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Fear of falling

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https://www.readbyqxmd.com/read/28425231/the-relationship-between-physical-fitness-and-falling-risk-and-fear-of-falling-in-community-dwelling-elderly-people-with-different-physical-activity-levels
#1
Mehmet Duray, Arzu Genç
BACKGROUND/AIM: The aim of this research was to determine the effects of physical activity level (PAL) and physical fitness on falling parameters in community-dwelling elderly people. MATERIALS AND METHODS: Seventy-six elderly people were grouped as low PAL group (group 1, n: 38) and high PAL (group 2, n: 38) according to their PAL scores. PAL was measured by the Physical Activity Scale for the Elderly and muscle strength, muscle endurance, aerobic endurance, and flexibility tests were applied; body mass index (BMI) was calculated for physical fitness measurement...
April 18, 2017: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/28415881/hip-and-pelvic-fracture-patients-with-fear-of-falling-development-and-description-of-the-step-by-step-treatment-protocol
#2
Karin Kampe, Michaela Kohler, Diana Albrecht, Clemens Becker, Martin Hautzinger, Ulrich Lindemann, Klaus Pfeiffer
OBJECTIVE: Based on a theoretical framework and sound evidence, this article describes a rehabilitation programme for patients with fear of falling after hip and pelvic fracture. RATIONALE: Based on exercise science principles, current knowledge from fall prevention, emotion regulation, and the Health Action Process Approach we developed a theoretical framework, from which the components of the intervention were derived. Description of the intervention: The intervention consists of 6 components: (1) relaxation, (2) meaningful activities and mobility-based goals, (3) falls related cognitions and emotions, coping with high risk tasks and situations, (4) individual exercise programme, (5) planning and implementing exercises and activities, and (6) fall risks and hazards...
May 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28412603/impairments-of-balance-stepping-reactions-and-gait-in-people-with-cervical-dystonia
#3
Christopher Barr, Rhiannon Barnard, Lauren Edwards, Sheila Lennon, Lynley Bradnam
BACKGROUND: Impaired balance is common in neurological disorders. Cervical dystonia is a neurological movement disorder affecting the neck. The effect of this aberrant head posture on physical function is unknown. OBJECTIVES: To compare balance, mobility, gait and stepping reactions between ten people with cervical dystonia and ten control adults. METHODS: Spatiotemporal gait parameters and walking speed were assessed using a computerised walkway...
April 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28409004/effect-of-%C3%AE-blockade-on-lung-function-exercise-performance-and-dynamic-hyperinflation-in-people-with-arterial-vascular-disease-with-and-without-copd
#4
Angela Key, Matthew Parry, Malcolm A West, Rebecca Asher, Sandy Jack, Nick Duffy, Francesco Torella, Paul P Walker
INTRODUCTION: β Blockers are important treatment for ischaemic heart disease and heart failure; however, there has long been concern about their use in people with chronic obstructive pulmonary disease (COPD) due to fear of symptomatic worsening of breathlessness. Despite growing evidence of safety and efficacy, they remain underused. We examined the effect of β-blockade on lung function, exercise performance and dynamic hyperinflation in a group of vascular surgical patients, a high proportion of who were expected to have COPD...
2017: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/28407507/concurrent-validation-of-an-index-to-estimate-fall-risk-in-community-dwelling-seniors-through-a-wireless-sensor-insole-system-a-pilot-study
#5
Mirko Di Rosa, Jeff M Hausdorff, Vera Stara, Lorena Rossi, Liam Glynn, Monica Casey, Stefan Burkard, Antonio Cherubini
Falls are a major health problem for older adults with immediate effects, such as fractures and head injuries, and longer term effects including fear of falling, loss of independence, and disability. The goals of the WIISEL project were to develop an unobtrusive, self-learning and wearable system aimed at assessing gait impairments and fall risk of older adults in the home setting; assessing activity and mobility in daily living conditions; identifying decline in mobility performance and detecting falls in the home setting...
