Can falls be predicted with gait analytical and posturographic measurement systems? A prospective follow-up study in a nursing home population

Schwesig, René; Fischer, David A.; Lauenroth, Andreas; Becker, Stephan; Leuchte, S.

doi:10.1177/0269215512452880

Cited by 36 publications

(34 citation statements)

References 29 publications

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“…The decrease in postural regulation starts at 40 (men) and 50 (women) years, much earlier than the symptoms of dizziness and balance disorders are manifested. Consequently, and in agreement with many previous studies (Cohen et al 1996;Choy et al 2003;Isles et al 2004;Era et al 2006;Liaw et al 2009), the prevention (diagnostic and intervention) of falls (Schwesig et al 2013) has to start much earlier than it does nowadays, by the 40th (men) or 50th (women) decade at the latest (Figures 3-7). On average, the start of postural decline may begin as early as 40 years old and accelerated deterioration can be seen after the age of 60 years (Gaerlan et al 2012).…”

Section: Resultssupporting

confidence: 88%

Are there changes in postural regulation across the lifespan?

Schwesig

Fischer

Kluttig

2013

Somatosensory & Motor Research

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The purpose was to obtain parameters of postural regulation (n = 1724) of asymptomatic subjects (6-97 years). The maximum postural stability and capacity of postural subsystems were calculated for the age ranges from 34 to 35 years (men) and from 38 to 44 years (women). A significant decline in postural performance was observed in the 40s (men) and 50s (women). Data can be used in the evaluation of dizziness and balance disorders in people of all ages.

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Section: Resultssupporting

confidence: 88%

Are there changes in postural regulation across the lifespan?

Schwesig

Fischer

Kluttig

2013

Somatosensory & Motor Research

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“…[21] Preliminary results also indicate a relationship between mobility disability and the probability of a fall. [22][23][24] This phenomenon is particularly often reported in RCFs. [25] Nursing scientists have analyzed the severity of physical, psychological, and economic consequences of a fall of an older adult.…”

Section: Introductionmentioning

confidence: 90%

Prevalence of mobility disabilities in nursing home residents and the association with age, BMI, fall risk and social participation

Fehling¹,

Dassen²

2017

JNEP

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Background and aim: Physical mobility is often described as a basic prerequisite for independence, self-determination, and social participation. Older people, particularly those in long-term care facilities, are more often affected by the loss of their mobility. However, the prevalence of the mobility disabilities of nursing home residents and their association with demographic and care-specific/medical factors have so far been studied less. This prevalence study should investigate a possible association of mobility disability with age, BMI, multimorbidity, fall risk, and social participation. Methods: The prevalence study covered the data of residents in 30 German residential care facilities (RCFs). Trained staff nurses used a standardised instrument to collect data about the age, obesity, medical diagnoses, the fall risk, the level of mobility disability, and the need for supporting the social participation of the residents. Results: The representative sample included 2,066 nursing home residents, of whom 81.5% required support in their mobility. The level of a mobility disability or the need for a support in matters of mobility by others was not associated either with age, with the BMI, or with the fall risk of the participants. The groups with higher mobility disability included the more multimorbid participants with more difficult medical diagnoses, and these had a higher need for support in their social participation. Conclusions: It may be that professional care must reflect the premature link between older and obese patients with mobility disability. In addition to nursing diagnoses, medical diagnoses should necessarily be integrated into the nursing assessment. The association between the level of mobility disability and the fall risk, which is often mentioned in the literature, should be critically reflected. Nursing home residents should be informed that there is a possible association between their mobility disability and their social participation.

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“…First, the data analysis was based on the mean value of the eight test positions, because most studies used these values (Friedrich et al 2008;Schwesig et al 2008Schwesig et al , 2009aSchwesig et al , 2009bSchwesig et al , 2009cSchwesig et al , 2011Schwesig et al , 2013a. Second, we conducted the reliability analysis using the most stable (NO) and instable (PC) test position, because indications were found regarding the dependence of reliability level and level of test difficulty (Condron and Hill 2002;Bauer et al 2009).…”

Section: Methodsmentioning

confidence: 99%

Intraobserver reliability of posturography in healthy subjects

Schwesig¹,

Becker²,

Fischer³

2013

Somatosensory & Motor Research

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Reliability of posturography is essential for the identification of intervention effects in any setting (e.g., sport, rehabilitation). The purpose was to establish the intraobserver reliability of a posturographic method in asymptomatic subjects (n = 30). Intraclass correlation coefficients (relative reliability) for every parameter and all test positions (ALL(mean)) ranged from 0.78 (95% CI: 0.53-0.90) to 0.95 (95% CI: 0.89-0.97). Absolute reliability, quantified by using the coefficient of variation, ranged between 3.5 and 19.8. Reliability of single test positions is much lower. The posturographic system showed good relative and satisfactory absolute intraobserver reliability for ALL(mean).

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Can falls be predicted with gait analytical and posturographic measurement systems? A prospective follow-up study in a nursing home population

Abstract: RehaWatch and the Interactive Balance System are able to measure two of the most important fall risk factors, but their current predictive ability is not satisfactory yet. The correlation with physiological mechanisms is only shown by the Interactive Balance System.

Cited by 36 publications

References 29 publications

Are there changes in postural regulation across the lifespan?

Are there changes in postural regulation across the lifespan?

Prevalence of mobility disabilities in nursing home residents and the association with age, BMI, fall risk and social participation

Intraobserver reliability of posturography in healthy subjects

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