Awareness of Standardized Outcome Measures for Balance: A Survey among Physical Therapists in Karachi

Authors

DOI:

https://doi.org/10.36283/pjr.zu.14.2/009

Keywords:

Balance, Core Stability, Cognition, Outcome Measures, Posture, Vertigo

Abstract

Background of the study: Balance impairments affect approximately 75% of individuals aged 70 and above. Due to their high prevalence and impact on function, physiotherapists prioritize balance assessments to aid diagnosis, treatment planning, and fall risk management. Standardized outcome measures help identify the type and cause of balance disorders and guide effective interventions. This study aims to assess physiotherapists' awareness of such tools.

Methodology: A cross-sectional study was conducted in major hospitals across Karachi, including IPM&R, Civil Hospital Karachi, JPMC, and others. A purposive sample of 246 physiotherapists participated through a self-designed questionnaire. Ethical approval was obtained (IRB No. FMRL-IRB/2025/010), and informed consent was secured before data collection.

Results: About 72.31% of physiotherapists reported sufficient awareness of outcome measures for balance assessment, while 27.69% did not. No significant association was found between gender, qualification, and work experience with knowledge of balance components. However, professional experience was significantly associated with awareness of balance assessment.

Conclusion: Most physiotherapists demonstrated good awareness of standardized balance assessment tools. Nonetheless, a considerable number would benefit from additional training and education to enhance clinical competence in this area.

Author Biographies

  • Aisha Batool, Tahir Medical Centre, Karachi, Pakistan

    Physiotherapist

  • Asma Batool, Indus University, Karachi, Pakistan

    Lecturer

References

Papalia GF, Papalia R, Diaz Balzani LA, Torre G, Zampogna B, Vasta S, et al. The effects of physical exercise on balance and prevention of falls in older people: a systematic review and meta-analysis. J Clin Med. 2020 Aug 11;9(8):2595.

Tokur D, Grimmer M, Seyfarth A. Review of balance recovery in response to external perturbations during daily activities. Hum Mov Sci. 2020 Feb 1;69:102546.

Coto J, Alvarez CL, Cejas I, Colbert BM, Levin BE, Huppert J, et al. Peripheral vestibular system: age-related vestibular loss and associated deficits. J Otol. 2021 Oct 1;16(4):258–65.

Sturnieks DL. Biomechanics of balance and falling. In: Falls in older people: Risk factors, strategies for prevention and implications for practice. 2021 Nov 4. p. 105.

Salari N, Darvishi N, Ahmadipanah M, Shohaimi S, Mohammadi M. Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. J Orthop Surg Res. 2022 Jun 28;17(1):334.

Hussain M, Javed L, Khan S, Khan IA, Zakria M. Epidemiology of falls among elder population in Peshawar, Pakistan: a cross-section analysis. Insights J Health Rehabil. 2024 Oct 31;2(2):133–41.

Quijoux F, Nicolaï A, Chairi I, Bargiotas I, Ricard D, Yelnik A, et al. A review of center of pressure (COP) variables to quantify standing balance in elderly people: algorithms and open-access code. Physiol Rep. 2021 Nov;9(22):e15067.

Jacobson GP, Shepard NT, Barin K, Janky K, McCaslin DL, editors. Balance function assessment and management. San Diego: Plural Publishing; 2020 Jan 20.

Agrawal Y, Merfeld DM, Horak FB, Redfern MS, Manor B, Westlake KP, et al. Aging, vestibular function, and balance: proceedings of a NIA/NIDCD workshop. J Gerontol A Biol Sci Med Sci. 2020 Dec;75(12):2471–80.

Xing L, Bao Y, Wang B, Shi M, Wei Y, Huang X, et al. Falls caused by balance disorders in the elderly with multiple systems involved: pathogenic mechanisms and treatment strategies. Front Neurol. 2023 Feb 23;14:1128092.

Halmágyi GM, Curthoys IS. Vestibular contributions to the Romberg test: testing semicircular canal and otolith function. Eur J Neurol. 2021 Sep;28(9):3211–9.

Bahiraei S, Hosseini E, Lou RA. The test–retest reliability and limits of agreement of the Balance Evaluation Systems Test (BESTest) in young people with intellectual disability. Sci Rep. 2023 Sep 25;13(1):15968.

Beck Jepsen D, Robinson K, Ogliari G, Montero-Odasso M, Kamkar N, Ryg J, et al. Predicting falls in older adults: an umbrella review of instruments assessing gait, balance, and functional mobility. BMC Geriatr. 2022 Jul 25;22(1):615.

Angus J. Instrumenting the Clinical Test of Sensory Interaction and Balance: a comparison of different measures of balance [dissertation]. Victoria (BC): University of Victoria; 2020.

Lin YC, Chan CT, Ting KC, Liu KC, Hsieh CY. Instrumented Romberg test of postural stability in patients with vestibular disorders using inertial measurement units. In: 2021 Asia-Pacific Signal and Information Processing Association Annual Summit and Conference (APSIPA ASC); 2021 Dec 14. p. 1258–61.

Law M, MacDermid J. Evidence-based rehabilitation: a guide to practice. Boca Raton: Taylor & Francis; 2024 Jun 1.

Omaña H, Bezaire K, Brady K, Davies J, Louwagie N, Power S, et al. Functional Reach Test, Single-Leg Stance Test, and Tinetti Performance-Oriented Mobility Assessment for the prediction of falls in older adults: a systematic review. Phys Ther. 2021 Oct 1;101(10):pzab173.

Montero-Odasso M, Van Der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022 Sep;51(9):afac205.

Kovács E, Prókai L, Mészáros L, Gondos T. Adapted physical activity is beneficial on balance, functional mobility, quality of life and fall risk in community-dwelling older women: a randomized single-blinded controlled trial. Eur J Phys Rehabil Med. 2013 Jun 1;49(3):301–10.

He M, Zhang HN, Tang ZC, Gao SG. Balance and coordination training for patients with genetic degenerative ataxia: a systematic review. J Neurol. 2021 Oct;268:3690–705.

Giovannini S, Brau F, Galluzzo V, Santagada DA, Loreti C, Biscotti L, et al. Falls among older adults: screening, identification, rehabilitation, and management. Appl Sci. 2022 Aug 8;12(15):7934.

Sibley KM, Straus SE, Inness EL, Salbach NM, Jaglal SB. Balance assessment practices and use of standardized balance measures among Ontario physical therapists. Phys Ther. 2011 Nov 1;91(11):1583–91.

Ghauri MW, Saeed A, Mahmood T, Tariq K. The frequency of work-related stress among physical therapists of Pakistan: an online survey. J Univ Med Dent Coll. 2023 Jun 9;14(3):674–8.

Vincenzo JL, Schrodt LA, Hergott C, Perera S, Tripken J, Shubert TE, et al. Physical therapists and physical therapist assistants’ knowledge and use of the STEADI for falls risk screening of older adults in physical therapy practice in the United States. Int J Environ Res Public Health. 2022 Jan 26;19(3):1354.

Fawzan S, Kozou H, Baki F, Asal S. Fall risk assessment and effect of vestibular rehabilitation in the elderly population. Egypt J Otolaryngol. 2022 Dec;38(1):88.

Strini V, Schiavolin R, Prendin A. Fall risk assessment scales: a systematic literature review. Nurs Rep. 2021 Jun 2;11(2):430–43.

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Published

2025-07-07

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