Circumstances and Consequences of Falls in Community-Dwelling Older Women

Nachreiner, Nancy M.; Findorff, Mary J.; Wyman, Jean F.; McCarthy, Teresa C

doi:10.1089/jwh.2006.0245

Cited by 172 publications

(166 citation statements)

References 34 publications

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“…In particular, the application of HSEBT, possibly in combination with SEBT, should be explored in sports where hand and arm action is closely linked with the movement of the rest of body, such as volleyball, tennis, golf and various throwing sports. Furthermore, different reach directions describe different limits of stability [13] and since falls often occur while reaching [15] HSEBT may be an interesting clinical tool in determining fall risks. In addition, the ability to assess the influence of other joints and regions on specific diagnoses such as low back pain (LBP) and shoulder instability has the potential to offer information about causative factors.…”

Section: Clinical Applicationmentioning

confidence: 99%

“…In addition, different reach directions describe different limits of stability [13]. Furthermore, 95% of the activities of daily living involve trunk and arm movement [14], and falls often occur while reaching [15]. Hand action is also closely linked with movement of the rest of the body and thus with performance in volleyball, tennis, golf and throwing sports.…”

Section: Introductionmentioning

confidence: 99%

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Reliability and Validity of the Hand Reach Star Excursion Balance Test

Eriksrud

Federolf

Sæland

et al. 2017

JFMK

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Abstract:Measuring dynamic postural control and mobility using task-based full-body movements has been advocated. The star excursion balance test (SEBT) is well-established, but it does not elicit large upper body joint movements. Therefore, the hand reach star excursion balance test (HSEBT) was developed. The purpose of the current study was to assess the inter-rater and test-retest reliability and validity of the HSEBT. Twenty-nine healthy male subjects performed ten HSEBT reaches on each leg on four different occasions, led by three different raters. Reach distances were recorded in centimeters and degrees. Then, twenty-eight different healthy males performed the HSEBT while using a standard motion capture system. Reliability was assessed using the intraclass correlation coefficient (ICC) (range 0.77-0.98). Stability of measurement was assessed using the standard error of measurement (SEM) (range 0.3-2.8 cm and 1.7 • -2.6 • ) and coefficient of variation (CV) (range 2.1-14.6%). Change scores were obtained using minimal detectable change (MDC 95 ) (range 0.9-7.9 cm and 4.7 • -7.2 • ). Observed (Max m ) and calculated (Max kin ) maximum hand reach measurements showed good to excellent correlations. Bland Altman analysis established a fixed bias for all tests, which can be partially explained by the kinematic calculations. In conclusion, the HSEBT is a valid and reliable full-body clinical tool for measuring dynamic postural control and functional joint mobility.

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Section: Clinical Applicationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reliability and Validity of the Hand Reach Star Excursion Balance Test

Eriksrud

Federolf

Sæland

et al. 2017

JFMK

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“…The overall incidence rates of falls, injuries and fractures among old people receiving home help services did not seem to be much higher than those among community-living old people in general (2,3,20,27), but there was a strong and important correlation between the amount of service provided and the fall incidence. Our findings indicate that people receiving greater amounts of home care services resemble residential care populations more than community populations in regards to both fall incidence and fall circumstances.…”

Section: Discussionmentioning

confidence: 77%

Incidence and seasonality of falls amongst old people receiving home help services in a municipality in northern Sweden

Vikman

Nordlund

Näslund

et al. 2011

International Journal of Circumpolar Health

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Objectives. Falls among old people is a well-documented phenomenon; however, falls among people living in the community and receiving home help services have been under-researched. The aim of this study was to investigate the incidence, including possible seasonal variation, circumstances and injuries related to falls among community living home help receivers, and to investigate whether fall incidence is associated with the type and amount of home help services received. Study design. Prospective cohort study. Methods. All 614 persons aged 65 and over who were living in a particular northern Swedish community and receiving municipality home help were included. Data on age, sex and home help service use were collected from home help service records, and falls were reported by staff on report forms specifically designed for the study. Results. A total number of 264 falls were recorded among 122 participants. The overall fall incidence was 626 per 1,000 PY, and incidence rate ratios were significantly correlated to the total amount of services used (p<0.001), as well as to the degree of help for I-ADL needs (p<0.001), P-ADL needs (p<0.001) and escort service (p=0.007). The proportion of falls reported as resulting in injury was 33%. The monthly fall incidence was significantly associated to daylight photoperiod, however it was not associated to temperature. Conclusions. Fall incidence among home help receivers aged 65 and over seems correlated to the amount of services they receive. This is probably explained by the fact that impairments connected to ADL limitations and home help needs also are connected to an increased risk of falls. This implies that fall prevention should be considered when planning home help care for old people with ADL limitations. Further research on the connection between daylight photoperiod and fall incidence in populations at different latitudes is needed.

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“…Cerca de 28-35% dos idosos com 65 anos ou mais caem pelo menos uma vez por ano 6 . Elas causam dois terços dos acidentes na velhice 7 e são a segunda principal causa de morte por acidentes nos idosos 1 com grande relevância epidemiológica, social e econômica 8 . Alguns autores afirmam que cerca de 90% das fraturas de quadril em indivíduos idosos decorrem das quedas apresentando alta morbidade e mortalidade 9 .…”

Section: Introductionunclassified

“…Alguns autores afirmam que cerca de 90% das fraturas de quadril em indivíduos idosos decorrem das quedas apresentando alta morbidade e mortalidade 9 . Outras complicações que podem ser citadas são: hipoatividade, isolamento social, depressão, institucionalização, redução da qualidade de vida, perda de confiança, dependência nas atividades básicas funcionais e até mesmo o óbito 7,[10][11][12][13] . Ressalta-se que a associação de vários fatores de risco, por exemplo, o déficit da capacidade funcional, equilíbrio e a falta de mobilidade, aumentam ainda mais a possibilidade de quedas do que um só fator isolado 14 e que há prevalência de quedas tanto em idosos ativos 15 como naqueles com menor atividade e frágeis 14 .…”

Section: Introductionunclassified