Physical Activity: Wearing slippers, falls and injury in residential care

Kerse, Ngaire; Butler, Meg; Robinson, Elizabeth; Todd, Maree

doi:10.1111/j.1467-842x.2004.tb00933.x

Cited by 41 publications

(31 citation statements)

References 33 publications

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“…The detrimental effect of backless slippers observed in our study is consistent with results by Cho and Lee [33] , who reported that postural sway in older stroke patients was increased when wearing backless slippers or flat shoes compared to being barefoot or wearing high-heel collar shoes, and Ng et al [10] , who found that older stroke patients walked more slowly when wearing slippers compared to walking shoes. These findings are also consistent with previous studies which have identified slippers as a risk factor for falls [12,13] and fall-related injury [14][15][16][17] in older people. There are two possible explanations for this finding.…”

Section: Discussionsupporting

confidence: 93%

“…The most frequently worn indoor footwear is slippers, which often comprise design features considered detrimental to balance, including lack of fixation, thick, soft midsoles, and smooth outsoles [8][9][10][11] . Indeed, several studies have shown that wearing slippers is a risk factor for falls [12,13] and fall-related injury [14][15][16][17] in older people.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Indoor Footwear on Balance and Gait Patterns in Community-Dwelling Older Women

2016

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(walking speed, cadence, and step length). No footwear effects were observed for maximum excursion when performing the limits of stability test or for speed when performing the tandem walk test. Post hoc tests indicated that performances were best while wearing the enclosed slippers, intermediate with socks, and worst with backless slippers. The enclosed slippers were perceived to be more attractive, comfortable, and well fitted, but heavier than the backless slippers. Most participants (n = 23; 77%) reported that they would consider wearing the enclosed slippers to reduce their risk of falling. Conclusion: Indoor footwear with an enclosed heel, Velcro ® fastening, and a firm sole optimises balance and gait compared to backless slippers, and is therefore recommended to reduce the risk of falling.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Effects of Indoor Footwear on Balance and Gait Patterns in Community-Dwelling Older Women

2016

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“…Netz, Wu, Becker and Tenenbaum [11] found a relationship with an increase in self-efficacy, which also seems to decrease the fear of falling [12]. Conversely, the fear of falling and the feeling of inadequacy when performing a motor task can accelerate decline, leading the individual into depression [13] or social isolation [14,15]. It seems likely that physical activity presents the elderly with a chance to better master small daily tasks [11], engendering a heightened sense of wellbeing.…”

Section: Introductionmentioning

confidence: 99%

Physical functioning: The mediating effect on ADLs and vitality in elderly living in residential care facilities. “Act on ageing”: A pilot study

Liubicich¹,

Candela²,

Magistro³

et al. 2012

Health

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The present study aims at verifying whether participation in a physical activity programme has positive effects on the daily life autonomy and vitality of elderly people living in residential care facilities by the mediation of their physical wellbeing. Fifty-one institutionalised individuals took part in the study. The control group included 11 people (84.26 ± 7.4 years), whereas the experimental group was made up of 40 people (85 ± 6.6 years). The experimental group was involved in a physical activity programme twice a week. The 36-Item Short Form Health Survey Questionnaire, the Activities of Daily Living Scale, and the Tinetti Test were administered to the participants. The linear regression method as well as Sobel's formula were used for the analysis. The results show that participation in a physical activity programme has positive effects on autonomy in bathing and on the participants' sense of vitality due to the mediation of physical functioning. These results confirm the importance of physical activity for the elderly populations living in residential care facilities.

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“…A representative sample from 14 homes in Auckland in 2000 showed that the average number of medications was 5.6 (SD 3.1), with over 40% of residents receiving some form of psychotropic medication. Half of this group (21% of total) were receiving antidepressant medication and 17% were prescribed antipsychotic drugs (Kerse et al 2004;Kerse 2005). A further population-based survey of long-term care in a different area of New Zealand in 2004 showed similar levels of psychotropic drug use (M. Tucker, Hawkes Bay DHB, personal communication 2005).…”

Section: New Zealand: a Work In Progressmentioning

confidence: 99%

Improving Use of Medicines for Older People in Long-Term Care: Contrasting the Policy Approach of Four Countries

Hughes

Roughead²,

Kerse³

2008

hcpol

Self Cite

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The quality of nursing home care for older people, including medication use and related outcomes, has been problematic in a number of developed countries. This paper compares the policy approaches to drug prescribing and administration in nursing homes adopted by four countries. The United States has led the way in terms of regulating and inspecting nursing homes, with strict requirements for prescribing psychotropic medications, commonly known as "chemical restraints." These requirements have been facilitated by detailed data collection mandated by the US government. Although regulation has led to marked reductions in the prescribing of these agents, underused medications have received little attention. Despite similar problems with the use of psychotropic drugs, the United Kingdom, Australia and New Zealand have adopted a more generic approach to drug use in the nursing home setting, a situation that may reflect the different organization and ethos of healthcare systems in these countries. Developments in systematic medication data capture, greater collaboration and more educational feedback to prescribers and facilities would represent a major step forward in long-term care policy in these latter three countries, while a broader educational focus would further support improvements in the US setting. RésuméLa qualité des soins dispensés dans les foyers pour personnes âgées est problématique dans plusieurs pays développés, et cette préoccupation s' est étendue à l'utilisation des médicaments et aux effets connexes. Le présent article compare les politiques adoptées par quatre pays à ce chapitre. Les États-Unis ont pris les devants en matière de régle-mentation et d'inspection des foyers pour personnes âgées et ont adopté des exigences strictes concernant la prescription de médicaments psychotropes, communément appelés « contraintes chimiques ». Ces exigences s' appuient sur une collecte de données détaillées, effectuée à la demande du gouvernement américain. Bien que la réglementa-tion ait mené à une réduction marquée du nombre d' ordonnances de ces agents, les médicaments sous-utilisés n' ont pas fait l' objet d'une promotion très musclée. Même s'ils ont eu des problèmes semblables avec l'utilisation des médicaments psychotropes, le Royaume-Uni, l' Australie et la Nouvelle-Zélande ont adopté une approche beaucoup plus générique en ce qui concerne l'utilisation des médicaments dans les foyers pour personnes âgées -approche qui reflète peut-être l' organisation et l' éthos différents qui caractérisent les systèmes de santé de ces pays. Les progrès réalisés dans la capture systématique des données sur les médicaments, une collaboration accrue et une rétroaction plus informative aux prescripteurs et aux établissements constitueraient un grand pas en avant dans les politiques sur les soins de longue durée dans ces trois pays, tandis qu'un accent accru sur l' éducation favoriserait l' apport d' améliorations dans le contexte états-unien. (Hughes and Lapane 2005). Policies to influence medication use in resi...

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Physical Activity: Wearing slippers, falls and injury in residential care

Abstract: Background: Risk factor studies for falls in

Cited by 41 publications

References 33 publications

Effects of Indoor Footwear on Balance and Gait Patterns in Community-Dwelling Older Women

Effects of Indoor Footwear on Balance and Gait Patterns in Community-Dwelling Older Women

Physical functioning: The mediating effect on ADLs and vitality in elderly living in residential care facilities. “Act on ageing”: A pilot study

Improving Use of Medicines for Older People in Long-Term Care: Contrasting the Policy Approach of Four Countries

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