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Fear of falling

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https://www.readbyqxmd.com/read/29345533/daily-bicycling-in-older-adults-may-be-effective-to-reduce-fall-risks-a-case-control-study
#1
Shani Batcir, Itshak Melzer
Older adults gain many health benefits from riding bicycles regularly. We aimed to explore whether older persons who ride bicycles regularly have better balance than controls. Balance control and voluntary stepping were assessed in 20 older adults aged 65 to 85 who live in an agricultural community village who regularly ride bicycles (BR), and 30 age- and gender-matched non-bicycle riders (NBR). Self-reported function and fear of fall were also assessed. Bicycle riders showed significantly better balance, faster voluntary stepping, and better self-reported advanced lower extremity function compared with NBR...
January 18, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29345519/-i-just-roll-over-pick-myself-up-and-carry-on-exploring-the-fall-risk-experience-of-canadian-masters-athletes
#2
Dylan Brennan, Aleksandra A Zecevic, Shannon L Sibbald, Volker Nolte
OBJECTIVES: The risk of falling increases in adults over the age of 65. A common barrier to take up physical activity in sedentary older adults is the fear of falls and injury. Experiences of masters athletes can provide insights into management of the risk for falling. The purpose of this phenomenological study was to explore the fall-risk experience of masters athletes actively competing in sport. METHODS: Masters athletes over the age of 55 (n=22) described their experiences in semi-structured interviews...
January 18, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29330073/the-association-of-clinic-based-mobility-tasks-and-measures-of-community-performance-and-risk
#3
M L Callisaya, J Verghese
INTRODUCTION: Gait speed is recognized as an important predictor of adverse outcomes in older people. However, it is unknown if other more complex mobility tasks are better predictors of such outcomes. OBJECTIVE: To examine a range of clinic-based mobility tests and determine which were most strongly associated with measures of community performance and risk (CP&R). DESIGN: Cross-sectional study SETTING: Central Control Mobility and Aging Study, Westchester County, New York PARTICIPANTS: Aged ≥ 65 years (n=424) METHODS: Clinic-based mobility measures included gait speed measured during normal and dual-task conditions, the Floor Maze Immediate and Delay tasks, and stair ascending and descending...
January 9, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29329971/muscle-quality-is-associated-with-dynamic-balance-fear-of-falling-and-falls-in-older-women
#4
André Bonadias Gadelha, Silvia Gonçalves Ricci Neri, Otávio Toledo Nóbrega, Juscélia Cristina Pereira, Martim Bottaro, Andrew Fonsêca, Ricardo M Lima
No abstract text is available yet for this article.
January 9, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29325717/factors-related-to-older-patients-fear-of-falling-during-the-first-mobilization-after-total-knee-replacement-and-total-hip-replacement
#5
Hale Turhan Damar, Ozlem Bilik, Ozgul Karayurt, Figen Erol Ursavas
The aim of this study was to determine fear of falling in the first mobilization and affecting factors in older patients. The study had a descriptive and cross-sectional design. Data were collected in Izmir, Turkey between February 2014 and March 2016. The sample included 204 older patients undergoing joint replacement surgery. Fifty-seven-point four percent and 42.6% of the patients had total hip and knee replacement respectively. 42.2% of the patients had a severe fear of falling when they were first mobilized...
January 8, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29304202/-i-feel-worn-out-as-if-i-neglected-myself-older-patients-perspectives-on-post-hospital-symptoms-after-acute-hospitalization
#6
Rosanne van Seben, Lucienne A Reichardt, Dirk R Essink, Barbara C van Munster, Jos A Bosch, Bianca M Buurman
Background: The transition between hospital and home is a vulnerable period for acutely hospitalized older patients during which they are at increased risk for adverse health outcomes. Yet, studies describing experiences of a geriatric patient population postdischarge from a patient perspective are missing. Objective: To characterize patient experiences with recovering at home after acute hospitalization. Design and Methods: Qualitative semi-structured interviews, involving 20 recently discharged patients (age ≥ 70), were conducted...
January 3, 2018: Gerontologist
https://www.readbyqxmd.com/read/29290277/comparison-of-walking-muscle-strength-balance-and-fear-of-falling-between-repeated-fall-group-one-time-fall-group-and-nonfall-group-of-the-elderly-receiving-home-care-service
#7
MiYang Jeon, Mee Ock Gu, JongEun Yim
PURPOSE: The purpose of this study was to provide information to develop a program to prevent repeated falls by analyzing the difference in gait, muscle strength, balance, and fear of falling according to their fall experience. METHODS: The study subjects were 110 elderly individuals aged over 60 years who agreed to their participation in this research. The study participants were categorized into a repeated fall group (n = 40), a one-time fall group (n = 15), and a nonfall group (n = 46) of the elderly...
December 2017: Asian Nursing Research
https://www.readbyqxmd.com/read/29282812/frequency-and-circumstances-of-falls-for-people-with-charcot-marie-tooth-disease-a-cross-sectional-survey
#8
Gita M Ramdharry, Louise Reilly-O'Donnell, Robert Grant, Mary M Reilly
OBJECTIVE: People with Charcot-Marie-Tooth (CMT) disease may be at risk of falls due to distal muscle weakness and sensory impairment. We aimed to understand the frequency of falls in a cohort, where they occurred, injury and to what people attributed the possible cause. DESIGN: A cross-sectional survey design was used. It was sent by post to ascertain the frequency of falls and near falls, plus the circumstances of the last three falls events they could recall...
