Exploring Fear of Falling and Exercise Self-Efficacy in Older Women With Vertebral Fractures

Abstract

Fear of falling is a common issue among older adults, which decreases quality of life and leads to an avoidance of activities they are still able to do. The goal of this secondary data analysis was to explore the relationship between fear of falling and exercise self-efficacy in 141 women with at least one nontraumatic Genant Grade 2 vertebral fracture. Fear of falling, exercise self-efficacy, history of falling, the number of falls, the use of assisting devices, and pain at rest or during movement were obtained using medical history and health status questionnaires. There was a negative association between fear of falling and exercise self-efficacy (pseudo R2 = .253; p = .004), which persisted when the analysis was adjusted for history and number of falls, use of assistive devices, and pain at rest (pseudo R2 = .329; p < .0001) or during movement (pseudo R2 = .321; p < .0001). Fear of falling may be negatively associated with exercise self-efficacy in older women with vertebral fracture.

Group-Based and Individually Delivered LiFE: Content Evaluation and Predictors of Training Response – A Dose-Response Analysis

“…Subjects who felt “unsafe” may have trained at a less demanding level of difficulty because they were slowed down by their insecurity (for example balance training without support of the hands) and hampered by fear (for example fear of falling), thus had a lower exercise self-efficacy and therefore could not set any effective training stimulus to challenge their strength and balance enough. 60 Trainers should encourage participants to push themselves to their limits and challenge themselves. They should explain to the participants that progress can only be achieved through challenging training on a regular basis.…”

Zusammengefasste Empfehlungen für ein körperliches Training zur Frakturprophylaxe postmenopausaler Frauen und Männer 45 Jahre und älter

“…Es empfiehlt sich statt dessen den im vorherigen Beitrag beschriebenen "repetition in reserve" (RIR) Ansatz [5] Grundsätzlich ist die Mehrzahl der Menschen mit relevantem Frakturrisiko unserer Erfahrung nach tendenziell eher ängstlich und übervorsichtig. Sturz-und Bewegungsangst sind gerade bei Personen mit Osteoporose und insbesondere Menschen mit vertebralen Frakturen besonders häufig anzutreffen und ausgeprägt [48,49]. Die Betroffenen haben wenig Vertrauen in ihre Belastbarkeit und halten sich oft auch noch lange nach dem Ereignis an die Belastungsvorgaben der Akutphase.…”

Does thoracic kyphosis severity predict response to physiotherapy rehabilitation in patients with osteoporotic vertebral fracture? A secondary analysis of the PROVE RCT

“…The symptoms of OVF and hyperkyphosis include chronic back pain, restricted pulmonary function, lower self-image, fatigue, limitations in physical function, activities of daily living and social participation [2,[6][7][8][9][10][11][12]. Increased kyphosis angles in people with and without osteoporosis impair balance and postural stability, decrease gait stability and increase the risk of falls and non-vertebral fractures [9,[13][14][15][16].…”