Balance ability, balance confidence and health-related quality of life among the elderly in a community in Chai Badan district, Lop Buri province


  • Siripich Charoensuksiri Faculty of Physical Therapy, Huachiew Chalermprakiet University
  • Khemmapak Charoensuksiri Faculty of Physical Therapy, Saint Louis College
  • Apisuda Uankeao Rehabilitation Department, Chai Badan Hospital, Lop Buri Province


fear of falling, fall, , balance,, quality of life


An elderly person experiences changes in physiology, causing degenerative physical changes that affect their activities in terms of daily living or social participation. An objective of this study was to determine balance ability, balance confidence, and the health-related quality of life among the elderly in a community in Chai Badan district, Lop Buri province. This study was a cross-sectional research using purposive sampling. All of the participants were elderly people in a community in Chai Badan district, Lop Buri province. The research instruments included a demographic data questionnaire, a single leg stance test for static balance, a Timed Up and Go test for dynamic balance, an activities-specific and balance confidence scale (Thai version), and EQ-5D-5L (Thai version) and were analyzed using descriptive statistics. The results found that the participants consisted of 377 people, with 247 females and 130 males. The mean age was 68.60 ± 6.64 years old and the mean body mass index (BMI) was 24.11 ± 3.99 kg/m2. The majority of the participants had underlying diseases, namely hypertension and diabetes mellitus. According to the results, the balance ability results revealed that the majority of males and females had static and dynamic balance problems. The balance confidence test results revealed that participants had the most confidence when sweeping the floor and the least confidence on an escalator without holding the handrail. Regarding EQ-5D-5L, the results also found that the majority of the participants had no problems with the topics of mobility, self-care, usual activities, and anxiety/depression, whereas they had slight problems regarding the topic of pain/discomfort. This research study may be useful for public health personnel in planning policies and rehabilitation management, as well as organizing recreational activities, social activities, and activities promoting physical health in accordance with the context of each community.


Assantachai P. Gerontology and geriatrics for primary care practice. 1st ed. Nonthaburi: Parbpim design and printing; 2017.

Eliopoulos C. Gerontological nursing. 8th ed. Philadelphia: Lippincott William & Wilkins; 2014.

Scheffer AC, Schuurmans MJ, van Dijk N, et al. Fear of falling: measurement strategy, prevalence, risk factors and consequence among older persons. Age Ageing 2008;37:19-24.

Cheng P, Tan L, Ning P, et al. Comparative effectiveness of published interventions for elderly fall prevention: a systematic review and network meta-analysis. Int J Environ Res Public Health 2018;15:1-14.

Jalayondeja C. Falls screening by Timed Up and Go (TUG). JMTPT 2014;26:5-16.

Pianmanakit S, Puttaruksa P, Sarika S, et al. Balance ability of the communitybased elders in Amphawa district. Thai J Phy Ther 2017;39:52-62.

Taylor C, Fernando VP, Bin H. The singleleg-stance test in Parkinson’s disease. J Clin Med Res 2015;7:182-5.

Podsiadlo D, Richardson S. The timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142-8.

Charoensuksiri K, Charoensuksiri S. Balance confidence of Thai elderly people in Pathumthani social welfare development center for older persons. JHS 2019;28:14-21.

Nanthapaiboon K, Wannapake J, Viriyatarakij N, et al. Thai translation and cross-cultural adaptation of the Activitiesspecific Balance Confidence (ABC) scale. Proceedings of the 1st National Conference on Health Sciences Research and Innovation: Knowledge Transformation toward Thailand 4.0; 2017 December 7-8; Mae Fah Luang University: Chiang Rai, Thailand; 2017. P. 1-8.

Lin FJ, Pickard AS, Krishnan JA, et al. Measuring health-related quality of life in chronic obstructive pulmonary disease: properties of the EQ-5D-5L and PROMIS-43 short form. BMC Med Res Methodol 2014; 14:1-12

Kittirattanapaiboon P, Tantirangsee N, Chutha W. Thai national mental healthy survey 2013: methodology and procedure. J Ment Health Thai 2016;24:1-14.

Laukongtam W, Phimtra S, Kongsuk T, et al. The effects of group happy reminiscence therapy on depressive symptoms in Thai older people with major depressive disorder. J Psychiatr Ment Health Nurs 2015;29:12-27.

Lopburi provincial statistical report 2020 [Internet]. Available from: http://lopburi.

Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas 1970;30:607-10.

Thavorncharoensap M, Pattanaphesaj J. Policy brief. Health-related quality of life questionnaire (Thai version). HITAP 2015;3.

Springer BA, Marin R, Cyhan T, et al. Gill NW. Normative values for the unipedal stance test with eyes open and closed, J Geriatr Phys Ther 2007;30:8-15.

Yamwong N. Quality of life and physical activities of daily living among elderly patient at HRH Princess Maha Chakri Sirindhorn Medical Center. J Med Health Sci 2014;21:35-42.

Sorysang L, Khompraya J, Natetanasombut K. A study of fall prevention guideline in older adult living in Mitraphappatana community. J Nurs 2014;15:122-9.

Rodseeda P. Fall prevention among the elderly living in a community: the nursing role in home health care. TRCN J 2018; 11:15-25.

El-Khoury F, Cassou B, Charles MA, et al. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of

randomized controlled trials. BMJ 2013;347.

Viravan T. Effect of combination exercise on balance in elderly, Bungkum district, Bangkok. J Public Health 2012;42:44-53.

Amatachaya S, Thaweewannakij T, Srisim K, et al. Sufficient activity is important for mobility of well-functioning elderly. J Chula Med 2011;55:221-31.

Ferlinc A, Fabiani E, Velnar T, et al. The importance and role of proprioception in the elderly: a short review. Mater Sociomed 2019;31:219-21.

Rongmuang D, Tonadee J, Nakchattri C, et al. Incidence and factors associated with fall among the Community-Dwelling Elderly, Suratthani 2016;27:123-38.

Thanakwang K, Kantasen P, Yotinn R. Application of wooden clubs to the traditional ‘Mong Serng’ dance of Nan province: development and testing of its effectiveness and impact as an exercise programme on elderly people’s physical performance. JTNMC 2012;27:81-93.

Boonyarat Y. Preventing falls for the elderly in the community with service recipients as the center. LMJ 2019;39:41-3.

Khamwong W , Noosawat J , Prathanvorapanya W, et al. Factors relating to quality of life of elderly. J Health Sci Res 2011;5:32-40.

Chaimay B, Khaonuan B, Songsiri P. Quality of life and daily activity ability among elderly people in Laem Tanot sub-district, Khuan Khanun district, Phatthalung province. J Public Health 2012;42:55-65.

Wongratana A, Kittilertpaisan J, Romyen L. Quality of life of the aged in the Mueang Sakon Nakhon area, Sakon Nakhon province. KKU Res J 2016;13:145-55.




How to Cite

Charoensuksiri S, Charoensuksiri K, Uankeao A. Balance ability, balance confidence and health-related quality of life among the elderly in a community in Chai Badan district, Lop Buri province. J Med Health Sci [Internet]. 2022 Apr. 29 [cited 2024 Feb. 23];29(1):1-14. Available from:



Original Article (บทความวิจัย)