The Role of Medications in Predicting Activity Restriction Due to a Fear of Falling

Guthrie, Dawn M.; Fletcher, Paula C.; Berg, Katherine; Williams, Evelyn; Boumans, Nicole; Hirdes, John P.

doi:10.1177/0898264311422598

Cited by 10 publications

(10 citation statements)

References 31 publications

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“…[17][18][19][20] As such, balance and gait features may not show a relationship to the rate of falls over time if these same features also are found in individuals with diminished physical activity, as has been observed previously. [21][22][23][24][25] The healthiest way to avoid falls is to fall less per step taken and not to simply restrict activity, suggesting that it is important to identify and address factors associated with a higher rate of falls per step in addition to factors associated with a higher rate of falls per year. 26 This is particularly relevant when analyzing gait features that predispose individuals to falling only when the individual is walking.…”

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confidence: 99%

Gait and Balance as Predictors and/or Mediators of Falls in Glaucoma

Mihailović

Luna

West

et al. 2020

Invest. Ophthalmol. Vis. Sci.

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To investigate the association between balance and gait measures with fall rates in glaucoma patients. METHODS. Balance and gait were measured for 239 participants with glaucoma or suspected glaucoma. Daily falls were evaluated over 24 months. Annual accelerometer trials captured average daily steps. Multivariable negative binomial models evaluated balance and gait associations with average daily steps and rates of falls per time or step, as well as whether balance and gait parameters mediated the association between integrated visual field (IVF) sensitivity and falls. RESULTS. Average age was 70.5 years (SD = 7.6), and 22% of the participants had moderate to severe visual field damage. Over the first 12 months of the follow-up, the cumulative probability of falling one or more times was 44.8%, and the cumulative probability of falling two or more times was 17.7%. Gait deficits were associated with fewer daily steps (P < 0.03), but no balance parameters were (P > 0.19). Worse balance was associated with a higher rate of falls per year and step (P < 0.03). No gait measures were associated with the rate of falls per year (P > 0.17). More time in double support and greater swing time variability were associated with higher falls per step, and higher velocity and faster cadence were associated with fewer falls per step (P < 0.05 for all). Neither gait nor balance measures mediated the relationship between visual field damage and fall rates. IVF remained an independent predictor of falls per step (rate ratio = 1.36 to 1.48; P < 0.001 to P < 0.005) in multivariable models including individual balance/gait parameters. CONCLUSIONS. Although balance and gait measures are associated with fall rates, they do not explain why persons with greater visual field damage fall more frequently, suggesting the importance of other potential factors such as hazard perception.

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confidence: 99%

Gait and Balance as Predictors and/or Mediators of Falls in Glaucoma

Mihailović

Luna

West

et al. 2020

Invest. Ophthalmol. Vis. Sci.

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“…A study conducted by Carvalho, Pinto, and Mota (2007) verified that individuals with better body balance are less afraid of falling. Guthrie et al (2011) also found that balance, assessed by means of BERG balance scale, is associated with fear of falling. The authors suggest, additionally, that balance can be a more important variable to fear of falling than consumption of medicines, for instance, which is a variable commonly linked in the literature to concern with falls (Guthrie et al, 2011).…”

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confidence: 98%

<b>Balance in seniors who exercise, considering different levels of fear of falling

Hauser

Silva

Paiva

et al. 2017

Acta Sci. Health Sci.