April 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28403369/fear-of-falling-in-older-adults-living-at-home-associated-factors
#6
Luciano Magalhães Vitorino, Carla Araujo Bastos Teixeira, Eliandra Laís Vilas Boas, Rúbia Lopes Pereira, Naiana Oliveira Dos Santos, Célia Alves Rozendo
OBJECTIVE: To identify the factors associated with the fear of falling in the older adultliving at home. METHOD: Cross-sectional study with probabilistic sampling of older adultenrolled in two Family Health Strategies (FHS). The fear of falling was measured by the Brazilian version of the Falls Efficacy Scale-International and by a household questionnairethat contained the explanatory variables. Multiple Linear Regression using the stepwise selection technique and the Generalized Linear Models were used in the statistical analyses...
April 10, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28399803/dancing-in-time-feasibility-and-acceptability-of-a-contemporary-dance-programme-to-modify-risk-factors-for-falling-in-community-dwelling-older-adults
#7
Laura Britten, Christine Addington, Sarah Astill
BACKGROUND: Falls are a common cause of injury in older adults, with the prevention of falls being a priority for public health departments around the world. This study investigated the feasibility, and impact of an 8 week contemporary dance programme on modifiable physical (physical activity status, mobility, sedentary behaviour patterns) and psychosocial (depressive state, fear of falling) risk factors for falls. METHODS: An uncontrolled 'pre-post' intervention design was used...
April 11, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28393552/characteristics-and-fall-experiences-of-older-adults-with-and-without-fear-of-falling-outdoors
#8
Tracy Chippendale, Chang Dae Lee
OBJECTIVE: Using a theoretical model that combines an ecological perspective and Bandura's theory of self-efficacy as a guide, we sought to compare experiences and characteristics of community dwelling older adults with and without concern about falling outdoors. METHOD: A survey of randomly selected community dwelling older adults across NYC (N = 120) was conducted using the outdoor falls questionnaire. Descriptive quantitative analyses of participant characteristics were conducted for all participants and for those with and without concern about falling outside...
April 10, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28390066/the-many-faces-of-fear-a-synthesis-of-the-methodological-variation-in-characterizing-predation-risk
#9
REVIEW
Remington J Moll, Kyle M Redilla, Tutilo Mudumba, Arthur B Muneza, Steven M Gray, Leandro Abade, Matt W Hayward, Joshua J Millspaugh, Robert A Montgomery
1.Predators affect prey by killing them directly (lethal effects) and by inducing costly antipredator behaviors in living prey (risk effects). Risk effects can strongly influence prey populations and cascade through trophic systems. A prerequisite for assessing risk effects is characterizing the spatiotemporal variation in predation risk. 2.Risk effects research has experienced rapid growth in the last several decades. However, preliminary assessments of the resultant literature suggest that researchers characterize predation risk using a variety of techniques...
April 8, 2017: Journal of Animal Ecology
https://www.readbyqxmd.com/read/28379061/perceived-risks-and-benefits-of-hippotherapy-among-parents-of-children-currently-engaged-in-or-waiting-for-hippotherapy-a-pilot-study
#10
Audrey Léveillé, Annie Rochette, Carolyne Mainville
OBJECTIVE: Explore the perceived risks and benefits of hippotherapy among parents of children currently engaged in or waiting rehabilitation using hippotherapy. METHOD: Phenomenological qualitative exploratory pilot study. An interview guide validated by experts was used to conduct the interviews. Summaries were written to capture first impressions. One team member coded the transcripts and the coding was validated by the research team through discussion until consensus was reached...
