Score Distributions of the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in Community-Dwelling Older Adults With Vertebral Fracture.
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BACKGROUND AND PURPOSE: We sought to evaluate the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in community-dwelling women 65 years and older with vertebral fracture and to describe score distributions and potential ceiling and floor effects. METHODS: This was a secondary data analysis of baseline data from the Build Better Bones with Exercise randomized controlled trial using the BOOMER. A total of 141 women with osteoporosis and radiographically confirmed vertebral fracture were included. Concurrent validity and internal consistency were assessed in comparison to the Short Physical Performance Battery (SPPB). Normality and ceiling/floor effects of total BOOMER scores and component test items were also assessed. Exploratory analyses of assistive aid use and falls history were performed. RESULTS AND DISCUSSION: Tests for concurrent validity demonstrated moderate correlation between total BOOMER and SPPB scores. The BOOMER component tests showed modest internal consistency. Substantial ceiling effect and nonnormal score distributions were present among overall sample and those not using assistive aids for total BOOMER scores, although scores were normally distributed for those using assistive aids. The static standing with eyes closed test demonstrated the greatest ceiling effects of the component tests, with 92% of participants achieving a maximal score. CONCLUSIONS: While the BOOMER compares well with the SPPB in community-dwelling women with vertebral fractures, researchers or clinicians considering using the BOOMER in similar or higher-functioning populations should be aware of the potential for ceiling effects.
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Score Distributions of the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in Community-Dwelling Older Adults With Vertebral Fracture.Brown, Z.; Gibbs, J.; Adachi, J.; Ashe, M.; Hill, Keith; Kendler, D.; Khan, A.; Papaioannou, A.; Prasad, S.; Wark, J.; Giangregorio, L. (2017)BACKGROUND AND PURPOSE: We sought to evaluate the Balance Outcome Measure for Elder Rehabilitation (BOOMER) in community-dwelling women 65 years and older with vertebral fracture and to describe score distributions and ...
Failure strength of human vertebrae: Prediction using bone mineral density measured by DXA and bone volume by micro-CTPerilli, E.; Briggs, Andrew; Kantor, S.; Codrington, J.; Wark, J.; Parkinson, I.; Fazzalari, N. (2012)Significant relationships exist between areal bone mineral density (BMD) derived from dual energy X-ray absorptiometry (DXA) and bone strength. However, the predictive validity of BMD for osteoporotic vertebral fractures ...
Build better bones with exercise (B3E pilot trial): results of a feasibility study of a multicenter randomized controlled trial of 12 months of home exercise in older women with vertebral fractureGiangregorio, L.; Gibbs, J.; Templeton, J.; Adachi, J.; Ashe, M.; Bleakney, R.; Cheung, A.; Hill, Keith; Kendler, D.; Khan, A.; Kim, S.; McArthur, C.; Mittmann, N.; Papaioannou, A.; Prasad, S.; Scherer, S.; Thabane, L.; Wark, J. (2018)© 2018, International Osteoporosis Foundation and National Osteoporosis Foundation. Summary: We pilot-tested a trial of home exercise on individuals with osteoporosis and spine fracture. Our target enrollment was met, ...