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Nevitt MC, Cumming SR. Type of fall and risk of hip and wrist fracture: the study of osteoporotic fractures. Journal of the American Geriatrics Society, 1993; 41: 1226-1234.

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Article

Reliability and Validity of the Revised Successive-Choice Step Reaction Test in Elderly Women

1Kanazawa University, Ishikawa, Japan

2Kaga Swim Club, Ishikawa, Japan

3Fukui University, Fukui, Japan

4National Institute of Technology, Fukui College, General Course, Fukui, Japan

5University of Ulsan, Ulsan, Korea

6Osaka University of Pharmaceutical Sciences, Osaka, Japan


American Journal of Sports Science and Medicine. 2019, Vol. 7 No. 1, 1-9
DOI: 10.12691/ajssm-7-1-1
Copyright © 2019 Science and Education Publishing

Cite this paper:
Kaoru Fujitani, Shin-ichi Demura, Yuko Asakura, Shunsuke Yamaji, Hiroki Aoki, Sohee Shin, Narihito Taima. Reliability and Validity of the Revised Successive-Choice Step Reaction Test in Elderly Women. American Journal of Sports Science and Medicine. 2019; 7(1):1-9. doi: 10.12691/ajssm-7-1-1.

Correspondence to: Hiroki  Aoki, National Institute of Technology, Fukui College, General Course, Fukui, Japan. Email: aoki@fukui-nct.ac.jp

Abstract

Falls occur unexpectedly in elderly individuals. Even when they pay close attention, they have difficulty avoiding falls. Therefore, these individuals must make fall-avoidance movements instantly-namely, quick one-step forward reactions (compensatory steps) when falls occur. This study examined the reliability and validity of a newly developed step reaction test for elderly women. The subjects included 22 young elderly women (65-74 years old) and 28 older elderly women (75-90 years old) with exercise habits, 22 young elderly women and 20 older elderly women without exercise habits, and 23 young women. Subjects stood in the middle of eight test sheets and then stepped rapidly onto the sheet indicated at random on the computer screen. A sum of the time from stimulus presentation to step landing on each sheet was used as an evaluation variable (movement time). The reliability of the test was high (intraclass correlation coefficient: 0.84-0.97). The results of one-way analysis of variance and multiple comparison tests showed that mean movement time increased in the order young subjects, young elderly subjects, older elderly subjects with exercise habits, and older elderly subjects without exercise habits. In addition, a significant decrease in movement time with age was found in elderly subjects without exercise habits (r = 0.65) but not in elderly subjects with exercise habits. In conclusion, the new step reaction test showed high reliability and validity.

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