Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings

Scott, Vicky; Votova, Kristine; Scanlan, Andria; Close, Jacqueline C.T.

doi:10.1093/ageing/afl165

Cited by 319 publications

(260 citation statements)

References 42 publications

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“…Furthermore, a study by Scott et al [33] found that only few tools have been investigated more than once or in more than one setting. According to the authors, no single tool could, therefore, be recommended for use in all settings or for multiple sub-populations within each setting [33]. These findings suggest that current clinical motor performance tests may possess limitations as tools for subject-specific fall risk assessment.…”

Section: Deficits In Common Testsmentioning

confidence: 99%

Kinematic measures for assessing gait stability in elderly individuals: a systematic review

Hamacher

Singh

Dieën

et al. 2011

J. R. Soc. Interface.

333

281

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Falls not only present a considerable health threat, but the resulting treatment and loss of working days also place a heavy economic burden on society. Gait instability is a major fall risk factor, particularly in geriatric patients, and walking is one of the most frequent dynamic activities of daily living. To allow preventive strategies to become effective, it is therefore imperative to identify individuals with an unstable gait. Assessment of dynamic stability and gait variability via biomechanical measures of foot kinematics provides a viable option for quantitative evaluation of gait stability, but the ability of these methods to predict falls has generally not been assessed. Although various methods for assessing gait stability exist, their sensitivity and applicability in a clinical setting, as well as their cost-effectiveness, need verification. The objective of this systematic review was therefore to evaluate the sensitivity of biomechanical measures that quantify gait stability among elderly individuals and to evaluate the cost of measurement instrumentation required for application in a clinical setting. To assess gait stability, a comparative effect size (Cohen's d ) analysis of variability and dynamic stability of foot trajectories during level walking was performed on 29 of an initial yield of 9889 articles from four electronic databases. The results of this survey demonstrate that linear variability of temporal measures of swing and stance was most capable of distinguishing between fallers and non-fallers, whereas step width and stride velocity prove more capable of discriminating between old versus young (OY) adults. In addition, while orbital stability measures (Floquet multipliers) applied to gait have been shown to distinguish between both elderly fallers and non-fallers as well as between young and old adults, local stability measures (ls) have been able to distinguish between young and old adults. Both linear and nonlinear measures of foot time series during gait seem to hold predictive ability in distinguishing healthy from fall-prone elderly adults. In conclusion, biomechanical measurements offer promise for identifying individuals at risk of falling and can be obtained with relatively low-cost tools. Incorporation of the most promising measures in combined retrospective and prospective studies for understanding fall risk and designing preventive strategies is warranted.

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Section: Deficits In Common Testsmentioning

confidence: 99%

Kinematic measures for assessing gait stability in elderly individuals: a systematic review

Hamacher

Singh

Dieën

et al. 2011

J. R. Soc. Interface.

333

281

View full text Add to dashboard Cite

show abstract

“…28,29 In this study, participants were timed from the moment they were instructed to stand up from a chair (seat height ¼ 48 cm), walk at their preferred usual pace for 3 m, turn around, and walk back to sit in the chair. Participants were allowed to use the arms of the chair to stand up and to use their usual mobility aid, if any.…”

Section: Timed Up-and-go Testmentioning

confidence: 99%

Reliability of the Berg Balance Scale as a Clinical Measure of Balance in Community-Dwelling Older Adults with Mild to Moderate Alzheimer Disease: A Pilot Study

Hunter

Graham

Montero‐Odasso

2015

Physiotherapy Canada

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Purpose: To measure test-retest and interrater reliability of the Berg Balance Scale (BBS) in community-dwelling adults with mild to moderate Alzheimer disease (AD). Method: A sample of 15 adults (mean age 80.20 [SD 5.03] years) with AD performed three balance tests: the BBS, timed up-and-go test (TUG), and Functional Reach Test (FRT). Both relative reliability, using the intra-class correlation coefficient (ICC), and absolute reliability, using standard error of measurement (SEM) and minimal detectable change (MDC 95 255From the:

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“…The Hendrich II Fall Risk Model score is one of many fall risk assessment tools designed to identify patients at risk for falls. 14,15 intErvEntion Our intervention consisted of adding a physician fall risk assessment for all patients at admission to the neurology unit. Physicians were instructed to make this judgment on the basis of their usual admission history taking and physical examination and were blinded to the nursing fall risk assessment.…”

Section: Existing Fall Risk Assessment Processmentioning

confidence: 99%

Effect of a Multidisciplinary Fall Risk Assessment on Falls Among Neurology Inpatients

Hunderfund

Sweeney

Mandrekar

et al. 2011

Mayo Clinic Proceedings

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Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings

Cited by 319 publications

References 42 publications

Kinematic measures for assessing gait stability in elderly individuals: a systematic review

Kinematic measures for assessing gait stability in elderly individuals: a systematic review

Reliability of the Berg Balance Scale as a Clinical Measure of Balance in Community-Dwelling Older Adults with Mild to Moderate Alzheimer Disease: A Pilot Study

Effect of a Multidisciplinary Fall Risk Assessment on Falls Among Neurology Inpatients

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