Falls and Mobility in Late Life

Hogue, Carol C.

doi:10.1111/j.1532-5415.1984.tb06304.x

Cited by 29 publications

(13 citation statements)

References 17 publications

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“…A variety of intrinsic and extrinsic risk factors for falls have been identified 2,4,5,11,13–18 . Footwear is a potentially modifiable factor that has long been thought to play a contributing role in some falls, by any of several mechanisms 19 .…”

mentioning

confidence: 99%

“…A variety of intrinsic and extrinsic risk factors for falls have been identified. 2,4,5,11,[13][14][15][16][17][18] Footwear is a potentially modifiable factor that has long been thought to play a contributing role in some falls, by any of several mechanisms. 19 A shoe's sole material and tread design can affect the coefficient of friction on the walking surface, which may influence the risk of slipping.…”

mentioning

confidence: 99%

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Footwear Style and Risk of Falls in Older Adults

Koepsell¹,

Wolf²,

Buchner³

et al. 2004

J American Geriatrics Society

158

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confidence: 99%

mentioning

confidence: 99%

Footwear Style and Risk of Falls in Older Adults

Koepsell¹,

Wolf²,

Buchner³

et al. 2004

J American Geriatrics Society

158

View full text Add to dashboard Cite

show abstract

“…Finally, it is acknowledged that falling in older people has certain inherent limitations as an outcome measure due to imperfect as certainment as a result of limitations of recall [13] and the variable extent to which chance, behavioural characteristics and external fac tors play in each fall [14], Further, transient or intermittent conditions and factors, such as postural hypotension and use of unsafe shoes, may be underestimated as falls risk factors due to problems in gaining accurate and ap propriate measures of such factors. Further research using appropriate designs such as crossover trials may improve the identifica tion of older people at risk of falling.…”

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confidence: 99%

Simple Physiological and Clinical Tests for the Accurate Prediction of Falling in Older People

1996

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A 1-year prospective study was conducted in an intermediate care institution to determine whether a combined assessment of physiological and clinical measures discriminates between elderly fallers and elderly nonfallers. Seventy persons aged between 72 and 96 years (mean 85.6), who were generally independent in activities of daily living, took part in the study, and 66 were available to follow-up. In the follow-up year, 24 subjects experienced no falls, 20 subjects fell one time only and 22 residents fell on two or more occasions. Discriminant analysis identified reaction time, body sway, quadriceps strength, tactile sensitivity, gait impairment, cognitive impairment, psychoactive drug use and age as the variables that significantly discriminated between subjects who experienced falls and those who did not. This procedure correctly classified 86% of subjects into faller and nonfaller groups. These findings suggest that an assessment that combines physiological and clinical factors provides excellent discrimination between elderly fallers and nonfallers.

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“…Although studies have examined the impact of walker use on cardiorespiratory function (Foley et al 1996) and falls (Hogue 1984), no studies, to our knowledge, have investigated the relationship between walker use and self-perceived health status. Furthermore, no direct comparisons of SF-36 scores in fallers and nonfallers have been reported in relation to walker use.…”

Section: Introductionmentioning

confidence: 99%

Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment

Andersen¹,

Roos²,

Stanziano³

et al. 2007

Clinical Interventions in Aging

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The relationship between perceived health and walker use has seldom been addressed. Concerns over falls and falls risk are precursors to walker use. We compared the SF-36 scores of 26 women and 14 men, mean age 86.8 ± 6.0 years based on walker use and faller status. An analysis of covariance (ANCOVA) with age as the covariate, compared groups for the SF-36 constructs and totals score. Significant differences were noted between walker users and nonusers in physical functioning, role limitations due to physical problems, general health, and the total SF-36 score. Pairwise comparisons favored nonusers, while no differences were seen due to faller status. Walker use is associated with lower self-perceptions of physical functioning, role limitations due to physical problems, and general health in assisted-living residents. Faller status is not associated with self-perceived health status. Although walker use aids mobility and lowers the probability of falls, further research is needed to determine if the prescription of assistive devices has a more negative impact on self-perceived health than does falling. This possibility could be explained, in part, by the greater activity levels of those individuals who do not depend on walkers.

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Falls and Mobility in Late Life

Cited by 29 publications

References 17 publications

Footwear Style and Risk of Falls in Older Adults

Footwear Style and Risk of Falls in Older Adults

Simple Physiological and Clinical Tests for the Accurate Prediction of Falling in Older People

Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment

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