Usefulness of Occlusal Force Measurement as a Fall Risk Assessment Tool

Yamashita, Yugo; Kogo, Haruki; Kawaguchi, Naoki; Toriyama, Hiroki; Mizota, Katsuhiko

doi:10.1589/rika.31.303

Cited by 3 publications

(3 citation statements)

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“…The result of our study showed that MOF was significantly related to the other four extensive physical assessments. With regard to hand-grip strength, lower extremity strength and one-leg standing time, the result was similar to that in the previous study [ 15 ]. We identified significant tendencies between the participants with fall experience and those without it in terms of all the extensive physical assessments.…”

Section: Discussionsupporting

confidence: 89%

“…Okuyama et al [ 13 ] showed that partial or complete lack of teeth among elderly community-dwelling individuals was significantly associated with lower extremity muscle strength. As a balance ability index, one-leg standing time with eyes open is also significantly associated with occlusal force among older populations [ 10 – 15 ]. Yoshida et al [ 16 ] indicated a significant association between the deterioration of occlusal conditions and the number of falls among elderly individuals with dementia.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between occlusal force and falls among community-dwelling elderly in Japan: a cross-sectional correlative study

Eto

Miyauchi

2018

BMC Geriatr

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BackgroundFalls may cause serious health conditions among older population. Fall-related physical factors are thought to be associated with occlusal conditions. However, few studies examined the relationship between occlusal force and falls. To identify the association between occlusal force and falls among community-dwelling elderly individuals in Japan, public health nurses conducted a cross-sectional descriptive study.MethodsWe performed extensive physical assessments of five items: maximum occlusal force, handgrip strength, maximal knee extensor strength, one-leg standing time with eyes open and body sway. We also conducted a questionnaire survey concerning the participants’ demographic characteristics, health status and fall experience during the past year. Mean scores and standard deviations were calculated for age and the total points of the index of activities of daily living. Associations were examined using Mann-Whitney tests and logistic regression.ResultsWe examined 159 community-dwelling people aged ≥65 years, who were independent and active, including 38 participants (24.5%) with experience of falls in the past year. Maximum occlusal force had significant correlation with handgrip strength, maximal knee extensor strength, and one-leg standing time and body sway (P < .05, respectively). We found weak associations between participants with and without a history of falls in terms of the five physical measurements. Logistic regression analysis showed that fall experience was significantly associated with maximum occlusal force (P = 0.004).ConclusionsThis is the first study, led by public health nursing researchers, to examine the associations between maximum occlusal force and falls among community-dwelling elderly in Japan. The results showed that maximum occlusal force was significantly related to the other four extensive physical assessments, and might also suggest that maximum occlusal force assessment by public health nurses could contribute to more sophisticated and precise prediction of fall risks among the community-dwelling elderly. The latest occlusal force measurement device is non-invasive and easy to use. Public health nurses can introduce it at periodical community health checkup assembly events, which might contribute to raising awareness among community-dwelling elderly individuals and public health nurses about fall prevention and prediction.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0805-4) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Relationship between occlusal force and falls among community-dwelling elderly in Japan: a cross-sectional correlative study

Eto

Miyauchi

2018

BMC Geriatr

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“…(Continued. )Scott et al, 2007;Russell et al, 2008;Yamashita et al, 2016;Kim and Xiong, 2017;Lee and Kim, 2017) …”

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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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Falls: considerations for the dental surgeon

Khan

2020

Br Dent J

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Usefulness of Occlusal Force Measurement as a Fall Risk Assessment Tool

Cited by 3 publications

References 6 publications

Relationship between occlusal force and falls among community-dwelling elderly in Japan: a cross-sectional correlative study

Relationship between occlusal force and falls among community-dwelling elderly in Japan: a cross-sectional correlative study

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

Falls: considerations for the dental surgeon

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