A Modified Fall Risk Assessment Tool That Is Specific to Physical Function Predicts Falls in Community-Dwelling Elderly People

Hirase, Tatsuya; Inokuchi, Shigeru; Matsusaka, Nobuou; Nakahara, Kazumi; Okita, Minoru

doi:10.1519/jpt.0b013e3182abe7cb

Cited by 24 publications

(30 citation statements)

References 31 publications

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“…20–30 min) and more conveniently. 13 , 14 , 15 TUGT has been widely used in the balance test with the cutoff point for risk of falls ranging from 11.0 to 12.3 s 16 , 17 , 18 ; however, its predictive power is highly limited to a high-functioning population. 19 Regarding the CDP, the SOT protocol could be used to differentiate elderly non-fallers from fallers due to balance impairment, 20 and it appears to be more sensitive in identifying those at a high-risk of recurrent falls, compared with clinical tests, especially in condition 5 and 6.…”

Section: Discussionmentioning

confidence: 99%

The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study

Shen¹,

Shi

et al. 2016

Chronic Diseases and Translational Medicine

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ObjectiveThe presence of an association between white matter hyperintensity (WMH) and the risk of falls in older people is uncertain, with little supporting prospective evidence available at present. We aimed to determine whether WMH was associated with dysfunctions of balance and gait, and other sensorimotor factors leading to falls, and the independent factors related to falls in older Chinese people. The protective effect of exercise against falls was also addressed.MethodsIn a representative sample of hospital-based individuals aged 50 years and older in China, the patients' history of falls, magnetic resonance imaging data, scores on the 9-item Berg Balance Scale (BBS-9) test and timed up-and-go test (TUGT), and sensorimotor measures of computerized dynamic posturography (CDP) were analyzed. Incident falls were recorded prospectively over a 12-month period. Using regression modeling, the association between the risk of falls and baseline WMH was estimated.ResultsOnly individuals with severe WMH were at an increased risk of falls, and CDP was more sensitive than BBS-9 in detecting WMH-related balance and gait dysfunction. However, WMH was not an independent predictor of falls. Taller height and overweight or obese body habitus were identified as novel protective factors for falls. Female, fall history, and increased TUGT score were identified as independent risk factors for falls in older Chinese people.ConclusionAlthough WMH was associated with an increased risk of falls, it was not an independent predictor.

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Section: Discussionmentioning

confidence: 99%

The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study

Shen¹,

Shi

et al. 2016

Chronic Diseases and Translational Medicine

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“…A total of 49 FRATs were identified to be included in the review. Of the 49 tools identified, six were excluded as the researchers were unable to obtain them (Jester et al, 2005; Hirase et al, 2014;Miyakoshi et al, 2014), despite contacting the corresponding authors of each article in which the tools were mentioned. The 43 FRATs included in the review were analysed by the first author (HdC) and the items in each tool were identified and extracted via Microsoft® Office Excel.…”

Section: Discussionmentioning

confidence: 99%

Factors included in adult fall risk assessment tools (FRATs): a systematic review

2020

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Falls often have severe financial and environmental consequences, not only for those who fall, but also for their families and society at large. Identifying fall risk in older adults can be of great use in preventing or reducing falls and fall risk, and preventative measures that are then introduced can help reduce the incidence and severity of falls in older adults. The overall aim of our systematic review was to provide an analysis of existing mechanisms and measures for evaluating fall risk in older adults. The 43 included FRATs produced a total of 493 FRAT items which, when linked to the ICF, resulted in a total of 952 ICF codes. The ICF domain with the most used codes was body function, with 381 of the 952 codes used (40%), followed by activities and participation with 273 codes (28%), body structure with 238 codes (25%) and, lastly, environmental and personal factors with only 60 codes (7%). This review highlights the fact that current FRATs focus on the body, neglecting environmental and personal factors and, to a lesser extent, activities and participation. This over-reliance on the body as the point of failure in fall risk assessment clearly highlights the need for gathering qualitative data, such as from focus group discussions with older adults, to capture the perspectives and views of the older adults themselves about the factors that increase their risk of falling and comparing these perspectives to the data gathered from published FRATs as described in this review.

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“…This test is widely used in the elderly as a simple test (40,41,42,43,44,45) and in physical performance batteries (46) , for indirect measurement of muscle resistance of the knee joint -mainly quadriceps. The CS-5 has been demonstrated to be a simple and viable physical performance to request a decrease in daily living activity (ADL) and falls in the elderly (47,48,49) .…”

Section: Discussionmentioning

confidence: 99%

Do functional mobility tests predict the risk of falls in community-dwelling elderly?

2020

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Introduction:The falls are associated with morbidity and mortality in the elderly. Numerous of functional mobility clinical tests have been created to identify older adults with potential for risk of falls. Objective: The purpose of this systematic review was to determine the predictive validity of functional mobility tests to predict the risk of falls in community-dwelling elderly. Method: Articles in English were searching in MEDLINE, SCOPUS and CINAHL. We found 18,520 documents and, after applying the inclusion and exclusion criteria, 11 articles were part of the final analysis. All articles analyzed included subjects over 60 years old. Results: The results showed that the TUG Test has good discriminative validity for elderly non-institutionalized, but it does not provide an adequate predictive validity. The TUG Test may not be enough as a unique basic screening tool to detect the risk of elderlies´ falling. Conclusion: It is suggested that the TUG Test should be used in combination with other predictors of falling risk tools or should it be reconfigured for the different levels of elderly physical active functionality.

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A Modified Fall Risk Assessment Tool That Is Specific to Physical Function Predicts Falls in Community-Dwelling Elderly People

Abstract: These findings may contribute to earlier identification of high-risk fallers and intervention for fall prevention.

Cited by 24 publications

References 31 publications

The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study

The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study

Factors included in adult fall risk assessment tools (FRATs): a systematic review

Do functional mobility tests predict the risk of falls in community-dwelling elderly?

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