Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living

Quiñones, Inmaculada Tornero; Padilla, Jesús Sáez; Díaz, Alejandro Espina; Robles, Manuel Tomás Abad; Robles, Ángela Sierra

doi:10.3390/ijerph17031006

Cited by 87 publications

(72 citation statements)

References 27 publications

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“…All these features may be restricted to activities entailing short walking bouts (i.e., within the home environment), and they may be unable to sustain prolonged bouts of walking [ 48 ]. Furthermore, as Ternero-Quiñones et al [ 49 ] point out, frailty and the risk of falls are significant predictors of autonomy in basic daily life activities.…”

Section: Discussionmentioning

confidence: 99%

A Pilot Study to Validate a Wearable Inertial Sensor for Gait Assessment in Older Adults with Falls

Garcia-Villamil

Álvarez²,

Huertas‐Hoyas

et al. 2021

Sensors

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The high prevalence of falls and the enormous impact they have on the elderly population is a cause for concern. We aimed to develop a walking-monitor gait pattern (G-STRIDE) for older adults based on a 6-axis inertial measurement (IMU) with the application of pedestrian dead reckoning algorithms and tested its structural and clinical validity. A cross-sectional case–control study was conducted with 21 participants (11 fallers and 10 non-fallers). We measured gait using an IMU attached to the foot while participants walked around different grounds (indoor flooring, outdoor floor, asphalt, etc.). The G-STRIDE consisted of a portable inertial device that monitored the gait pattern and a mobile app for telematic clinical analysis. G-STRIDE made it possible to measure gait parameters under normal living conditions when walking without assessing the patient in the outpatient clinic. Moreover, we verified concurrent validity with convectional outcome measures using intraclass correlation coefficients (ICCs) and analyzed the differences between participants. G-STRIDE showed high estimation accuracy for the walking speed of the elderly and good concurrent validity compared to conventional measures (ICC = 0.69; p < 0.000). In conclusion, the developed inertial-based G-STRIDE can accurately classify older people with risk to fall with a significance as high as using traditional but more subjective clinical methods (gait speed, Timed Up and Go Test).

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Section: Discussionmentioning

confidence: 99%

A Pilot Study to Validate a Wearable Inertial Sensor for Gait Assessment in Older Adults with Falls

Garcia-Villamil

Álvarez²,

Huertas‐Hoyas

et al. 2021

Sensors

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show abstract

“…However, being more physically active promotes functional skills such as the capability of performing ADL [8] and functional capacity is a major predictor of autonomy in ADL. A salient correlation was reported between having a lower risk of falls and autonomy in the performance of both, ADL and instrumental (I)ADL [9].…”

Section: Introductionmentioning

confidence: 93%

The association between falls and autonomy in older adults is mediated by self-efficacy

Imani

Godde

2021

Discov Psychol

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Objective Falling has various physical and psychological consequences in older adults. We aimed at replicating previous findings that reported autonomy is associated with a history of falls and that this association is moderated by self-efficacy. We further assumed that cognitive function would moderate this relationship. Method We analyzed data from the German Ageing Survey (“Deutscher Alterssurvey,” DEAS, year 2017, n = 6626), a longitudinal cohort-based survey of individuals living in private households aged 40 and over in Germany. Results Linear regression confirmed that perceived autonomy was negatively associated with a history of falls. With higher self-efficacy, the association between falls and autonomy was less substantial. Further, we extend previous findings in that self-efficacy also mediated the effect of falls on perceived autonomy. Against our assumptions, cognition as measured with the digit-symbol substitution test predicted perceived autonomy but did not moderator this association. Discussion We conclude that interventions facilitating self-efficacy might ameliorate negative effects of falling on autonomy of older adults.

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“…cooking, providing self-care, etc. ), while fragility and risk of fall are two negative predictors of well-being [33]*.…”

Section: Cognitive Compensatory Strategies In Ageingmentioning

confidence: 99%

The Complexity of Frailty: Psychological Mechanism and Therapeutic Interventions in Old People - A Narrative Review

Greco¹

2021

Frailty in the Elderly - Understanding and Managing Complexity

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Aging is a complex and dynamic process. Senses become less sophisticated and negative life events increase. These factors combined with medical conditions contribute to develop a degenerative functional autonomy of the elderly. This clinical condition is known as frailty. However, there is a difference in the way people live their silver years in terms of happiness and their sense of autonomy. Both being and feeling frail represent two different drives of cognitive representations concerning how the elderly live their lives. In addition, other factors such as cognitive stimulation, assistive technology and physical activity can support frail people to achieve independence. This chapter aims to provide an overview on how the psychological environment may affect frailty, suggesting a possible role of new technology’s solutions and physical activity as therapeutic interventions.

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Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living

Cited by 87 publications

References 27 publications

A Pilot Study to Validate a Wearable Inertial Sensor for Gait Assessment in Older Adults with Falls

A Pilot Study to Validate a Wearable Inertial Sensor for Gait Assessment in Older Adults with Falls

The association between falls and autonomy in older adults is mediated by self-efficacy

The Complexity of Frailty: Psychological Mechanism and Therapeutic Interventions in Old People - A Narrative Review

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