Falls Efficacy Scale and Single Item Question: Screening Accuracy for Older Adults Residing in Nursing Homes

Meimandi, Mahsa; Fadavi-Ghaffari, Mahsa; Taghizadeh, Ghorban; Azad, Akram; Lajevardi, Laleh

doi:10.1080/07317115.2020.1858467

Cited by 11 publications

(7 citation statements)

References 33 publications

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“…The individuals with PD were checked for their ability to perform the 10m walk-test [6] while walking over-ground without any external support, e.g., orthosis, canes, and other aids. Further, Falls Efficacy Scale (FES) [33] score, Unified Parkinson Disease Rating Scale motor part (UPDRS III) and H&Y stage [34] (indicating severity of the symptom) were collected by the accompanying therapist in the OFF state. For GrpH, all of the participants had minimal to mild fear of fall (FES<22 [33]), except two (H5 and H14) who had moderate fear of fall (28>FES≥22 [33]).…”

Section: A Participantsmentioning

confidence: 99%

“…Further, Falls Efficacy Scale (FES) [33] score, Unified Parkinson Disease Rating Scale motor part (UPDRS III) and H&Y stage [34] (indicating severity of the symptom) were collected by the accompanying therapist in the OFF state. For GrpH, all of the participants had minimal to mild fear of fall (FES<22 [33]), except two (H5 and H14) who had moderate fear of fall (28>FES≥22 [33]). For GrpPD, most of the participants had moderate to severe (FES≥28) fear of fall, except 4 (P3, P5, P6 and P10) who had mild fear of fall and 2 (P13 and P14) who had minimal fear of fall.…”

Section: A Participantsmentioning

confidence: 99%

“…Falls Efficacy Scale (FES) is a clinical measure, often used to predict one's FoF [33]. This scale can measure one's confidence in performing a range of activities of daily living without falling.…”

Section: Postural and Gait-related Indices (Quantified By Smartwalk) ...mentioning

confidence: 99%

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Design of SmartWalk for Estimating Implication of Pathway With Turn and Task Condition on Postural and Gait Indices: Relevance to Fear of Fall

Pallavi

Jariwala

Patel

et al. 2023

IEEE Trans. Neural Syst. Rehabil. Eng.

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Fear of Fall (FoF) is often associated with postural and gait abnormalities leading to decreased mobility in individuals with Parkinson's Disease (PD). The variability in knee flexion (postural index) during heel-strike and toe-off events while walking can be related to one's FoF. Depending on the progression of the disease, gait abnormality can be manifested as start/turn/stop hesitation, etc. adversely affecting one's cadence along with an inability to transfer weight from one leg to the other. Also, task demands can have implications on one's gait and posture. Given that individuals with PD often suffer from FoF and their dynamic balance is affected by task conditions and pathways, in-depth investigation is warranted to understand the implications of task condition and pathways on one's gait and posture. This necessitates use of portable, wearable device that can capture one's gait-related indices and knee flexion in freeliving conditions. Here, we have designed a portable, wearable and cost-effective device (SmartWalk) comprising of instrumented Shoes integrated with knee flexion recorder units. Results of our study with age-matched groups of healthy individuals (GrpH) and those with PD (GrpPD) showed the potential of SmartWalk to estimate the implication of task condition, pathways (with and without turn) and pathway segments (straight and turn) on one's knee flexion and gait with relevance to FoF. The knee flexion and gait-related indices were found to strongly corroborate with clinical measure related to FoF, particularly for GrpPD, serving as pre-clinical inputs for clinicians.

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Section: A Participantsmentioning

confidence: 99%

Section: A Participantsmentioning

confidence: 99%

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Design of SmartWalk for Estimating Implication of Pathway With Turn and Task Condition on Postural and Gait Indices: Relevance to Fear of Fall

Pallavi

Jariwala

Patel

et al. 2023

IEEE Trans. Neural Syst. Rehabil. Eng.