April 5, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28371481/fear-of-movement-and-associated-factors-among-adults-with-symptomatic-knee-osteoarthritis
#11
Alexander H Gunn, Todd A Schwartz, Liubov S Arbeeva, Leigh F Callahan, Yvonne Golightly, Adam Goode, Carla H Hill, Kim Huffman, Maura D Iversen, Ami Pathak, Shannon Stark Taylor, Kelli D Allen
OBJECTIVES: To examine the frequency of and factors associated with fear of movement (FOM) among patients with symptomatic knee osteoarthritis (sxKOA), using the new Brief Fear of Movement (BFOM) measure. METHODS: Participants (n=350) enrolled in a clinical trial completed the BFOM scale prior to randomization. The relationships of BFOM with the following characteristics were examined: age, sex, race, education, pain and activities of daily living (ADL) subscales of the Knee Injury and Osteoarthritis Outcome Score (KOOS), knee symptom duration, depressive symptoms (PHQ-8), history of falls and knee injury, family history of knee problems, self-efficacy for exercise (SEE), and unilateral balance test...
March 31, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28371230/a-post-cardiac-surgery-intervention-to-manage-delirium-involving-families-a-randomized-pilot-study
#12
Tanya Mailhot, Sylvie Cossette, José Côté, Anne Bourbonnais, Marie-Claude Côté, Yoan Lamarche, André Denault
BACKGROUND: As many delirium manifestations (e.g., hallucinations or fears) are linked to patients' experiences and personality traits, it is suggested that interventions should be tailored to optimize its management. The inclusion of family members, as part of an intervention, has recently emerged as a solution to developing individualised patient care, but has never been assessed in post-cardiac surgery intensive care unit where almost half of patients will present with delirium. AIMS: To assess the feasibility, acceptability and preliminary efficacy of an nursing intervention involving family caregivers (FC) in delirium management following cardiac surgery...
March 31, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28369719/home-and-community-based-occupational-therapy-improves-functioning-in-frail-older-people-a-systematic-review
#13
Leen De Coninck, Geertruida E Bekkering, Leen Bouckaert, Anja Declercq, Maud J L Graff, Bert Aertgeerts
OBJECTIVES: The objective is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community-dwelling physically frail older people. DESIGN: We conducted a systematic review and meta-analysis. We included randomized controlled trials reporting on occupational therapy as intervention, or as part of a multidisciplinary approach. This systematic review was carried out in accordance with the Cochrane methods of systematic reviews of interventions...
April 3, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28349029/effect-of-square-stepping-exercise-for-older-adults-to-prevent-fall-and-injury-related-to-fall-systematic-review-and-meta-analysis-of-current-evidences
#14
REVIEW
Berihu Fisseha, Balamurugan Janakiraman, Asmare Yitayeh, Hariharasudhan Ravichandran
Falls and fall related injuries become an emerging health problem among older adults. As a result a review of the recent evidences is needed to design a prevention strategy. The aim of this review was to determine the effect of square stepping exercise (SSE) for fall down injury among older adults compared with walking training or other exercises. An electronic database search for relevant randomized control trials published in English from 2005 to 2016 was conducted. Articles with outcome measures of functional reach, perceived health status, fear of fall were included...
February 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28343914/falls-and-fear-of-falling-predict-future-falls-and-related-injuries-in-ambulatory-people-with-spinal-cord-injury-a-longitudinal-observational-study
#15
Vivien Jørgensen, Emelie Butler Forslund, Arve Opheim, Erika Franzén, Kerstin Wahman, Claes Hultling, Åke Seiger, Agneta Ståhle, Johan K Stanghelle, Kirsti Skavberg Roaldsen
QUESTION: What is the 1-year incidence of falls and injurious falls in a representative cohort of community-dwelling ambulatory people with chronic spinal cord injury? What are the predictors of recurrent falls (more than two/year) and injurious falls in this population? DESIGN: One-year longitudinal observational multi-centre study. PARTICIPANTS: A representative sample of 68 (of 73 included) community-dwelling ambulatory people with traumatic spinal cord injury attending regular follow-up programs at rehabilitation centres...
