Kinetisense is partnered with Buurtzorg, the world-leader in geriatric care to develop the first 3D motion analysis tool for the analysis of geriatric balance and the subsequent risk of fall. Research has shown that the risk of falling dramatically increases with age and factors such as poly pharm (multiple medication use) has been shown to be a predictor of falls. The effects of a fall in the elderly can have severe consequences and can even lead to death. Until now practitioners have struggled with the subjectivity of “eyeballing” the balance of their patients. The balance information provided by the Kinetisense system gives insight into the proper medication prescription and schedule. Objective balance assessment of the elderly will not only reduce the risk of falls, it will also aid in the assurance of a healthy and vital lifestyle in our aging population.
Falls in elderly people rarely have a single cause or risk factor. A fall is usually caused by a complex interaction among the following:
- Intrinsic factors (age-related decline in function, disorders, and adverse drug effects).
- Extrinsic factors (environmental hazards).
- Situational factors (related to the activity being done, eg, rushing to the bathroom).
Some falls are promptly recognized because of an obvious fall-related injury or concern about a possible injury. However, because elderly people often do not report falls, their balance should be evaluated multiple times per year. Patients who require more frequent Kinetisense balance assessments are:
- Those who score below a 3.5 on the Kinetisense Geriatric Balance Protocol.
- Those who report multiple falls during screening.
- Those who are being evaluated after a recent fall (after acute injuries are identified and treated).
- Those who preparing to undergo a surgical procedure.
- Those who are taking prescription drugs that could interfere with balance.
HOW TO DO A GERIATRIC BALANCE ASSESSMENT?
The Kinetisense Geriatric Balance Protocol consists of three stances. The three stances are double leg stance, single leg stance, and tandem stance. The patient’s stance involves placing the hands on the iliac crests with eyes open, shoes and socks should not be worn. It is important to instruct the patient of the following faults prior to the start of the assessment:
- The score will reflect if the hands leave the hips, if the raised foot touches the ground or moves away from the center of the body, and if the stationary foot moves from the starting position.
Administering the Kinetisense Geriatric Balance Protocol: Establish a balance score during the patient’s initial visit. Re-assess and compare as often as needed in order to track balance progression.
Note: For the safety of the patient, the practitioner can choose to stand behind the patient during the assessment.
Scoring: Each of the trials is 20 seconds. The Kinetisense system incorporates a proprietary scoring algorithm that analyzes the sway of the head, shoulders, hips and knees in the transverse, sagittal and coronal planes. All of the data is stored in our HIPPA compliant cloud, making the system highly portable in your clinic/facility. After the balance protocol is complete, average all of the trials to produce one total score out of 10 (best).