December 28, 2017: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/29282411/fear-of-falling-and-cognitive-impairments-in-elderly-people-with-hip-fractures
#9
Mari Kasai, Kenichi Meguro, Hiroshi Ozawa, Keiichi Kumai, Hideki Imaizumi, Hanae Minegishi, Hideki Oi, Akira Oizumi, Masahiro Yamashiro, Michimasa Matsuda, Masahiko Tanaka, Eiji Itoi
Background/Aim: The purpose of this study was to investigate the estimated prevalence of dementia and the relationship between cognitive impairment and fear of falling in patients with hip fractures. Methods: Analysis 1 included 100 patients with hip fractures. Analysis 2 included a subgroup of subjects with ≥75 years of functional independence: 46 patients with hip fractures and 46 control subjects without hip fractures, and presence or absence of dementia. We used an informant-rated questionnaire including the AD8 for screening for dementia, the Barthel Index for assessing activities of daily living, and the Short Falls Efficacy Scale-International (FES-I) for assessing fear of falling...
September 2017: Dementia and Geriatric Cognitive Disorders Extra
https://www.readbyqxmd.com/read/29244033/older-adults-with-hip-arthroplasty-an-individualized-transitional-care-program
#10
YoungJi Ko, JuHee Lee, EuiGeum Oh, MoNa Choi, ChangOh Kim, KiWol Sung, SeungHoon Baek
BACKGROUND: Most older adults with hip fracture surgery experience functional decline (FD), causing devastating outcomes. However, few studies have examined the effects of nursing interventions to reduce FD for them. PURPOSE: The aim of the study was to evaluate an individualized transitional care program (ITCP) to reduce FD for older adults with hip arthroplasty. METHODS: The study was quasiexperimental, with a nonequivalent control group design...
December 13, 2017: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29238177/the-mediating-role-of-psychological-symptoms-on-falls-risk-among-older-adults-with-osteoarthritis
#11
Sumaiyah Mat, Chin Teck Ng, Farhana Fadzil, Faizatul Izza Rozalli, Maw Pin Tan
The purpose of this study was to investigate the role of fear of falling (FoF) and psychological symptoms in explaining the relationship between osteoarthritis (OA) symptom severity and falls. Individuals aged ≥65 years with ≥2 falls or ≥1 injurious fall over the past 12 months were included in the falls group, while volunteers aged ≥65 years with no history of falls over 12 months were recruited as controls. The presence of lower extremity OA was determined radiologically and clinically. Severity of symptoms was assessed using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29232671/predicting-trajectories-of-functional-decline-in-60-to-70-year-old-people
#12
Nini H Jonkman, Vieri Del Panta, Trynke Hoekstra, Marco Colpo, Natasja M van Schoor, Stefania Bandinelli, Luca Cattelani, Jorunn L Helbostad, Beatrix Vereijken, Mirjam Pijnappels, Andrea B Maier
BACKGROUND: Early identification of people at risk of functional decline is essential for delivering targeted preventive interventions. OBJECTIVE: The aim of this study is to identify and predict trajectories of functional decline over 9 years in males and females aged 60-70 years. METHODS: We included 403 community-dwelling participants from the InCHIANTI study and 395 from the LASA study aged 60-70 years at baseline, of whom the majority reported no functional decline at baseline (median 0, interquartile range 0-1)...
December 13, 2017: Gerontology
https://www.readbyqxmd.com/read/29231272/impact-of-fear-of-falling-and-fall-history-on-disability-incidence-among-older-adults-prospective-cohort-study
#13
Keitaro Makino, Hyuma Makizako, Takehiko Doi, Kota Tsutsumimoto, Ryo Hotta, Sho Nakakubo, Takao Suzuki, Hiroyuki Shimada
OBJECTIVE: Fear of falling (FOF) is a major health problem for older adults, present not just in fallers, but also nonfallers. This study examined the impact of FOF and fall history on disability incidence among community-dwelling older adults from a prospective cohort study. METHODS: A total of 5104 older adults living in community settings participated in baseline assessment and were followed up for about 4 years (median 52 mo, range 49-55 mo). At baseline, participants were assessed the presence of FOF and their fall history, and divided into 4 groups: Fall (-) FOF (-), Fall (+) FOF (-), Fall (-) FOF (+), and Fall (+) FOF (+)...
