Initial Validation of the Toulouse St. Louis University Mini Falls Assessment in Older Adults

Rouck, John E.; Malmstrom, Theodore K.; Morley, John E.

doi:10.1007/s12603-018-1073-x

Cited by 6 publications

(7 citation statements)

References 15 publications

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“…In persons at risk for hip fracture, besides strengthening the bones it is essential that physicians pay attention to fall risk. The Toulouse-St. Louis University MiniFalls test should be used (30) along with the F3ALLS treatment paradigm (31). In addition, all persons at risk for fracture should be screened for frailty -using the FRAIL -and treated with the frail algorithm (32)(33)(34)(35)(36).…”

Section: Resultsmentioning

confidence: 99%

Old Bones

Morley

2020

The Journal of nutrition, health and aging

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Bone is a dynamic organ in which osteoblasts, under inhibitory control of sclerostin, creates new bone osteoblasts by releasing RANK-L to activate osteoclasts to remove bone. This dynamic network is under local control of miRNAs and long noncoding RNAs to balance the effect of bone stressors on bone formation (1). With aging there is an increase in fragility fractures. Fractures are a more common reason for older persons requiring interaction with medical professionals than any other disease and are one of the higher components of annual hospital costs (2). Over 20% of older persons with hip fractures die within a year and they are a major cause of disability (3). Vertebral fractures are a major cause of back pain, loss of height, reduced pulmonary function, dysphagia, deformity and a decline in quality of life. The need for collaboration between orthopedic surgeons and geriatricians to improve outcomes of older persons with fractures led to the forming of the first geriatric orthopaedic unit by Bobby Irvine and Michael Devas in 1963 (4). The motto of this unit was "Bedrest is rehabilitation for the grave." Richard Lefroy published the first positive effects of a geriatric orthopedic unit in Perth, Australia (5). A meta-analysis found that these combined programs resulted in a decrease in both in-hospital and long-term mortality (6). Two recent approaches improving hip fracture care are: (i) providing regional nerve blocks on arrival at hospital to reduce pain and improve function outcomes (7) and (ii) injection of a triphasic calcium based implant (AGN-1) into the contralateral proximal femur to reduce subsequent hip fracture in the other hip (8). There are three major bone diseases in older persons-Paget's disease of bone, osteomalacia, and osteoporosis.

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Section: Resultsmentioning

confidence: 99%

Old Bones

Morley

2020

The Journal of nutrition, health and aging

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“…Jack Guralnik produces the Short Physical Performance Battery (SPPB) as an objective measure of functional performance (51). The Toulouse-Saint Louis University Mini Falls Assessment is another useful assessment to determine the causes of falls (52).…”

Section: Figurementioning

confidence: 99%

Geriatrics: Highlights of the Last 50 Years

Morley

2019

The Journal of nutrition, health and aging

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“…An important component of aging friendly health systems is to provide screening for geriatric syndromes (52). Early detection for frailty (53), sarcopenia (54), anorexia of aging (55), falls (56,57) and cognitive dysfunction ( 58) is a key component to improve outcomes for older persons, as targeted individualized interventions may be put in place. These interventions are often modest, but have great impacts on health outcomes.…”

Section: Secondary Prevention: Screening For Geriatric Syndromesmentioning

confidence: 99%