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Table 7 Summary table of the Single Leg Stance test as a falls assessment tool

From: Predicting falls in older adults: an umbrella review of instruments assessing gait, balance, and functional mobility

Review

Review characteristics

Risk of bias

Summary of key findings

Interpretation

Chen-Ju Fu [39]

Meta-analysis

(n = 15)

Elderly aged over 65 years who can walk without assistance

High

Maximal standing time identified with high heterogeneity (I2 = 80%) and significant group difference (−6.21 seconds [−10.60–-1.82], p = 0.006,)

(n = 3)

Favorable

Lusardi [9]

Meta-analysis

(n = 5)

Community-dwelling

Unclear

Posttest probability of falling based on SLS time < 6.5

Positive likelihood ratio1.9, negative likelihood ratio 0.9. Posttest probability in positive test 45%, posttest probability if negative test 28%. Sensitivity 19%, specificity 90%

Posttest probability of falling based on SLS time < 12.7. Sensitivity 63%, specificity 49%

Inconsistent

Kozinc [40]

Meta-analysis

(n = 18)

Mixed settings

Unclear

Sensitivity moderate to high for single-leg Center of Pressure velocity measures (70–78%), and moderate for single-leg stance time (51–67%). Specificity high only for single-leg stance time in one study (89%) and low to moderate in other studies (43–67%).

Inconsistent

Omana [31]

Meta-analysis

(n = 21)

Community-dwelling

Unclear

The ranges of sensitivity and specificity were 0.51 and 0.61

Sensitivity and specificity for recurrent falls were 0.33 and 0.712, respectively

(n = 6)

Not favorable

Muir [42]

Meta-analysis

(n = 5)

Community-dwelling

Low

Significant association for increased falls risk found in 1 study, no specific data to extract. No other results for remaining studies reported.

Inconsistent

  1. Abbreviations: n number of included studies, SLS Single Leg Stance, SLST single-leg stance test