Fear of falling and restriction of mobility in elderly fallers

Vellas, Bruno; Wayne, Sharon J.; Romero, Linda J.; Baumgartner, Richard N.; Garry, Philip J.

doi:10.1093/ageing/26.3.189

Cited by 754 publications

(504 citation statements)

References 13 publications

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“…It was also observed that there is a significant moderate correlation between the FES-I-BRAZIL scale and the variables TUG, FRT, and HF. Vellas et al 27 Lopes KT, Costa DF, Santos LF, Castro DP, Bastone AC that a mobility deficit caused by fear of falling indicates that this fear has been manifesting itself for a longer period of time to the point that it hampers mobility. It is also known that 15 to 20% of older adults who are afraid of falling have a mobility deficit 28 .…”

Section: Discussionmentioning

confidence: 99%

“…These are all strategies to reduce the risk of falls. Restrictions to mobility will result in a loss of physical conditioning, muscle atrophy, balance deficit and dependence to execute ADLs 21,27,29 .…”

Section: Discussionmentioning

confidence: 99%

“…Most studies highlight aging as one of the risk factors for the fear of falling on the grounds that advanced age is indicative of a decline in functional reserve and that the perception of these losses can generate a feeling of low selfefficacy and fear of falling 7,[9][10][11][12][13][20][21][22]25,27,29 . Andresen et al 6 did not detect any statistical correlation between aging and HF; they attributed their result to the fact that the population of their cohort study was younger (age 49-65).…”

Section: Discussionmentioning

confidence: 99%

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Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas

Kt¹,

Costa²,

Lf³

et al. 2009

Rev. bras. fisioter.

137

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Objectives: To investigate the prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls. Methods: This was a randomized cross-sectional study. The participants were 147 older adults between the ages of 60 and 92: 94 women (65.95%) and 53 men (36.05%). Fear of falling was assessed using FES-I-BRAZIL (FIB); mobility, using the "timed up and go" (TUG) test; risk of falls, using the "functional reach test" (FRT); and dynamic balance, using the "tandem gait test"(TGT). Results: One hundred and thirty-three older adults (90.48%) reported fear of falling in at least one activity and 80 older adults (54.42%) had a history of falls (HF). Pearson's correlation was statistically significant (p<0.001) between fear of falling and the TGT (r=-0.44248), FRT (r=-0.51562), HF (r=0.54069), TUG (r=0.45738) and age (r=0.39772). Conclusions: The present study identified high prevalence of fear of falling among older adults in the community, independent of their history of falls, and significant correlations between fear of falling and mobility, dynamic balance, risk and history of falls.Key words: fear of falling; accidents due to falls; older adult; mobility limitation; musculoskeletal balance. ResumoObjetivos: Investigar a prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade,

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas

Kt¹,

Costa²,

Lf³

et al. 2009

Rev. bras. fisioter.

137

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“…Although falls often have a multi factorial etiology, most falls occur while walking 8) , and it is not surprising that gait impairment is also associated with increased risk of falls 9,10) . Gait dysfunction is a factor that makes daily living activities difficult and is a cause of serious functional disorders 11) . Furthermore, subjects who fall can develop a fear of falling, which may limit their physical and social activities, and lead to reduced mobility, physical fitness, thereby increasing the risk of falling 12) .…”

Section: Introductionmentioning

confidence: 99%

Comparisons of Plantar Pressure Distributions between the Dominant and Non-dominant Sides of Older Women during Walking

Kim

Gubler

2013

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to investigate the differences in plantar pressure distributions between the dominant and non dominant sides during walking by older women with a history of falling. [Subjects] Fourteen older women without foot problems participated in this study. [Methods] Plantar pressure distributions between the dominant and non-dominant sides were recorded using the F-scan system (Tekscan Inc, Boston, USA). Measured parameters included peak plantar pressure and surface area contact during the stance phase from heelstrike to toe-off.[Results] Although there were no differences in peak pressure, contact surface area was significantly greater in the first metatarsal (M1) and heel (H) regions of the dominant side compared to the non-dominant side.[Conclusion] Unequal weight distribution indicated by a greater contact surface area may be an indicator of fall risk during walking by older adults with a history of falls.

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“…4 In addition to the obvious physical burden, the physiologic consequence of falling has been associated with significant loss of independence and decreased quality of life. 5 The prevention of falls is, therefore, important to reduce morbidity and mortality in people with diabetes.…”

mentioning

confidence: 99%

Does Footwear Affect Balance?

Paton

Roberts

Bruce³

et al. 2013

J Am Podiatr Med Assoc

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Background: Despite falls being a major concern for people living with somatosensory deficit, little is known about the perceived impact of footwear and footwear features on balance. Clinical relevance is increased given that therapeutic footwear is often provided to people with diabetes to reduce foot ulcer risk. This qualitative study aims to explore the experiences and views of people with diabetes and neuropathy who have recently fallen to understand whether footwear type is perceived to affect balance or contribute to falling.

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Fear of falling and restriction of mobility in elderly fallers

Abstract: The study indicated that about one-third of elderly people develop a fear of falling after an incident fall and this issue should be specifically addressed in any rehabilitation programme.

Cited by 754 publications

References 13 publications

Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas

Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas

Comparisons of Plantar Pressure Distributions between the Dominant and Non-dominant Sides of Older Women during Walking

Does Footwear Affect Balance?

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