Hospitalization in High Fracture Risk Older Adults with Osteoporosis Using the Safe Functional Motion Test: A Longitudinal Analysis

Abstract

The Safe Functional Motion Test (SFM-5) is a five item performance based clinical assessment tool quantifying habitual daily movement that may increase the risk of osteoporosis and fractures. Fractures are a major cause of hospitalization and contributor to increased health care utilization costs. A sample of 1,700 adults, aged 40 and older, from an osteoporosis specialty clinic were evaluated to determine if the initial SFM-5 score had predictive utility for determining inpatient hospitalization at 12, 24, and 36 months post fracture. When adjusted for sex, age, and prior hospitalization, logistic regression analyses indicated that the SFM-5 score significantly predicted inpatient hospitalization within 12 months, 24 months, and 36 months. For every 10 point decrease in the SFM-5 score, the 1 year risk of hospitalization increased by 24%. The SFM-5 is a tool to use when assessing habitual functional movements and hospitalization risk among high-fracture risk adults.

Rehabilitation in Older Adults Affected by Immobility Syndrome, Aided by Virtual Reality Technology: A Narrative Review

“…Individual immobilisation may befall anyone, regardless of age. Individual ability to pursue routine activities of daily living tends to drop dramatically, especially in older adults [36], owing mostly to a diversity of medical conditions and/or injuries (Table 1) [37][38][39][40][41][42]. Various studies on older adults have asserted that it tends to occur mostly in hospitalized individuals, as they spend about 83% of their time in bed, whereas in some cases, for example following a hip replacement procedure, this may even be up to 99% [43,44].…”

Early Interventions to Improve Functional Movements and Increase Muscular Fitness in Older Adults with Osteoporosis

“…The article by Van Dussen et al (2021) sheds light on how assessing a habitual functional movement test, such as the Safe Functional Motion (SFM) test, significantly predicts fractures and inpatient hospitalizations in older adults with osteoporosis, and its clinical significance aids in preventing hospitalizations. In addition, its significance is that it can also provide opportunities for early interventions to prevent falls that lead to fractures in this at-risk population.…”