Relationship between Associated Neuropsychological Factors and Fall Risk Factors in Community-Dwelling Elderly

Yi, Donghyun; Jang, SeungJun; Yim, Jongeun

doi:10.3390/healthcare10040728

Cited by 3 publications

(4 citation statements)

References 70 publications

(67 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(1) Age ≥ 60 years old, (2) able to walk for 30 m independently, (3) non acute attack of cardiovascular and cerebrovascular disease, (4) no history of Parkinson's disease, (5) normal cognitive function and comprehension of questionnaire content, (6) no diagnosis of psychological diseases, SAS/SDS scores < 50, and (7) no sedative or sleeping drugs.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…(1) Age < 60 years old, (2) unable to walk independently, (3) unable to understand and accurately cooperate with the examination, (4) abnormal hearing and vision, (5) in the acute attack of heart, brain, lung and kidney diseases, (6) with definite anxiety, depression and other psychological disorders or SAS and/or SDS score ≥ 50.…”

Section: Exclusion Criteriamentioning

confidence: 99%

“…Changes in physical function and mental state are both factors that influence falls. More and more studies have found that the mental state of the elderly changes once they experience a fall [5,6]. This is often followed by a fear of falling, and in some cases, even anxiety and depression [7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of early mental state changes on physical functions in elderly patients with a history of falls

Cui,

Liu,

Qin

et al. 2023

BMC Geriatr

View full text Add to dashboard Cite

Background Fear of falling is a potential consequence for older adults who have experienced a fall. Whether such psychological concerns related to falls, in turn, affect physical function? Especially those who have a history of falling but have not been diagnosed with anxiety, depression, or both. This study aimed to clarify the effects of early psychological changes on the physical function of older patients. Methods The 111 participants with falling history were divided into the poor physical function (PPF) group with the Short Physical Performance Battery (SPPB) ≤ 9 and the good physical function (GPF) group with SPPB > 9. Their physical function was assessed through 4-m gait speed (4MGS), five times sit-to-stand test (FTSST), grip strength, and Timed Up and Go tests TUGT. Their mental state was assessed by the self-rating anxiety/depression scale (SAS/SDS). Results (1) SAS/SDS scores were negatively correlated with the SPPB score, gait speed, and maximum grip strength (males). (2) Multivariate logistic regression analysis showed that the SPPB score was subject to such independent influence factors: cerebrovascular disease (OR = 11.805; P = 0.005), normal ratio of grip strength (OR = 0.046; P = 0.016), TUGT (OR = 1.717; P < 0.001), and SDS score (OR = 1.154; P = 0.008). (3) The area under the ROC curve was 0.699 (0.601, 0.797) for SAS score, with a sensitivity of 0.776 and a specificity of 0.547; the AUC was 0.694 (0.596, 0.792) for SDS score, with a sensitivity of 0.586 and a specificity of 0.755. Conclusions In older adults with a history of falls without a diagnosis of anxiety or depression, higher SAS/SDS scores were associated with worse fall-related physical function, and there was a statistically significant correlation between the two. This may indicate a risk of falling again in the future.

show abstract

Section: Inclusion Criteriamentioning

confidence: 99%

Section: Exclusion Criteriamentioning

confidence: 99%

See 1 more Smart Citation

Effects of early mental state changes on physical functions in elderly patients with a history of falls

Cui,

Liu,

Qin

et al. 2023

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…Each year, 37.3 million falls occur worldwide, most affecting those 65 and older [ 1 ]. Elderly populations who engage in consistent, moderate-intensity exercise are more physically active and have better health than elders who have a sedentary lifestyle [ 2 ]. Ageing causes the quality and number of muscle fibres to decline, leaving them with less endurance and ability to effectively work in synchronization and less strength and stamina to support weight or keep the upright body system [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Nintendo Wii Fit on Postural Balance Control Training in the Geriatric Population: A Review

Raipure¹,

Kasatwar²

2022

Cureus

View full text Add to dashboard Cite

Elderly populations who engage in consistent, moderate-intensity exercise are more physically active and have better health than elders who have a sedentary lifestyle. Ageing causes the quality and number of muscle fibres to decline, leaving them with less endurance and ability to effectively work in synchronization and less strength and stamina to support weight or keep a sound body system. Medical practitioners often use the word "balance" across many therapeutic disciplines. Balance is commonly used in conjunction with other ideas like stability and postural control. The capacity of the physiological systems to keep the centre of mass within the base of support during static and dynamic postures and to govern physical alignment in an upright position is known as "balance." Impaired balance has a wide range of effects that can harm physical functionality. Falls in the elderly can result in hip fractures and significant morbidity and mortality. Balance dysfunction is one of the primary reasons behind decreased mobility and postural control in the elderly. It mainly affects the ability to walk and to maintain balance control in everyday life. Virtual reality (VR) can be defined as an interaction model between humans and computers that allows conventional computer-based training. It is a novel and expanding technology combining various characteristics like interactivity, independence, and rehabilitation training. These technologies replicate a seemingly natural environment. A fun and engaging aspect of VR technology is the Wii Fit games. These are enjoyable versions of the fundamental exercise and are widely used. A physiotherapy intervention programme can be structured using Wii Fit games to perform balance exercises. These games are widely used for balance training in the geriatric population.

show abstract

Effects of Physical Therapy Integrated with Dance/Movement Therapy on Heart Rate Variability and Fall-Related Variables: A Preliminary Controlled Trial

Pitluk Barash,

Shuper Engelhard,

Elboim-Gabyzon

et al. 2024

Am J Dance Ther

View full text Add to dashboard Cite

Falls among older adults are influenced by both physical and psychological risk factors. This pilot study specifically examined the impact of integrating Dance/Movement Therapy (DMT) into a regimen of physical therapy exercises (PTE) for fall prevention. The primary objectives included examining the effect of post-PTE+DMT intervention on heart rate variability (HRV), a psychophysiological marker, and fall risk factors. Additionally, this study aimed to examine correlations between HRV and levels of fall risk. Eight community-dwelling older adults (median = 83 [interquartile ranges: 80.5–85.75]) from a day center for senior citizens were randomly assigned to either a PTE+DMT group or a PTE group. A post intervention battery of HRV, physical and psychological fall risk assessments, was conducted. The results of nonparametric analysis demonstrated the potential impact of the PTE+DMT intervention in improving balance and self-efficacy measures related to falls when compared to participation in PTE alone. No statistically significant differences were observed between the groups in term of HRV and other physical and psychological fall risk factors. The emerging trends in the associations between HRV, fall risk, and balance levels suggest the potential utility of HRV as an objective psychophysiological marker for assessing fall risk levels. Moreover, the results underscore the potential advantages of interventions that integrate both physical and psychological components to mitigate fall risk in older adults, emphasizing the intricate mind–body connection.The ClinicalTrials.gov ID: NCT05948735, July 7, 2023.

show abstract

Relationship between Associated Neuropsychological Factors and Fall Risk Factors in Community-Dwelling Elderly

Cited by 3 publications

References 70 publications

Effects of early mental state changes on physical functions in elderly patients with a history of falls

Effects of early mental state changes on physical functions in elderly patients with a history of falls

The Effects of Nintendo Wii Fit on Postural Balance Control Training in the Geriatric Population: A Review

Effects of Physical Therapy Integrated with Dance/Movement Therapy on Heart Rate Variability and Fall-Related Variables: A Preliminary Controlled Trial

Contact Info

Product

Resources

About