Factors associated with falls in Japanese polio survivors

Imoto, Daisuke; Sawada, Koshiro; Horii, Motoyuki; Hayashi, Kazuya; Yokota, Motomi; Toda, Fumi; Saitoh, Eiichi; Matsumura, Yasuo; Kubo, Toshikazu

doi:10.1080/09638288.2018.1537381

Cited by 8 publications

(28 citation statements)

References 22 publications

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“…Seventy-five percent of the patients reported that they had fallen at least once in the past year, which is similar to the results of previous studies on falls in patients with prior polio (5,9). Other studies (6,8,(10)(11)(12)(13) have reported a fall rate of 59-69% in the same patient group. Regarding falls during the past year, people with prior polio have more than twice as many falls as the general population, 65 years of age and older (14).…”

Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

“…Many patients with prior polio have muscle weakness in the lower extremities ( 1 ), which limits their movements and has been shown to be directly related to falls ( 4 - 6 ). Patients with prior polio often have a decreased balance and walking speed compared with healthy controls of the same age ( 7 ), they are known to have a fear of falling ( 5 , 6 , 8 - 9 ) and have been reported to fall often ( 5 , 6 , 8 - 13 ). It is important to identify the circumstances and consequences of falls in patients with prior polio, in order to prevent falls and fear of falling, and to analyse the necessity of interventions to prevent falling.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Is intervention to prevent falls necessary in prior polio patients?

Vreede¹,

Broman²,

Borg³

2020

J Rehabil Med-CC

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Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Is intervention to prevent falls necessary in prior polio patients?

Vreede¹,

Broman²,

Borg³

2020

J Rehabil Med-CC

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“…The new or increased impairments that many persons with LEoP report can lead to reduced balance and walking limitations [ 6 ], which increase the risk of falls [ 7 , 8 , 9 , 10 ]. Studies have shown that falls are very common among persons with LEoP, and 50% to 84% experience one or more falls per year [ 7 , 8 , 9 , 11 , 12 , 13 ]. In particular, falls seem to occur in the afternoon [ 7 , 8 ] and during activities related to walking [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…In particular, falls seem to occur in the afternoon [ 7 , 8 ] and during activities related to walking [ 8 , 9 ]. Many persons with LEoP become injured when they fall, and even though bruises are most commonly reported, fractures and head injuries also occur [ 7 , 8 , 12 , 13 , 14 ]. The experiences of falls can lead to fear of falling [ 8 , 10 , 11 , 15 ], which in turn, may lead to worries and distress [ 16 ] and behavioural changes such as physical inactivity [ 3 ], and activity avoidance in daily life [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Fall-Related Activity Avoidance among Persons with Late Effects of Polio and Its Influence on Daily Life: A Mixed-Methods Study

Brogårdh

Lexell

Hammarlund

2021

IJERPH

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Falls are common among persons with late effects of polio (LEoP), which may lead to fear of falling and activity avoidance in everyday life. Here, we assessed the occurrence of fall-related activity avoidance among persons with LEoP and explored how these experiences influenced daily life. Fourteen ambulatory persons (seven women; mean age 70 years) with LEoP participated. They responded to the modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE) and participated in individual interviews, which were analysed by systematic text condensation. Each quotation was deductively analysed from its representation with regard to mSAFFE. We found that many persons often avoided activities related to standing and walking, for example, taking a bath, performing household chores, walking outdoors, attending social events if there were stairs in the building and travelling by public transport, due to fear of falling, increased pain and fatigability. To facilitate the performance of daily activities participants expressed that strategic thinking and aids were important to use. In conclusion, fall-related activity avoidance is common in persons with LEoP, which negatively influence daily life and social participation. To increase daily functioning in this population, fall-related activity avoidance should be included in a multifaceted fall management program.

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Measurement properties of the Falls Efficacy Scale‐International (FES‐I) in persons with late effects of polio: A cross‐sectional study

Brogårdh

Lexell

Westergren

2022

PM&R

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Background: Fear of falling (FoF) is very common in persons with late effects of polio (LEoP). An internationally recognized rating scale to assess FoF is the Falls Efficacy Scale-International (FES-I). Yet, there is limited knowledge about its measurement properties in persons with LEoP.Objective: To investigate the measurement properties of the FES-I (16-item version) and the short FES-I (7-item version) in persons with LEoP. Design: Explorative factor analysis and Rasch model analysis of crosssectional data. Setting: University hospital. Participants: A total of 321 persons with LEoP (mean age AE standard deviation [SD] 70 AE 10 years, 173 women). Main Outcome Measurement: The FES-I and the short FES-I, comprising four response options about concerns of falling ranging from 1 (not at all concerned) to 4 (very concerned). Methods: Data were collected by a postal survey. First, a factor analysis was performed to investigate the unidimensionality of the scale. Thereafter, a Rasch model analysis was used to further analyze the measurement properties of the FES-I and the short FES-I, such as local dependency, targeting, hierarchical order of items, Differential Item Functioning (DIF), response category functioning and reliability (Person Separation Index, PSI). Raw score transformation to interval measurements was also performed. Results: The factor analysis revealed that the FES-I was unidimensional, even though the Rasch analysis showed some misfit to the Rasch model and local dependency. Targeting for the FES-I and the short FES-I was somewhat suboptimal as the participants on average reported less FoF than expected. A negligible gender DIF was found for two items in the FES-I and for one item in the short FES-I. Reliability was high (PSI >0.86), and the response category thresholds worked as intended for both the FES-I and the short FES-I. Conclusion:The FES-I and the short FES-I have sufficient measurement properties in persons with LEoP. Both versions can be used to assess fear of falling (or FoF) in this population.

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Factors associated with falls in Japanese polio survivors

Cited by 8 publications

References 22 publications

Is intervention to prevent falls necessary in prior polio patients?

Is intervention to prevent falls necessary in prior polio patients?

Fall-Related Activity Avoidance among Persons with Late Effects of Polio and Its Influence on Daily Life: A Mixed-Methods Study

Measurement properties of the Falls Efficacy Scale‐International (FES‐I) in persons with late effects of polio: A cross‐sectional study

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