excursion [%], directional control [%], summary composite score | 1 RCT (n = 40) [52] | – |
Physiomat-Trail-Making Task [53] | Task: standing on Physiomat and connecting digits by shifting weight Measurements: total duration [s], accuracy of sway path [digits/ms] | 1 RCT (n = 84) [54] | – |
Physiomat-Follow-The-Ball Task [53] | Task: standing on Physiomat and moving cursor from centre of screen directly to targets as fast as possible by shifting weight Measurements: total duration [s], accuracy of sway path [digits/ms] | 1 RCT (n = 84) [54] | – |
FR [55] | Task: standing next to a wall, holding one arm parallel to a metre stick attached to the wall at shoulder height, and reaching forward as far as possible without losing balance or changing foot position Measurement: distance from starting to end position [cm] | Small to large c | |
Hill Step Test [60] | Task: stepping 1 foot onto a block and returning it to the floor as quickly as possible for 15 seconds Measurement: number of repetitions | – | |
Step Quick Turn Test [51] | Task: taking two steps forward on NeuroCom Balance Master, quickly turning, and returning to starting point Measurements: turn time [s], turn sway [deg/s] | 1 RCT (n = 40) [52] | – |
Figure of Eight Test [62] | Task: walking a lap of a standard figure-eight trajectory as quickly and accurately as possible Measurements: walking speed [m/s], number of oversteps | 1 RCT (n = 109) [50] | – |
GMWT [63] | Task: walking over a meandering curved line as quickly and accurately as possible Measurements: walking speed [m/s], number of oversteps | 1 RCT (n = 109) [50] | – |
BBS [64] | Task: 14-item functional balance assessment with simple everyday tasks (reaching, bending, transferring, standing, and rising), which are graded on a five-point ordinal scale (0 to 4) Measurement: score [0–56] | Small to large c/r | |
Modified BBS [64] | Task: abbreviated version of the original 14-item BBS, excluding three items (chair-to-chair transfer, forward reach with outstretched arm, and alternate stepping on-off stool) Measurement: score [0–44] | 1 RCT (n = 23) [74] | – |
POMA [75] | Task: scale with two parts, assessing balance (B) and gait (G) (B) sitting balance, rising from a chair and sitting down, standing balance (with eyes open and closed), and turning balance (G) gait initiation, step length and height, symmetry, continuity, path direction, and trunk sway Measurements: total score [0–28], balance score [0–16], gait score [0–12] | No to large c/r | |
Mobility and gait | |||
TUG [81] | Task: standing up from a chair, walking three metres, turning around, walking back to chair, and sitting down Measurements: time [s], number of steps | 16 RCT (n = 1001) [50, 52, 56, 58, 59, 66, 68, 70, 73, 78, 79, 82,83,84,85,86] | No to large c/r |
Cognitive TUG [87] | Task: TUG with additional cognitive task (counting backwards by threes/evoke names of animals) Measurement: time [s] | – | |
Task: TUG with additional manual task (carrying a glass of water) Measurement: time [s] | 1 RCT (n = 40) [52] | – | |
6 m WT [88] | Task: walking six metres with comfortable pace Measurements: walking speed [m/s], step length [m] | – | |
4 m WT [88] | Task: walking four metres with comfortable pace Measurement: walking speed [m/s] | Small c/r | |
Instrumented gait analysis [92] | Task: walking with comfortable/fast pace over an electronic walkway (GAITRite, Bessou locometer, NeuroCom Balance Master) Measurements: walking speed [cm/s, m/s], cadence [steps/min], stride/step length [cm, m], stride time [s], double/single support [% of stride time], double limb support time [s], step width [cm], step time variability [CV], Walk-Ratio [step length/cadence] | Small to large c/r | |
Strength | |||
5x STS [97] | Task: performing five repetitions of the STS task without upper extremity assistance Measurement: time [s] | No to large c/r | |
STS on NeuroCom Balance Master [51] | Task: standing up from a seated position without upper extremity assistance Measurements: rising index [% of body weight], centre of gravity sway velocity [deg/s] | 1 RCT (n = 40) [52] | – |
ACSID [99] | Task: performing five repetitions of the STS task without upper extremity assistance while motor and cognitive aspects of movement process are qualitatively rated Measurements: total score [0–10], sub scores ‘recall and initiation’ [0–5], ‘effective performance’ [0–5] | 1 RCT (n = 77) [100] | Large c/r |
Task: performing as many repetitions of STS task as possible in 30 s Modified version: use of upper extremity assistance is allowed Measurement: number of repetitions | 5 RCT (n = 408) [56, 71, 74, 80, 84] Modified: 1 RCT (n = 109) [50] | Large c/r | |
Handgrip dynamometer [102] | Task: putting maximum force on a dynamometer Measurement: maximum handgrip strength [KPa, kg] | No r | |
Maximum isometric strength assessed with dynamometers [103] | Task: pushing as hard as possible against a dynamometer after adopting a standardised position Measurements: maximum strength [N] and integral over time [Ns] for knee extension, knee flexion, and ankle flexion | – | |
Endurance | |||
6 min WT [104] | Task: walking for 6 minutes with comfortable pace Measurement: distance [m, ft] | – | |
Functional performance | |||
SPPB [108] | Task: three subtests including standing balance (tandem, semi-tandem, and side-by-side stands), walking speed over an 8-ft walking course, and 5x STS Measurement: score [0–12] | Small to medium c/r | |
Task: five items (pouring a drink, spreading butter on a sandwich and cutting the sandwich, open a small cupboard with a key, washing and drying hands, and tying a bow on a small wrapped present), which are rated according to correctly performed substeps (0–6 points) Measurement: score [0–30] | – |