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Fear of falling

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28265682/-influence-of-skeletal-muscles-on-the-risk-of-falling-in-old-age
#7
D Schöne, E Freiberger, C C Sieber
Falls in older adults are a major public health problem, affecting 1 in 3 persons aged 65 and over at least once a year. Consequences of falling include death, injuries, fear of falling, and subsequent loss of independence. The age-related loss of muscle mass and function (sarcopenia) as well as muscle strength are markers of the frailty syndrome. In addition, they are associated with physical function and are a risk factor for falling. Older adults should be screened for falls at least annually. If evaluated as at-risk, a comprehensive falls assessment should be conducted to determine an individual's risk profile...
March 6, 2017: Der Internist
https://www.readbyqxmd.com/read/28263256/factors-associated-with-ambulatory-activity-in-de-novo-parkinson-disease
#8
Cory Christiansen, Charity Moore, Margaret Schenkman, Benzi Kluger, Wendy Kohrt, Anthony Delitto, Brian Berman, Deborah Hall, Deborah Josbeno, Cynthia Poon, Julie Robichaud, Toby Wellington, Samay Jain, Cynthia Comella, Daniel Corcos, Ed Melanson
BACKGROUND AND PURPOSE: Objective ambulatory activity during daily living has not been characterized for people with Parkinson disease prior to initiation of dopaminergic medication. Our goal was to characterize ambulatory activity based on average daily step count and examine determinants of step count in nonexercising people with de novo Parkinson disease. METHODS: We analyzed baseline data from a randomized controlled trial, which excluded people performing regular endurance exercise...
April 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/28261500/efficacy-of-wii-fit-on-static-and-dynamic-balance-in-community-dwelling-older-veterans-a-randomized-controlled-pilot-trial
#9
Kalpana P Padala, Prasad R Padala, Shelly Y Lensing, Richard A Dennis, Melinda M Bopp, Christopher M Parkes, Mark K Garrison, Patricia M Dubbert, Paula K Roberson, Dennis H Sullivan
Background/Objectives. Balance problems are well-established modifiable risk factors for falls, which are common in older adults. The objective of this study was to establish the efficacy of a Wii-Fit interactive video-game-led physical exercise program to improve balance in older Veterans. Methods. A prospective randomized controlled parallel-group trial was conducted at Veterans Affairs Medical Center. Thirty community dwelling Veterans aged 68 (±6.7) years were randomized to either the exercise or control groups...
2017: Journal of Aging Research
https://www.readbyqxmd.com/read/28259309/clinician-attitudes-skills-motivations-and-experience-following-the-implementation-of-clinical-decision-support-tools-in-a-large-dental-practice
#10
Elizabeth Mertz, Cynthia Wides, Joel White
OBJECTIVE: This study assesses dental clinicians' pre- and post-implementation attitudes, skills, and experiences with three clinical decision support (CDS) tools built into the electronic health record (EHR) of a multi-specialty group dental practice. METHODS: Electronic surveys designed to examine factors for acceptance of EHR-based CDS tools including caries management by risk assessment (CAMBRA), periodontal disease management by risk assessment (PEMBRA) and a risk assessment-based Proactive Dental Care Plan (PDCP) were distributed to all Willamette Dental Group employees at 2 time points; 3 months pre-implementation (Fall 2013) and 15 months after implementation (winter 2015)...
March 2017: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/28253947/-periprosthetic-femoral-fractures-after-total-hip-replacement-our-results-and-treatment-complications
#11
T Pavelka, M Salášek, D Weisová
PURPOSE OF THE STUDY The study consists of a retroactive evaluation of results of surgical treatment in patients with periprosthetic femoral fracture after total hip replacement and a comparison with results reported in the literature. MATERIAL AND METHODS In the period from 2003 to 2013, a total of 83 patients with periprosthetic femoral fracture after total hip replacement were treated at our clinic, namely 69 women and 14 men. The mean age in the cohort was 74 years (range 47-87). The Vancouver classification was used to grade the fractures...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28251319/short-term-effectiveness-of-vestibular-rehabilitation-in-elderly-patients-with-postural-instability-a-randomized-clinical-trial
#12
Marcos Rossi-Izquierdo, Pilar Gayoso-Diz, Sofía Santos-Pérez, María Del-Río-Valeiras, Ana Faraldo-García, Isabel Vaamonde-Sánchez-Andrade, Antonio Lirola-Delgado, Andrés Soto-Varela
Balance becomes more precarious with age, and even without pathological disorders, the physiological decline in balance that occurs with age is a factor that also favors falls. So the aim of the present study is to assess the short-term effectiveness of three different methods of vestibular rehabilitation, compared to a control group, in improving balance in elderly patients with postural instability. 139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computer dynamic posturography (CDP) training, optokinetic stimulus, exercises at home, or control group...
March 1, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28244556/relationship-between-fear-of-falling-and-preceived-difficulty-with-grocery-shopping
#13
C S Johnson, K M McLeod
Fear of falling is associated with self-imposed restrictions of basic and instrumental activities of daily living (ADL/IADL), leading greater risk for functional decline and falls. The inability to independently grocery shop, a food-related IADL, negatively affects nutritional status and survival among seniors. Thus, this study examined the relationship between the fear of falling and difficulty with grocery shopping among seniors (n=98, mean age=82, 83% female), taking into account their functional capacity...