February 28, 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/28320331/a-multi-component-cognitive-behavioural-intervention-for-the-treatment-of-fear-of-falling-after-hip-fracture-fit-hip-protocol-of-a-randomised-controlled-trial
#16
Maaike N Scheffers-Barnhoorn, Jolanda C M van Haastregt, Jos M G A Schols, Gertrudis I J M Kempen, Romke van Balen, Jan H M Visschedijk, Wilbert B van den Hout, Eve M Dumas, Wilco P Achterberg, Monica van Eijk
BACKGROUND: Hip fracture is a common injury in the geriatric population. Despite surgical repair and subsequent rehabilitation programmes, functional recovery is often limited, particularly in individuals with multi-morbidity. This leads to high care dependency and subsequent use of healthcare services. Fear of falling has a negative influence on recovery after hip fracture, due to avoidance of activity and subsequent restriction in mobility. Although fear of falling is highly prevalent after hip fracture, no structured treatment programme is currently available...
March 20, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28273158/perceptions-of-physical-activity-and-walking-in-an-early-stage-after-stroke-or-acquired-brain-injury
#17
Karin Törnbom, Katharina S Sunnerhagen, Anna Danielsson
BACKGROUND: Physical activity has been established as being highly beneficial for health after stroke. There are considerable global efforts to find rehabilitation programs that encourage increased physical activity for persons with stroke. However, many persons with stroke or acquired brain injury do not reach recommended levels of physical activity and increased knowledge about why is needed. We aimed to explore views and experiences of physical activity and walking among persons with stroke or acquired brain injury...
2017: PloS One
https://www.readbyqxmd.com/read/28270712/perceptions-of-adolescent-patients-of-the-lived-experience-of-type-1-diabetes
#18
Kathryn M King, Philip J King, Rahul Nayar, Scott Wilkes
The care and management of adolescents with type 1 diabetes presents numerous challenges that are inherent to the fears, attitudes, and perceptions of their illness. This qualitative study aimed to explore the "lived experience" of individuals with type 1 diabetes. In-depth interviews were conducted with 20 patients diagnosed with type 1 diabetes in their adolescent years to elicit their views, perceptions, and concerns regarding living with diabetes. All interviews were conducted and analyzed using the principles of grounded theory...
February 2017: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/28268274/virtual-reality-applications-in-assessing-the-effect-of-anxiety-on-sensorimotor-integration-in-human-postural-control
#19
Christopher Widdowson, Jatin Ganhotra, Mohammed Faizal, Marissa Wilko, Saurin Parikh, Zainulabidin Adhami, Manuel E Hernandez
Falls are a leading cause of injury and mortality among adults over the age of 65 years. Given the strong relation between fear of falling and fall risk, identification of the mechanisms that underlie anxiety-related changes in postural control may pave the way to the development of novel therapeutic strategies aimed at reducing fall risk in older adults. First, we review potential mechanisms underlying anxiety-mediated changes in postural control in older adults with and without neurological conditions. We then present a system that allows for the simultaneous recording of neural, physiological, and behavioral data in an immersive virtual reality (VR) environment while implementing sensory and mechanical perturbations to evaluate alterations in sensorimotor integration under conditions with high postural threat...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28267374/patients-with-copd-walk-with-altered-step-time-and-step-width-variability-as-compared-to-healthy-controls
#20
Jennifer M Yentes, Stephen I Rennard, Kendra K Schmid, Daniel Blanke, Nicholas Stergiou
RATIONALE: Compared to controls, patients chronic obstructive pulmonary disease (COPD) have an increased incidence of falls, demonstrate balance deficits, and alterations in medio-lateral trunk acceleration while walking. Measures of gait variability have been implicated as indicators of fall risk, fear of falling, and future falls. OBJECTIVES: To investigate whether alterations in gait variability are found in COPD patients as compared to healthy controls. METHODS: Twenty COPD patients (16 males; 63...
March 7, 2017: Annals of the American Thoracic Society
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