Participation Restriction, Not Fear of Falling, Predicts Actual Balance and Mobility Abilities in Rural Community-Dwelling Older Adults

Allison, Leslie; Painter, Jane; Emory, Amanda; Whitehurst, Patricia; Raby, Amanda

doi:10.1519/jpt.0b013e3182493d20

Cited by 53 publications

(49 citation statements)

References 66 publications

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“…Furthermore, these studies (9,23,27,30) contribute to strengthening our argument for the use of field tests and their clinical relevance to detect damage to the mobility and functionality of individuals. We also emphasize that while reductions in muscle strength and functionality are simultaneous, as a result of the aging process, reduced functional capacity may be detected before, as suggested by Akbari e Mousavikhatir (12), and tests, such as the 10m walking test, TUG and ISWT may be used to screen for the purpose of discriminating individuals at risk (9).…”

Section: Discussionmentioning

confidence: 83%

“…This is probably due to the fact of being healthy women without difficulties. Nevertheless, the cited studies (7,10,19,25,27,28) reinforce the relevance o four study, but, above all, the relationship between performance on TUG and the ability to perform physical exercise and activities of daily living (8,27).…”

Section: Discussionmentioning

confidence: 89%

“…Our results were confirmed, the previous study showed that increasing the time taken to perform TUG starts at 50 years old, due to reduced muscle strength of hip extensors, quadríceps and ankle extensors (12). It would be related to the progression of decreased strenght which has different Standards for such muscle groups as well as individual aspects, taking the level of physical activity as an example (12,27).…”

Section: Discussionmentioning

confidence: 99%

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Test timed up and go and its correlation with age and functional exercise capacity in asymptomatic women

et al. 2017

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Introduction:The Timed Up and Go test (TUG) is widely used and valid in chronic patients, but rarely addressed in asymptomatic individuals. Objective: To assess the reliability, the age-related changes and the correlation between TUG and the Functional Exercise Capacity (FEC) adjusted for non-institutionalized middle-aged and elderly women. Methods: Ninety-eight women (57 ± 10 years) were selected and stratified into age groups. We have performed the tests TUG, Berg Balance Scale (BBS) and evaluation of usual gait speed (UGS). Fifty-eight participants (57 ± 10 years) also performed incremental shuttle walk test (ISWT). Results: Worse performance in TUG (p < 0,05) for participants aged ≥ 70 years for age groups 40-49 and 50-59 years. The reliability of TUG was excellent between the first and second TUG (intraclass correlation coefficient, 0.933; confidence interval of 95%, from 0.901 to 0.955) and between the second and third TUG (0.958, 0.938 to 0.972). The group of 58 participants who underwent further the ISWT, TUG correlated significantly (p <0.05) with ISWT (r = -0.72), VUM (r = -0.54) and BBS (r= 0.58). A multiple linear regression analysis selected TUG (R 2 = 0.517) and VUM (R 2 = 0.083) as determinants of FEC. Conclusion: TUG adapted

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Test timed up and go and its correlation with age and functional exercise capacity in asymptomatic women

et al. 2017

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“…For example, from a study of 82 community-dwelling older adults, Allison, Painter, Emory, Whitehurst, and Raby (2013) concluded that a fear of falling was significantly correlated with objective measures of balance. For their participants, however, impairments with balance and functional mobility (as measured with the Timed Up and Go Test) were associated with activity restriction more so than with a fear of falling.…”

mentioning

confidence: 99%

“…Therefore, a fear of falling may only indirectly influence activity restriction through its impact on balance and functional mobility. It is important to note that Allison et al (2013) used an objective measure of balance and functional mobility but used a self-report measure of activity restriction.…”

mentioning

confidence: 99%

The Impact of Fear of Falling on Functional Independence Among Older Adults Receiving Home Health Services

Lawson¹,

Gonzalez²

2014

The Open Journal of Occupational Therapy

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Background: Falls are the fifth leading cause of death for adults aged 65 years and older. Several intrinsic and extrinsic fall risk factors have been identified, butthere is less understanding of the impact of a fear of falling on falls. Seventy percent of recent fallers and 40% percent of non-fallers report a fear of falling. Therefore, the purpose of this study was to examine the correlation between a fear of falling and a history of falls, as well as the impact on the functional independence of community-dwelling older adults receiving home health services.

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Validating a fear‐of‐falling–related activity avoidance scale in lower limb prosthesis users

Rosenblatt,

Major,

Manesh

et al. 2023

PM&R

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IntroductionLimited available data suggests fear of falling (FoF) may be common among lower limb prosthesis users (LLPUs) and associated with negative rehabilitation outcomes. The impact of FoF on outcomes may be exacerbated when fear leads to self‐imposed declines in activity. There is a need to identify the validity of fear‐of‐falling‐related activity avoidance scales in LLPUs .ObjectiveTo evaluate the convergent, discriminant and known‐group construct validity of the modified Survey of Activities and Fear of Falling in the Elderly (mSAFE) for LLPUs. Secondarily, we sought to determine if the mSAFE scale could be reduced without losing information regarding construct validity.DesignOn‐line surveySettingNot applicableParticipantsFifty‐nine persons with unilateral or bilateral amputation at the transtibial or transfemoral level, with ≥6 months experience using a definitive prosthesis for activities other than transfers.InterventionParticipants completed an online survey that consisted of the mSAFE and questions to assess FoF (yes/no), fear‐of‐falling related activity avoidance (yes/no) as well as previously validated scales capturing related and unrelated constructs. T‐tests were used to compare mSAFE score between yes/no respondents for known‐group construct validity. Correlations between mSAFE and previously validated surveys assessed convergent and discriminant validity. Analyses were repeated on a reduced number of mSAFE items following a redundancy analysis.Main outcome measuresNot applicableResultsSignificant correlation coefficients of |0.440‐0.825| were found for convergent validity with evidence of known‐group construct validity (p<0.021 for all comparisons). There was evidence for discriminant validity, with non‐significant associations for two‐of‐three correlations. Results from validity analyses were similar for a shortened six‐item mSAFE as for the full scale.ConclusionThis study provided initial evidence regarding validity of the mSAFE as a measure to assess fear‐of‐falling‐related activity avoidance in LLPUs. A 6‐item scale may be appropriate if the full scale would be taxing or time consuming.This article is protected by copyright. All rights reserved.

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Participation Restriction, Not Fear of Falling, Predicts Actual Balance and Mobility Abilities in Rural Community-Dwelling Older Adults

Cited by 53 publications

References 66 publications

Test timed up and go and its correlation with age and functional exercise capacity in asymptomatic women

Test timed up and go and its correlation with age and functional exercise capacity in asymptomatic women

The Impact of Fear of Falling on Functional Independence Among Older Adults Receiving Home Health Services

Validating a fear‐of‐falling–related activity avoidance scale in lower limb prosthesis users

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