The Association Between Fall History and Physical Performance Tests in the Community-Dwelling Elderly: A Cross-Sectional Analysis

Kim, Jin Chul; Chon, Jinmann; Kim, Hee Sang; Lee, Jong Ha; Yoo, Seung Don; Kim, Dong Hwan; Lee, Seung Ah; Han, Yoo Jin; Lee, Hyun Seok; Lee, Bae Youl; Soh, Yunsoo; Won, Chang Won

doi:10.5535/arm.2017.41.2.239

Cited by 41 publications

(35 citation statements)

References 43 publications

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“…Although BBS scores were not significantly different, tandem gait and one-leg standing were significantly different in the two study groups, which concurs with previous reports [39,40]. The authors of these studies also commented particular items of the BBS appearing to require high-level balance ability, and this suggestion is supported by our results.…”

Section: Behavioural Neurologysupporting

confidence: 93%

Associations between Age-Related Changes in the Core Vestibular Projection Pathway and Balance Ability: A Diffusion Tensor Imaging Study

Yeo

Kwon

Cho

2020

Behavioural Neurology

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Objective. We investigated the changes of the vestibulospinal tract (VST) and parietoinsular vestibular cortex (PIVC) using diffusion tensor imaging (DTI) and relation to balance between old and young healthy adults. Methods. This study recruited eleven old adults (6 males, 5 females; mean age 63.36±4.25 years) and 12 young adults (7 males, 5 females; mean age 28.42±4.40 years). The lateral and medial VST and PIVC were reconstructed using DTI. Fractional anisotropy (FA), mean diffusivity (MD), and tract volume were measured. The six-minute walk test (6-MWT), the timed up and go test (TUG), and the Berg balance scale (BBS) were conducted. Spatiotemporal parameters during tandem gait and values of sway during one-leg standing using the wearable sensors were measured. All parameters between two groups were analyzed by the Mann-Whitney U test and independent t-test. Results. Statistically significant decrease in old adults was detected in the tract volume of lateral (p=0.005) and medial VST (p≤0.001) and PIVC (p=0.020). A significant decrease in FA of lateral VST (p=0.044) and MD of medial VST (p=0.001) was seen in old adults. Stride length (p=0.003) and velocity (p=0.001) during tandem gait in old adults were significantly decreased. 6MWT (p≤0.001) showed significant decrease, while TUG (p≤0.001) showed significant increase in old adults. However, mean BSS (p=0.296) was nonsignificantly different. In eyes-open condition during one-leg standing, all parameters except for reciprocal compensatory index (RCI) values were significantly decreased in old adults. The RCI in the anteroposterior (AP) direction (p≤0.001) was increased in old adults; however, the mediolateral direction (p=0.301) was nonsignificantly different between the two groups. In eye-closed condition, the changes of ankle (p=0.031) and hip (p=0.004) sway and the center of mass in the AP direction (p=0.014) showed to be significantly higher in old adults than in young adults. Conclusion. The results suggested that there was a relationship between DTI parameters in the vestibular neural pathway and balance according to aging.

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Section: Behavioural Neurologysupporting

confidence: 93%

Associations between Age-Related Changes in the Core Vestibular Projection Pathway and Balance Ability: A Diffusion Tensor Imaging Study

Yeo

Kwon

Cho

2020

Behavioural Neurology

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“…Notably, the Short Physical Performance Battery (SPPB), a tool that includes static and dynamic balance, gait speed, and repeated chair stands [48] is not included in the mentioned reviews. SPPB scores are predictive of community-dwelling older adults who are at risk for falls [49,50], who might suffer from higher all-cause mortality [51], as well as at-risk drivers who are likely to be in motor vehicle accidents [52]. The SPPB may be a very useful tool for outpatient oncology nurses in identifying older patients who are at risk for falls.…”

