About this trial
This single-center interventional study aims to develop and validate a static balance assessment tool tailored for high-functioning older adults. Participants aged 65 years or older, who achieve a perfect score on the Short Physical Performance Battery and can maintain an open-eyes single-leg stance for at least 10 seconds, will be recruited. The assessment includes body composition measurement, open-eyes/closed-eyes single-leg stance, and the Balance Error Scoring System under firm and foam surface conditions. Each participant will undergo two testing sessions, 5-7 days apart, with both on-site and video-based scoring to determine test-retest reliability. The expected outcome is the development of an accurate and highly applicable static balance measurement tool to support healthy aging and fall prevention in community and long-term care settings.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 60 to 85 years
Able to walk independently without assistive devices
No self-reported balance disorders or history of recurrent falls in the past 6 months
Cognitively intact (Mini-Mental State Examination score ≥ 24)
Disqualifiers
Diagnosed neurological disorders affecting balance (e.g., Parkinson's disease, stroke with residual deficits)
Diagnosed neurological disorders affecting balance (e.g., Parkinson's disease, stroke with residual deficits)
Severe visual or vestibular impairment uncorrected by aids
Lower limb musculoskeletal disorders that limit mobility
Trial design
Single group
Treatments tested in this trial
Static Balance Assessment Protocol
Other interventionParticipants will undergo a standardized static balance assessment protocol, including open-eyes and closed-eyes single-leg stance tests, as well as Balance Error Scoring System (BESS) testing under firm and foam surface conditions. Each participant will complete two identical sessions, 5-7 days apart, with both on-site scoring and video-based scoring performed by trained assessors to determine test-retest reliability.
Treatment groups
Trial outcomes
Primary outcomes
Test-Retest Reliability of Static Balance Assessment Scores
Description: Reliability will be evaluated using intra-class correlation coefficient (ICC) and Spearman correlation coefficient (ρ) between session 1 and session 2 scores for the following static balance tests: Single-leg stance with eyes open Single-leg stance with eyes closed Balance Error Scoring System (BESS) under various surface conditions Scale Name: Balance Error Scoring System (BESS) Score Range: 0 (best balance) to 60 (worst balance) Interpretation: Higher BESS scores indicate worse balance performance.
Short Physical Performance Battery (SPPB) - 4-Meter Walk Test
Unit of Measure: Seconds (s) Description: Measures usual gait speed over a 4-meter distance. Interpretation: Lower time indicates better performance.
Short Physical Performance Battery (SPPB) - 5-Times Sit-to-Stand Test
Unit of Measure: Seconds (s) Description: Measures lower-limb strength and functional mobility. Interpretation: Lower time indicates better performance.
Secondary outcomes
Body Height
Unit of Measure: Centimeters (cm)
Body Weight
Unit of Measure: Kilograms (kg)
Body Mass Index (BMI)
Unit of Measure: Kilograms per square meter (kg/m²) Calculated as weight in kilograms divided by height in meters squared.
Whole-Body Skeletal Muscle Mass
Unit of Measure: Kilograms (kg) Description: Whole-body skeletal muscle mass will be measured using bioelectrical impedance analysis (BIA) with the TANITA BC-545N body composition analyzer. Participants will stand barefoot and hold hand electrodes during the assessment.
Other outcomes
Fall Frequency
Unit: Number of falls in past 12 months
Living Status
Unit: Categorical (living alone / with others)
Education Level
Unit: Categorical (elementary, high school, etc.)
Exercise Habit
Unit: Categorical (Yes / No)
Sponsors and contacts
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Jia-Ling Hong
Lead sponsor
Kaohsiung Municipal United Hospital
Sponsor institution