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“…Also, Falls Efficacy Scale (FES) scores (Thomas et al, 2010) were collected from the participants. The FES [having thresholds (Meimandi et al, 2021) as FES score < 22; between 22 and 28; and >28 considered as mild, moderate, and severe fear of fall, respectively] is a clinical tool that can be used to identify one's confidence while an individual does basic tasks of daily living without falling. This is correlated with measures of balance and gait (Yardley and Smith, 2002) and predicts future falls.…”

Section: Participantsmentioning

confidence: 99%

The Implication of Pathway Turn and Task Condition on Gait Quantified Using SmartWalk: Changes With Age and Parkinson’s Disease With Relevance to Postural Strategy and Risk of Fall

et al. 2022

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One’s gait can be affected by aging, pathway with turns, task demands, etc., causing changes in gait-related indices and knee flexion (influencing posture). Walking on pathways with turns threatens stability, affecting one’s gait-related indices and posture. The ability to overcome such deficits is compromised with age and neurological disorders, e.g., Parkinson’s Disease (PD) leading to falls. Also, task demands imposed by single and dual-task (e.g., counting backward while walking) conditions affect the gait of individuals using different postural strategies varying with age and neurological disorder. Existing research has investigated either the effect of the pathway with turn or task condition on one’s gait. However, none (to our knowledge) have explored the differentiated implications of the pathway with turn and task conditions on one’s gait-related indices and knee flexion while walking. Our study had two phases with 30 participants. Phase 1 had healthy adults (young and old) and Phase 2 had age and gender-matched healthy elderly and individuals with Parkinson’s disease (PD) who walked on pathways having turns under single and dual-task conditions. We analysed gait in terms of (i) gait-related indices (Phases 1 and 2) and (ii) knee flexion (Phase 2). Also, we analysed one’s counting performance during dual task. One’s gait-related indices and knee flexion were measured using a portable gait quantifier. The aim was to (i)understand whether both pathways with turn and task conditions are equally effective in affecting the gait of (a)individuals of varying ages and (b) gender-matched healthy older adults and individuals with PD, (ii)study variations of knee joint angles while walking on pathways having turns (under different task conditions) in terms of its clinical relevance, and (iii) explore the implication of pathway with turn on counting performance (with relevance to postural strategy) with varying age and PD. Results indicated that for the younger group, the task condition caused statistical variations in gait-related indices. For the older group, both pathways with turn and task conditions had statistical implications on gait-related indices. Additionally, individuals with PD demonstrated a higher variation in knee flexion than their healthy counterparts. Again, pathways with varying turns elicited variations in counting performance indicating different postural strategies being employed by the three groups.

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“…Two studies in this issue focus on fall risk assessment. Meimandi and colleagues found the 16-item Falls Efficacy Scales (FES) to have good sensitivity and specificity in predicting falls in 100 older adults in long-term care, better than a single item (Meimandi, Fadavi-Ghaffari, Taghizadeh, Azad, & Lajevardi, 2020). Extending this work, Thiamwong and colleagues compared subjective and objective fall risk measures in 433 older adults, finding only 21% had fall risk perceptions that matched their risk (Thiamwong, Ng, Kwan, & Suwanno, 2021).…”

Section: Managing Behavioral Health Risks In Older Adultsmentioning

confidence: 99%

Managing Behavioral Health Risks in Older Adults

Moye

2021

Clinical Gerontologist

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Falls Efficacy Scale and Single Item Question: Screening Accuracy for Older Adults Residing in Nursing Homes

Cited by 11 publications

References 33 publications

Design of SmartWalk for Estimating Implication of Pathway With Turn and Task Condition on Postural and Gait Indices: Relevance to Fear of Fall

Design of SmartWalk for Estimating Implication of Pathway With Turn and Task Condition on Postural and Gait Indices: Relevance to Fear of Fall

The Implication of Pathway Turn and Task Condition on Gait Quantified Using SmartWalk: Changes With Age and Parkinson’s Disease With Relevance to Postural Strategy and Risk of Fall

Managing Behavioral Health Risks in Older Adults

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