Section: Discussionmentioning

confidence: 99%

Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper

Sattar

Kenis²,

Haase

et al. 2020

Journal of Geriatric Oncology

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Background: Falls are a major health issue in older adults and are of greater concern among those with cancer due to effects of cancer and its treatments. This paper provides an overview of current literature on fall screening/ assessment and interventions and a succinct summary of recommendations for oncology nurses to support this vulnerable population. Methods: A comprehensive search for literature reviews on falls was conducted in Medline and CINAHL. A comprehensive Internet search was also performed for known guidelines on fall prevention and/or management published within the past 10 years. Search results were compared, contrasted, and summarized to develop clinical recommendations for nurses working with older adults with cancer. Levels of evidence were reported based on the Oxford Centre for Evidence-based Medicine. Results: Six guidelines and 17 systematic reviews were identified. Having a history of falls was the most commonly identified fall risk factor/predictor. Multifactorial intervention and exercise appear to be the most commonly recommended. No fall assessment tools were consistently recommended as a reliable means of identifying those at risk for falls. Conclusion: Assessing older patients for falls and fall risks is an important first step to identify those who may require further follow-up and intervention. Oncology nurses play a key role in optimizing health outcomes of older adults with cancer-through the use of evidence-based information, such as presented in this publication-and have the capacity to help reduce fall risks during and after treatment through information provision, advocacy, support, and promotion of physical activity.

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“…It measures the ability to maintain balance over a diminishing base of support. 8 Because dynamic balance during walking is also an important component of physical capacity, 9 the Timed Up and Go test (TUG) was added to the measurements. The TUG measures the time needed to stand up from a chair, walk three meters, turn, walk back and sit down.…”

Section: Physical Capacitymentioning

confidence: 99%

Discriminative Validity of the Core Outcome Set Functional Independence in a Population of Older Adults

Dockx

Molenaar

Barten

et al. 2020

Preprint

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Background In line with current healthcare policy, clinicians are challenged to support older adults to maintain a certain level of Functional Independence (FI). FI is defined as functioning physically safely and independent from another person, within one’s own context”. A Core Outcome Set was developed to measure FI. The purpose of this study was to assess discriminative validity of the Core Outcome Set FI in a population of Dutch older adults (> 65 years) with different levels of FI. Secondary objective was to assess to what extent the underlying domains ‘coping’, ‘empowerment’ and ‘health literacy’ contribute to the Core Outcome Set FI in addition to the domain ‘physical capacity’ in a population of Dutch older adults.Methods A population of 200 community-dwelling older adults and older adults recruited in residential care facilities were evaluated by the Core Outcome Set FI. The Core Outcome Set FI contains measurements on the four domains of FI: physical capacity, coping, empowerment and health literacy. Because no gold standard for FI exists, a proxy indicator was used as reference variable: group membership based on help needed in (instrumental) activities of daily living ((i)ADL) and living situation (three groups). Ordinal logistic regression was used with main outcome prediction accuracy of the Core Outcome Set FI on the proxy indicator for FI.Results The model based on the Core Outcome Set FI had an overall prediction accuracy of 68%. For older adults living at home and depending on help in (i)ADL, prediction accuracy was 58%. Only physical capacity measured with Short Physical Performance Battery was significantly associated with group membership. Adding health literacy with coping or empowerment to a model with physical capacity improved the model significantly (p<0.01).Conclusions Although the overall discriminative validity of the Core Outcome Set FI is moderate, determining the level of Functional Independence in community-dwelling older adults who receive help from others is still a challenge. Context-related factors, like the presence of a spouse, also may be a determining factor in this population. It is recommended to include context-related factors in further research on determining FI in subgroups of older people.

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The Association Between Fall History and Physical Performance Tests in the Community-Dwelling Elderly: A Cross-Sectional Analysis

Cited by 41 publications

References 43 publications

Associations between Age-Related Changes in the Core Vestibular Projection Pathway and Balance Ability: A Diffusion Tensor Imaging Study

Associations between Age-Related Changes in the Core Vestibular Projection Pathway and Balance Ability: A Diffusion Tensor Imaging Study

Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper

Discriminative Validity of the Core Outcome Set Functional Independence in a Population of Older Adults

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