Vestibular Outcome Measures

Question 1

Static Postural Stability Outcome Measures

Answer 1

Berg, functional reach, mCTSIB, balance error scoring system (BESS), balance evaluation system test (BEST), single leg stance

Question 2

Dynamic postural stability outcome measures

Answer 2

4 square step test, DGI, FGA, TUG, 10m walk, 5xSTS, 30sSTS

Question 3

Function/Participation Outcome Measures

Answer 3

Dizziness handicap inventory, ABC scale

Question 4

Romberg

Answer 4

Feet together, arms crossed preferred, EO then EC, 30-60s is normal

Assess sway and balance rxns

Question 5

Sharpened Romberg

Answer 5

Tandem stance, arms crossed, 30s is normal

Observe for sway and balance rxns

Question 6

SLS Normative Values

Answer 6

20-24: 28.8s EO, 20.7s EC
50-59: 24.2s EO, 6.1s EC
60-69: 27.1 EO, 2.0s EC
70-79: 18.2 EO, 1.0s EC

Question 7

MCTSIB (modified clinical test of sensory integration for balance)

Answer 7

Postural control under various sensory conditions: firm and foam, EO and EC

Goal = 30s, document LOB

Determine between visual, proprioceptive and vestibular dependency/deficiency

Question 8

4 square step test

Answer 8

Patient steps right, back, left, forward and then back, right, forward, left

> 12 s = at risk for falls

Question 9

DGI

Answer 9

Assess ability to modify balance while walking w external demands, 8 components

< 19/24 =predictive of fall risk in community dwelling elderly

MCID: 2pts

Question 10

FGA

Answer 10

Modified DGI, better reliability and less ceiling effect, 10 components

< 22/30 =predictive of fall risk in community dwelling elderly

MCID: 2-4pts

Question 11

Berg balance scale

Answer 11

14 items of static/dynamic balance

<45 may indicate fall risk, 56 is best score
<40 is definite fall risk

Question 13

10m walk test

Answer 13

2m acceleration, 6m testing, 2m deceleration to assess gait speed

Question 14

TUG

Answer 14

From chair and back, 10 ft
>13.5s =fall risk
>11.1s =fall risk with vestibular disorders

Question 15

5xSTS

Answer 15

<60Y = 10sec is fall risk
>60Y = 14.2sec is fall risk

MCID: 2.3s in vestibular population

Question 16

Modified motion sensitivity quotient

Answer 16

Measures motion provoked dizziness during movement.

Score=(# of provocative positions x combined score for all mvmts) / 14

0-10% is mild, 11-30% is moderate, 31-100% is severe

Question 17

Dizziness handicap inventory

Answer 17

25 items to assess self perceived handicapping effect of dizziness, 0-100%

0-30 is mild, 31-60 is moderate, 61-100 is severe

MCID: 17-18pts in vestibular population

Question 18

ABC Balance Scale

Answer 18

Self report measure of balance confidence w various activities, 0-100%

<67% indicates fall risk