2017: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/28240778/predictors-of-posttraumatic-stress-symptoms-and-association-with-fear-of-falling-after-hip-fracture
#14
Sara L Kornfield, Eric J Lenze, Kerri S Rawson
OBJECTIVES: To determine whether fall-related hip fracture, alone or in the presence of Fear of Falling, is likely to induce PTSD in an elderly population. DESIGN: A longitudinal prospective study of patients admitted for hip fracture. SETTING: Eight St. Louis, Missouri, area hospitals. PARTICIPANTS: Individuals aged 60 and older admitted for surgical hip fracture repair after a fall (N = 456). MEASUREMENTS: Rates of partial and full posttraumatic stress disorder (pPTSD and fPTSD) were compared with rates of FoF...
February 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28240501/role-of-focused-assessment-with-sonography-for-trauma-as-a-screening-tool-for-blunt-abdominal-trauma-in-young-children-after-high-energy-trauma
#15
W Tummers, J van Schuppen, H Langeveld, J Wilde, E Banderker, A van As
BACKGROUND: The objective of the study was to review the utility of focused assessement with sonography for trauma (FAST) as a screening tool for blunt abdominal trauma (BAT) in children involved in high energy trauma (HET), and to determine whether a FAST could replace computed tomography (CT) in clinical decision-making regarding paediatric BAT. METHOD: Children presented at the Trauma Unit of the Red Cross War Memorial Children's Hospital, Cape Town, after HET, and underwent both a physical examination and a FAST...
June 2016: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28236090/introducing-a-psychological-postural-threat-alters-gait-and-balance-parameters-among-young-participants-but-not-among-most-older-participants
#16
Lucie Dubreucq, Aurélie Mereu, Gabrielle Blanc, Johanne Filiatrault, Cyril Duclos
The fear of falling can be manipulated by introducing a postural threat (e.g., an elevated support surface) during stance and gait. Under these conditions, balance parameters are altered in both young and elderly individuals. This study aimed to dissociate the physical and psychological aspects of the threat and show the impact of a verbal warning cue of imminent perturbation during gait among young and elderly healthy participants. Ten young subjects (29.4 ± 3.9 years) and ten subjects aged over 65 years (72...
February 24, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28226431/virtual-reality-applications-in-assessing-the-effect-of-anxiety-on-sensorimotor-integration-in-human-postural-control
#17
Christopher Widdowson, Jatin Ganhotra, Mohammed Faizal, Marissa Wilko, Saurin Parikh, Zainulabidin Adhami, Manuel E Hernandez, Christopher Widdowson, Jatin Ganhotra, Mohammed Faizal, Marissa Wilko, Saurin Parikh, Zainulabidin Adhami, Manuel E Hernandez, Marissa Wilko, Zainulabidin Adhami, Manuel E Hernandez, Saurin Parikh, Mohammed Faizal, Jatin Ganhotra, Christopher Widdowson
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/28217306/sexual-function-of-patients-with-heart-failure-facts-and-numbers
#18
EDITORIAL
Tiny Jaarsma
Approximately 60% to 87% of patients with heart failure (HF) report sexual problems, and numbers as low as 31% of HF patients younger than 70 have normal sexual function. When compared with healthy elders, the amount of perceived sexual dysfunction might be similar (around 56%), but patients with HF are reporting more erectile dysfunction (ED) and also perceive that their HF symptoms (20%) or HF medication (10%) is the cause for their problems. The prevalence of ED is highly prevalent in men with cardiac disease and reported in up to 81% of cardiac patients, compared with 50% in the general older population...
February 2017: ESC Heart Failure
https://www.readbyqxmd.com/read/28208604/reducing-fall-risk-with-combined-motor-and-cognitive-training-in-elderly-fallers
#19
Francesco Barban, Roberta Annicchiarico, Matteo Melideo, Alessia Federici, Maria Giovanna Lombardi, Simone Giuli, Claudia Ricci, Fulvia Adriano, Ivo Griffini, Manuel Silvestri, Massimo Chiusso, Sergio Neglia, Sergio Ariño-Blasco, Raquel Cuevas Perez, Yannis Dionyssiotis, Georgios Koumanakos, Milo Kovačeić, Nuria Montero-Fernández, Oscar Pino, Niels Boye, Ulises Cortés, Cristian Barrué, Atia Cortés, Peter Levene, Stelios Pantelopoulos, Roberto Rosso, José Antonio Serra-Rexach, Angelo Maria Sabatini, Carlo Caltagirone
BACKGROUND: Falling is a major clinical problem in elderly people, demanding effective solutions. At present, the only effective intervention is motor training of balance and strength. Executive function-based training (EFt) might be effective at preventing falls according to evidence showing a relationship between executive functions and gait abnormalities. The aim was to assess the effectiveness of a motor and a cognitive treatment developed within the EU co-funded project I-DONT-FALL...
February 10, 2017: Brain Sciences
https://www.readbyqxmd.com/read/28198915/personality-traits-anger-and-psychiatric-symptoms-related-to-quality-of-life-in-patients-with-newly-diagnosed-digestive-system-cancer
#20
Noemi Peres Honorato, Luciene Vaccaro de Morais Abumusse, Daniel Pereira Coqueiro, Vanessa de Albuquerque Citero
BACKGROUND: The presence of psychiatric symptoms, anger, and personality characteristics are factors that affect the quality of life of newly diagnosed digestive system cancer patients. OBJECTIVE: This study aims to identify which stable characteristics of the individual's personality interfere with quality of life, even when reactive emotional characteristics of falling ill are controlled. METHODS: A cross-sectional study was performed at the Oncology Clinic ( Hospital das Clínicas ), Marília/SP, Brazil, in which 50 adult patients with digestive system cancer and diagnosed less than 6 months answered the State-Trait Anger Expression Inventory, Temperament and Character Inventory, Hospital Anxiety and Depression Scale and WHOQOL-BREF...
February 13, 2017: Arquivos de Gastroenterologia
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