Translation and Validation of the Performance Oriented Mobility Assessment (Poma) Scale Into Urdu Version

Fall Clinical Trial

Official title:

Cross-cultural Translation and Validation of the Performance Oriented Mobility Assessment (Poma) Scale Into Urdu Version

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05102435
• Other study ID #: REC/00964 Kiran
• Status: Completed
• Start date: November 1, 2021
• Est. completion date: March 31, 2022

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of this study is to translate the original English version POMA scale into Urdu and also determine cultural adaptation to establish its validity and reliability. This study also aims to correlate Performance oriented Mobility Assessment (POMA) scales with time up and go test in elderly population.

Description:

Among older persons, age-related impairments cause loss of postural control and balance that result in pain, independency and disability. One of the most common geriatric syndromes and most serious health issue threatening the independency of older persons is fall. The impact of these fall-related injuries on older person, families and societies and its fruitful intervention has made this issue important worldwide. Approximately 28-35% of people aged 65 years and 32-42% of aged 70 years' experience falls annually and 10% suffer serious injury such as, fracture, severe head trauma and joint dislocation. The incidence rate of fall is higher in hospitalized and residents of nursing home. It rises from middle age and peaks in person above 80 years. The risk factors associated with falls are, lower extremity muscle weakness, gait or balance deficits, use of an assistive device, cognitive impairment, visual deficit, arthritis and impaired activities of daily living . Different scales and tests are used for risk factors for falls, balance and mobility such as Berg Balance Scale, Time up and go test and dynamic gait index and Fullerton Advanced Balance Scale. One of these scales Performance-Oriented Mobility Assessment (POMA) scale. POMA scale has acceptable reliability and validity as compared to FRT and TUG in elderly. The advantages of this scale are; applicability, low cost, easy to administer, no equipment is needed other than a standard chair and stopwatch, evaluates functional activities and assesses both balance (POMA-B) and gait components (POMA-G)Originally POMA scale was used to assess risk of fall in institutionalized populations but later on used as an assessment tool for mobility and determine effects of interventions.

The POMA has found to be widely used in patients who have dynamic and reactive balance deficits. It comprises 16 items (9 balance and 7 gait related). Total time taken for administration is approximately 10 minutes and total score is 28; 16 is balance and 12 is gait score. Some Items are scored dichotomously (can/cannot perform) and others are scored 0, 1 or 2 points for quality of performance. The higher scores show low fall risk and better balance while lower score predicts poorer balance and greater risk of fall. The score 19-24/28 indicates moderate risk for falling while score <19 indicates a "high" risk for falling.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 300
• Est. completion date: March 31, 2022
• Est. primary completion date: March 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 75 Years

Eligibility

Inclusion Criteria:

• The sample will be assessed a cognition evaluation through the mini-mental test

• Any present or previous history of vertigo since last 6 months

Exclusion Criteria:

• Patients with any neurological disorder,

• previous orthopedic surgery within last 6 months,

• bedridden,

• wearing any prosthesis, and illiteracy.

Related Conditions & MeSH terms

• Fall

Intervention

Other:
• Tool Translation & Validation study
In this English version of POMA scale will be translated into Urdu.

Locations

Country	Name	City	State
Pakistan	Misbah Ghous	Rawalpindi

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (3)

Moulodi B, Azad A, Taghizadeh G, Roohi-Azizi M, Mohammadi P. Reliability and validity of persian version of performance-oriented mobility assessment (POMA) in Community-dwelling Iranian Older Adults: Psychometric Properties. Iranian Rehabilitation Journal. 2020;18(1):39-48.

Schülein S, Pflugrad L, Petersen H, Lutz M, Volland-Schüssel K, Gaßmann KG. [German translation of the performance-oriented mobility assessment according to Tinetti]. Z Gerontol Geriatr. 2017 Aug;50(6):498-505. doi: 10.1007/s00391-016-1070-9. Epub 2016 Jun 16. German. — View Citation

Yücel SD, Sahin F, Dogu B, Sahin T, Kuran B, Gürsakal S. Reliability and validity of the Turkish version of the Performance-Oriented Mobility Assessment I. European Review of Aging and Physical Activity. 2012 Oct;9(2):149-59.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Performance oriented mobility Assessment scale	Performance oriented mobility Assessment scale is used to assess risk of fall in institutionalized populations but later on used as an assessment tool for mobility and balance assessment. Total time taken for administration is approximately 10 minutes and total score is 28; 16 is balance and 12 is gait score	1 time assessment of mobility and balance (approximately 10 minutes)