Balance and falls risk in women with lower limb osteoarthritis or rheumatoid arthritis

Williams, Susan B.; Chen, Jing; Moran, Helen; Hunt, Susan; Brand, Caroline

doi:10.1016/j.jcgg.2012.10.003

Cited by 32 publications

(31 citation statements)

References 35 publications

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“…While we did not find any demographic or clinical characteristics that differentiated those who activated the system because of a fall, we did observe that approximately 37%–39% of PAV clients who identified arthritis as a health condition with assessors activated the system because of a fall more than once between 2012 and 2014. This appears to be consistent with prior research that reported people with osteoarthritis are at a higher risk of falls and fall‐related injuries (Hill et al, ). Given the strong association between osteoarthritis and falls risk, further work on ensuring that effective falls prevention interventions are integrated into the routine care of people with arthritis is warranted.…”

Section: Discussionsupporting

confidence: 92%

“…This appears to be consistent with prior research that reported people with osteoarthritis are at a higher risk of falls and fall-related injuries (Hill et al, 2013). Given the strong association between osteoarthritis and falls risk, further work on ensuring that effective falls prevention interventions are integrated into the routine care of people with arthritis is warranted.…”

Section: Discussionsupporting

confidence: 85%

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Understanding the profile of Personal Alert Victoria clients who fall

Soh

Ayton

Morello

et al. 2018

Health Soc Care Community

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Personal response systems are used to support frail, older people, and people with disabilities to live independently in their own homes. This paper describes the patterns, characteristics, and outcomes of Personal Alert Victoria (PAV) clients who experience a fall. It also examines the current falls prevention referral practices of assessors who determine whether an older person would benefit from a personal response system. Deidentified data on clients from the PAV service provider from 2012 to 2014 were linked to routine data maintained by the Department of Health and Human Services in Victoria. Falls prevention referral practices of assessors were examined using an online survey. Personal response systems were most frequently activated because of a fall in this group of older people (n = 16,822; 44%). No demographic or clinical factors differentiated PAV clients who activated the system because of a fall compared to those who did not, despite a significant increase in the rate of falls-related system activations (p = 0.001) and hospitalisation (p < 0.001) between 2012 and 2014. Assessors believed that PAV clients were at increased risk of falls and frequently recommended falls prevention interventions such as strength and balance interventions (n = 112; 93%) in order to address this risk. This study has provided an insight into the issue of falls among PAV clients, which can help guide the tailoring of falls prevention interventions that can be integrated within existing service models.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 85%

Understanding the profile of Personal Alert Victoria clients who fall

Soh

Ayton

Morello

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…In the literatures, the MFES score has been widely used to measure fall efficacy of healthy people or patients. 8,19,29,30 The mean MFES score was 7.52 in the current study, which was lower than that reported by healthy older adults who had mean score of 9.76. 19 In all, 14.5% of the communitydwelling elders in the present study, all of whom had knee OA, had very low fall efficacy, indicating low confidence in their ability to avoid falling during the performance of activities.…”

Section: Discussioncontrasting

confidence: 91%

Fall efficacy and influencing factors among Chinese community‐dwelling elders with knee osteoarthritis

Zheng

Wan

Jin

et al. 2016

Int J of Nursing Practice

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Low fall efficacy can lead to activity restriction and loss of independence, which may cause severe adverse consequences. The purpose of this study was to explore fall efficacy among elders with knee osteoarthritis and influential factors in three communities in Beijing, China. A correlational descriptive study design was used with a sample of 117 participants from July 2014 to November 2014. Results showed that participants had low fall efficacy and that fall efficacy correlated with age, gender, body mass index, marital status, education, disease duration, frequency of falls, number of co-morbidities, pain, stiffness, physical function, depression, lower-extremity muscle strength and balance (r = -0.594 to 0.234, P < 0.05 to 0.001). Multiple regression analysis revealed that 52% of variance in fall efficacy was explained by fall frequency, age, body mass index, gender, pain and balance function. Findings suggest that strategies to prevent falls, reduce body weight, improve effective pain management and enhance balance function may improve fall efficacy in this population.

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“…Dentre os métodos e instrumentos disponíveis na literatura para avaliar o equilíbrio postural estão os testes de campo e os testes de laboratório, podendo ser empregados em diferentes populações [6][7][8][9][10][11] . Tipicamente, os testes de campo avaliam o desempenho do indivíduo quando da realização de tarefas motoras vinculadas às funções do controle postural; enquanto os testes de laboratório mensuram parâmetros relacionados à postura e ao equilíbrio sob a ótica da biomecânica.…”

Section: Introductionunclassified

Avaliação do equilíbrio postural em pessoas com artrite reumatoide

Silva

Koch

Mochizuki

et al. 2019

Rev. Ter. Ocup. Univ. São Paulo (Online)

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O objetivo do estudo é apresentar uma revisão integrativa sobre métodos de avaliação de equilíbrio postural em pessoas com AR. Foram incluídos ensaios clínicos randomizados e não-randomizados, estudos transversais com a temática de equilíbrio postural em pessoas com AR em português, espanhol e inglês publicados nas duas últimas décadas nas bases PubMed, SCOPUS e plataforma PEDro. Foram incluídos os estudos que apresentavam no título ou resumo termos mencionados nas estratégias de busca. A descrição dos artigos selecionados indicou: autor, ano de publicação, número de participantes, objetivos, instrumentos ou método utilizados para avaliar o equilíbrio postural, outras avaliações além do equilíbrio postural e principais resultados. De 70 estudos encontrados, foram selecionados 22 para discussão e análise. A maioria não apresenta avaliações com testes específicos para as diferentes dimensões de controle do equilíbrio postural empregando testes-extra às avaliações. Frente às limitações encontradas nos instrumentos avaliados, verifica-se que para melhor determinar os déficits é necessário empregar um conjunto de avaliações que incorporem as principais dimensões de controle do equilíbrio postural, fornecendo informações mais completas e abrangentes a programas de reabilitação e prevenção de quedas na AR.

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Balance and falls risk in women with lower limb osteoarthritis or rheumatoid arthritis

Cited by 32 publications

References 35 publications

Understanding the profile of Personal Alert Victoria clients who fall

Understanding the profile of Personal Alert Victoria clients who fall

Fall efficacy and influencing factors among Chinese community‐dwelling elders with knee osteoarthritis

Avaliação do equilíbrio postural em pessoas com artrite reumatoide

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