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ABSTRACT. The aging process brings changes to one's body balance and may trigger a fear of falling. The aim of this study was to compare and verify correlation between different methods that assess body balance among elderly individuals who exercise, according to different levels of fear of falling. The sample was composed of 186 individuals (68.28±6.years) who exercise. Balance assessment used Timed Up and Go, Unipedal Stance, Sitting-Rising and Functional Reach tests. A question about fear of falling was applied in the form of an interview. Statistical analysis used Spearman and Kruskall Wallis correlation. In results, Timed Up and Go (7.13±1.6s), Unipedal Stance (20.52±9.9s), Sitting-Rising (12.43s±3.2s) and Functional Reach (29.51±6.5) showed significant correlation with fear of falling. Individuals less afraid of falling showed better balance performance when compared to those not afraid of falling. In conclusion, better balance performance can contribute to decreasing fear of falling.Keywords: aging, body balance, motor activity.Equilíbrio em idosos praticantes de atividade física com diferentes níveis de medo de cair RESUMO. Com o envelhecimento há alterações no equilíbrio, podendo desencadear o medo de cair. O objetivo desse estudo foi comparar e verificar a relação de distintos métodos de avaliação do equilíbrio corporal em idosos praticantes de atividade física, segundo os diferentes níveis de medo de cair. A amostra foi composta por 186 indivíduos (68,28±6,7anos) praticantes de atividade física. Para avaliar o equilíbrio, utilizou-se o Timed Up and Go, Apoio Unipodal, Sentar e Levantar e Alcance Funcional. Foi aplicado, em forma de entrevista, questão sobre o medo de cair. Na análise estatística utilizou-se correlação de Spearman e Kruskall Wallis. Nos resultados, o Timed Up and Go (7,13±1,6s), Apoio Unipodal (20,52±9,9s), Sentar e Levantar (12,43s±3,2s) e Alcance Funcional (29,51±6,5) apresentaram relação significativa com o medo de cair. Os indivíduos com menos medo de cair apresentaram melhor desempenho de equilíbrio quando comparados com indivíduos sem medo de cair. Dessa forma, o melhor desempenho no equilíbrio pode contribuir para uma diminuição do medo de cair.Palavras-chave: envelhecimento, equilíbrio postural, atividade motora.

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“…The study included 441 subjects whose average lifespan was 80.7 years. Of the total number, 29.3% of subjects reported having limitations to daily living tasks due to fear of falling (20). Our study did not explicitly contain the question of whether there were restrictions on daily living tasks due to fear of falling, but we had a question as to whether the subjects avoided going out due to the fear of falling.…”

Section: Discussionmentioning

confidence: 98%

The effects of programmed therapeutic exercises on fall risk factors in elderly

Katana

Bojičić

Pecar

et al. 2018

JHSCI

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Introduction: Identification of the risk factors that can be modified is an essential aspect in the development of the effective strategy for therapeutic intervention with the purpose to improve mobility and injury prevention and post-fall consequences. This research aimed to analyze the impact of programmed therapeutic exercises on the fall risk factors in the elderly. Methods: We included 260 patients older than 65 years, and assigned them randomly into three groups. Group A: 65 patients subjected to therapeutic exercises for moderate-intensity muscle strengthening with Theraband stretch straps (corresponding to 11-14 on the Borg rating of perceived exertion scale). Group B: 65 patients subjected to therapeutic anti-gravity exercises. Control group: 130 patients not participating in programmed therapeutic exercises. Presence of fall risk factors was assessed in all three groups with standardized Fast Evaluation of Mobility, Balance, and Fear test (FEMBAF) before the initiation of therapy, after three and after six months of treatment. Results: At the end of the study, the subjects of the group A had significantly fewer limitations in performing basic life activities at home compared to the patients of the control and Group B, p = 0.037. The control group subjects were statistically significantly more likely to complain of vertigo than subjects of the experimental groups, p = 0.021. The subjects of the experimental groups had more than two falls than the control group subjects, p = 0.003 statistically. In the control group, the number of fractures after the fall at the end of the study increased significantly, statistically higher than in the subjects of the experimental groups, P = 0.037. Conclusion: Programmed therapeutic exercise significantly reduces the risk of falling factors, and significant effects have been achieved among subjects who have exercised with elastic strips.

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The Role of Medications in Predicting Activity Restriction Due to a Fear of Falling

Cited by 10 publications

References 31 publications

Gait and Balance as Predictors and/or Mediators of Falls in Glaucoma

Gait and Balance as Predictors and/or Mediators of Falls in Glaucoma

<b>Balance in seniors who exercise, considering different levels of fear of falling

The effects of programmed therapeutic exercises on fall risk factors in elderly

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