Balance assessment practices and use of standardized balance measures among Ontario physical therapists

Abstract

Background. Balance impairment is a significant problem for older adults, as it can influence daily functioning. Treating balance impairment in this population is a major focus of physical therapist practice. Objective. The purpose of this study was to document current practices in clinical balance assessment and compare components of balance assessed and mea-sures used across practice areas among physical therapists. Design. This was a cross-sectional study. Methods. A survey questionnaire was mailed to 1,000 practicing physical thera-pists in Ontario, Canada. Results. Three hundred sixty-nine individuals completed the survey questionnaire. More than 80 % of respondents reported that they regularly (more than 60 % of the time) assessed postural alignment, static and dynamic stability, functional balance, and underlying motor systems. Underlying sensory systems, cognitive contributions to balance, and reactive control were regularly assessed by 59.6%, 55.0%, and 41.2% of the respondents, respectively. The standardized measures regularly used by th