December 12, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29229398/can-an-aversive-extinction-resistant-memory-trigger-impairments-in-walking-adaptability-an-experimental-study-using-adult-rats
#14
Filipe Mello Medeiros, Jociane de Carvalho Myskiw, Pedro Porto Alegre Baptista, Laura Tartari Neves, Lucas Athaydes Martins, Cristiane Regina Guerino Furini, Iván Izquierdo, Léder Leal Xavier, Kristen Hollands, Régis Gemerasca Mestriner
Cognitive demands can influence the adaptation of walking, a crucial skill to maintain body stability and prevent falls. Whilst previous research has shown emotional load tunes goal-directed movements, little attention has been given to this finding. This study sought to assess the effects of suffering an extinction-resistant memory on skilled walking performance in adult rats, as an indicator of walking adaptability. Thus, 36 Wistar rats were divided in a two-part experiment. In the first part (n=16), the aversive, extinction-resistance memory paradigm was established using a fear-conditioning chamber...
December 8, 2017: Neuroscience Letters
https://www.readbyqxmd.com/read/29227413/the-association-between-body-adiposity-measures-postural-balance-fear-of-falling-and-fall-risk-in-older-community-dwelling-women
#15
Silvia Gonçalves Ricci Neri, André Bonadias Gadelha, Ana Cristina de David, Aparecido Pimentel Ferreira, Marisete Peralta Safons, Anne Tiedemann, Ricardo M Lima
BACKGROUND AND PURPOSE: Recent investigations demonstrate an association between obesity and the propensity of older adults to fall. The aim of this study was to investigate the association between body adiposity measures, postural balance, fear of falling, and risk of falls in older women. METHODS: One hundred forty-seven volunteers took part in this cross-sectional study. Participants underwent body composition assessment using dual-energy x-ray absorptiometry and had body mass index, waist circumference (WC), and body adiposity index measured...
December 7, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29220420/fear-of-falling-predicts-incidence-of-functional-disability-two-years-later-a-perspective-from-an-international-cohort-study
#16
Mohammad Auais, Simon French, Beatriz Alvarado, Catherine Pirkle, Emmanuelle Belanger, Jack Guralnik
Objective: To study the extent to which fear of falling (FOF) is associated with the onset of functional disability over a 2-year period in older adults using self-reported and performance-based measures. Methods: In 2012, 1,601 participants (aged 65-74) were recruited from four sites: Kingston and Saint-Hyacinthe, Canada; Manizales, Colombia; and Natal, Brazil. They were re-assessed in 2014. We quantified FOF using the Fall Efficacy Scale-International (FES-I; range: 16-64)...
December 6, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29212996/-a-comparison-of-the-associations-of-dynapenia-and-sarcopenia-with-fear-of-falling-in-elderly-diabetic-patients
#17
Satoshi Ida, Kazuya Murata, Yuki Ishihara, Kanako Imataka, Ryutaro Kaneko, Ryoko Fujiwara, Hiroka Takahashi
AIM: To comparatively investigate whether dynapenia and sarcopenia, as defined by the Asian Working Group for Sarcopenia (AWGS), are associated with fear of falling in elderly patients with diabetes. METHODS: The subjects were outpatients with diabetes who were at least 65 years of age when they visited our hospital. Sarcopenia was evaluated based on the AWGS definition. The cutoff values for the appendicular skeletal mass index (multi-frequency bioelectrical impedance method), grip strength, and walking speed were, respectively, 7...
2017: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
https://www.readbyqxmd.com/read/29211742/fear-of-falling-and-postural-reactivity-in-patients-with-glaucoma
#18
Fábio B Daga, Alberto Diniz-Filho, Erwin R Boer, Carolina P B Gracitelli, Ricardo Y Abe, Felipe A Medeiros
PURPOSE: To investigate the relationship between postural metrics obtained by dynamic visual stimulation in a virtual reality environment and the presence of fear of falling in glaucoma patients. METHODS: This cross-sectional study included 35 glaucoma patients and 26 controls that underwent evaluation of postural balance by a force platform during presentation of static and dynamic visual stimuli with head-mounted goggles (Oculus Rift). In dynamic condition, a peripheral translational stimulus was used to induce vection and assess postural reactivity...
2017: PloS One
https://www.readbyqxmd.com/read/29211166/-factors-associated-with-the-use-of-wheelchairs-by-institutionalized-elderly-people
#19
Elysama Fernandes Alves, Poliana Penasso Bezerra
Due to the high prevalence of wheel-chair use by institutionalized elderly people, the scope of this research was to verify whether factors involving gender, age, education, length of institutionalization, comorbidities, cognition and functionality are associated with the use of such equipment, as well as ascertain the reasons for use according to the perceptions of the elderly. It is a cross-sectional descriptive study that included 55 elderly people subdivided into G1 (locomotion without assistance) and G2 (wheelchair users)...
November 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29209398/risk-factors-associated-with-the-fear-of-falling-in-community-living-elderly-people-in-korea-role-of-psychological-factors
#20
Jong-Il Park, Jong-Chul Yang, Sangkeun Chung
Little is known about the risk factors for the fear of falling in elderly Korean individuals. Thus, the present study aimed to investigate the risk factors for fear of falling in a representative elderly population of over 10,000 individuals aged 65 years and older. A multivariate multinomial analysis revealed that the risk factors associated with a severe fear of falling were being female [odds ratio (OR)=4.396], older age (OR=5.550 for those aged ≥85 years), lower level of education (OR=0.719 for those with ≥13 years of schooling), chronic illness (OR=2...
November 2017: Psychiatry Investigation
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