Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis

Fessel, Karen D.; Nevitt, Michael C.

doi:10.1002/art.1790100403

Cited by 88 publications

(107 citation statements)

References 25 publications

(14 reference statements)

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“…These results are comparable to the findings of Jamison and al and Duyur çakit and al who reported respectively the rate of fear of falling in people with RA as 60% [16] and 66,7 % [19], and higher than Nevitt (50%) [12].…”

Section: Discussionsupporting

confidence: 89%

“…Little is known about factors associated with falls and fear of falling among middle aged and older adults with RA. Previous studies have reported FOF incidence between 10 and 60% in this population [11][12][13][14] and falls incidence between 10 and 50% [4,12,[14][15][16][17][18].…”

Section: Discussionmentioning

confidence: 90%

“…FOF is associated with an increased risk of falls [1,12,16] that may result in avoidance of activities and reduction of physical ability which could increase the risk of future falls. Fessel and Nevitt examined fear of falling among 570 older adults (aged 50 years and older) with RA [12].…”

Section: Discussionmentioning

confidence: 99%

“…Fessel and Nevitt examined fear of falling among 570 older adults (aged 50 years and older) with RA [12]. Factors associated with fear of falling included female sex, depressive symptoms, poor physical functioning, minor fall-related injuries, and a greater number of painful joints.…”

Section: Discussionmentioning

confidence: 99%

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Fear of falling, foot disability and disease activity in patients with rheumatoid arthritis

Bahha¹,

Amine²,

Erraoui³

et al. 2017

Rheumatol Orthop Med

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Objective: To evaluate fear of falling (FOF) in patients with established rheumatoid arthritis (RA) and its relationship with disease activity and foot disability. Materials and methods:A cross-sectional study that included patients with RA. We collected the following data: age, sex, duration of disease, foot pain assessed by the Visual Analogue Scale (VAS), HAQ disability index (HAQ-DI). Disease activity was measured with swollen and tender joint count (SJC28, TJC28), patient and evaluator global assessment of disease activity (PGA, EGA), 28-joint DAS (DAS-28) and the clinical and simple disease activity indexes (CDAI, SDAI). Fear of falling was assessed by Falls Efficacy Scale-International (FES-I). Foot disability was measured using the Leeds Foot Impact Scale (LFIS). Correlations were used to assess the relationship between fear of falling and disease activity, foot pain, impairment and disability. Multiple linear regression analysis was used to explore risk factors associated with FOF.Results: Thirty-three patients were included. The mean age was 49.3 ± 10.5 years with female predominance (n = 29 (87.9%)). The mean disease duration was 9.0 ± 7.4 years. The mean VAS foot pain was 5.5 ± 2.4. The mean FES-I score was 37.4 ± 15.1 and 69.7% (n = 23) of patients had significant fear of falling. FES-I was significantly correlated with foot impairment (r=0.66; p<0.0001) and disability (r=0.80; p <0.0001).Evaluating the relationship between fear of falling and disease activity, FES-I was significantly correlated with TJC28 (r = 0.52, p = 0. Conclusion:This study has demonstrated the importance of the relationship between FOF and disease activity, foot impairment and disability in patients with RA. Others studies are needed to increase the awareness around FOF and foot disability among practitioners.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Fear of falling, foot disability and disease activity in patients with rheumatoid arthritis

Bahha¹,

Amine²,

Erraoui³

et al. 2017

Rheumatol Orthop Med

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“…In some cases, seniors who have had a recent injurious fall may feel isolated and fearful of future falls, thereby limiting their movement and thereby actually increasing their fall risk [9][10]. In another example, people who have undergone knee replacement surgery may not recover full range of movement in the new joint(s) thereby limiting their knee function and having a negative impact on their quality of lives -if they do not exercise the joint(s) regularly as recommended by health experts [11].…”

Section: Introductionmentioning

confidence: 99%

The Development and Evaluation of an Interactive System for Age Related Musculoskeletal Rehabilitation in the Home

Ayoade

Uzor

Baillie

2013

Human-Computer Interaction – INTERACT 2013

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Abstract. This paper describes a series of user studies carried out to investigate the usability, significance, and acceptance of two visualization tools designed to improve the quality of, and adherence to home-based exercise programmes for musculoskeletal rehabilitation. The core functionality of these visualization tools enabled the users to observe the optimal way to perform their exercises via a mannequin, and receive feedback on their own movements through the use of body worn sensors. Before full deployment in the home, two user studies were carried out in the laboratory, and then two in the home with seniors who had recently undergone musculoskeletal rehabilitation using a standard care paper based booklet in the home. Our key findings suggest that by using the visualization tools the participants were able to overcome the major limitations of standard care; and that these tools were considered by the users to be useful in encouraging participation in home exercise.

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Fall Incidence and Outcomes of Falls in a Prospective Study of Adults With Rheumatoid Arthritis

Stanmore

Oldham

Skelton

et al. 2013

Arthritis Care & Research

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ObjectiveTo determine the incidence of falls and to investigate the consequences of falls in adults with rheumatoid arthritis (RA).MethodsA total of 559 community-dwelling adults with RA, ages 18–88 years (mean age 62 years, 69% women), participated in this prospective cohort study. After a detailed clinical assessment, patients were followed for 1 year, using monthly falls calendars and followup telephone calls. Followup took place in the participant's usual place of residence in the Northwest of England. Outcome measures included fall occurrence, reason for fall, type and severity of injuries, fractures, fall location, lie-times, use of health services, and functional ability.ResultsA total of 535 participants followed for 1 year had a total of 598 falls. Of these participants, 36.4% (95% confidence interval 32%–41%) reported falling during the 1-year followup period, with an incidence rate of 1,313 per 1,000 person-years at risk or 1.11 falls per person. Age and sex were not associated with falls. More than one-third of the falls were reportedly caused by hips, knees, or ankle joints “giving way.” More than half of all the falls resulted in moderate injuries, including head injuries (n = 27) and fractures (n = 26). Treatment by general practitioners or other health professionals was required for 15.0% of falls, and emergency services were required for 8.8% of falls.ConclusionThese results indicate that adults with RA are at high risk of falls and fall-related injuries, fractures, and head injuries. Strategies to prevent falls in adults with RA must be prioritized to reduce falls, fall-related injuries, and fractures.

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Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis

Cited by 88 publications

References 25 publications

Fear of falling, foot disability and disease activity in patients with rheumatoid arthritis

Fear of falling, foot disability and disease activity in patients with rheumatoid arthritis

The Development and Evaluation of an Interactive System for Age Related Musculoskeletal Rehabilitation in the Home

Fall Incidence and Outcomes of Falls in a Prospective Study of Adults With Rheumatoid Arthritis

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