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Fear of falling

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https://www.readbyqxmd.com/read/28809939/a-cross-sectional-study-comparing-lateral-and-diagonal-maximum-weight-shift-in-people-with-stroke-and-healthy-controls-and-the-correlation-with-balance-gait-and-fear-of-falling
#1
Margaretha M van Dijk, Sarah Meyer, Solveig Sandstad, Evelyne Wiskerke, Rhea Thuwis, Chesny Vandekerckhove, Charlotte Myny, Nitesh Ghosh, Hilde Beyens, Eddy Dejaeger, Geert Verheyden
Impaired balance is common post stroke and can be assessed by means of force-platforms measuring center of pressure (COP) displacements during static standing, or more dynamically during lateral maximum weight shift (MWS). However, activities of daily life also include diagonal MWS and since force platforms are nowadays commercially available, investigating lateral and diagonal MWS in a clinical setting might be feasible and clinically relevant. We investigated lateral and diagonal MWS while standing in patients with stroke (PwS) and healthy controls (HC), evaluated MWS towards the affected and the non-affected side for PwS and correlated MWS with measures of balance, gait and fear of falling...
2017: PloS One
https://www.readbyqxmd.com/read/28805587/osteoporosis-a-hidden-nonmotor-face-of-parkinson-s-disease
#2
Vinod Metta, Tamara C Sanchez, Chandrasekhara Padmakumar
Osteoporosis is a "hidden nonmotor face" of Parkinson's disease and a cause of considerable morbidity in the older general population and in Parkinson's disease patients. Some regard this as a "hidden epidemic." Women are overrepresented and have considerable problems related to osteoporosis. In general osteoporosis leads to reduced mobility aggravating the motor syndrome of PD. The nonmotor aspects and impact of osteoporosis in PD have remained unexplored. Possible nonmotor consequences include a range of pain syndromes related to local pain, fractures, falls, and injuries as well as pathological fractures and radiculopathy...
2017: International Review of Neurobiology
https://www.readbyqxmd.com/read/28804457/association-between-hypometabolism-in-the-supplementary-motor-area-and-fear-of-falling-in-older-adults
#3
Ryota Sakurai, Yoshinori Fujiwara, Masashi Yasunaga, Hiroyuki Suzuki, Kazuyuki Kanosue, Manuel Montero-Odasso, Kenji Ishii
Background: A better understanding of the neural mechanisms that underlie the development of fear of falling (FoF) in seniors may help to detect potential treatable factors and reduce future falls. We therefore investigate the neural correlates of FoF in older adults using (18)F-fluorodeoxyglucose-positron emission tomography (FDG-PET). Methods: This cohort study included 117 community-dwelling older adults. At baseline, participants were assessed for FoF, psychiatric symptoms, walking speed, global cognition and cerebral glucose metabolism with FDG-PET...
2017: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/28799658/dynamic-blowout-risk-analysis-using-loss-functions
#4
Majeed Abimbola, Faisal Khan
Most risk analysis approaches are static; failing to capture evolving conditions. Blowout, the most feared accident during a drilling operation, is a complex and dynamic event. The traditional risk analysis methods are useful in the early design stage of drilling operation while falling short during evolving operational decision making. A new dynamic risk analysis approach is presented to capture evolving situations through dynamic probability and consequence models. The dynamic consequence models, the focus of this study, are developed in terms of loss functions...
August 11, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/28793363/falls-a-fear-of-falling-and-related-factors-in-older-adults-with-complex-chronic-disease
#5
JuHee Lee, MoonKi Choi, Chang Oh Kim
AIM AND OBJECTIVES: To identify factors influencing falls and the fear of falling among older adults with chronic diseases in Korea. BACKGROUND: The fear of falling and falls in older adults are significant health problems towards which healthcare providers should direct their attention. Further investigation is needed to improve nursing practice specifically decreasing risk of falls and the fear of falling in Korea. DESIGN: Descriptive, cross-sectional survey...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28792586/experiences-of-falls-and-strategies-to-manage-the-consequences-of-falls-in-persons-with-late-effects-of-polio-a-qualitative-study
#6
Christina Brogårdh, Jan Lexell, Catharina Sjödahl Hammarlund
OBJECTIVE: To explore how persons with late effects of polio experience falls and what strategies they use to manage the consequences of falls. DESIGN: A qualitative study with face-to-face interviews. Data were analysed by systematic text condensation. PARTICIPANTS: Fourteen ambulatory persons (7 women; mean age 70 years) with late effects of polio. RESULTS: Analysis resulted in one main theme, "Everyday life is a challenge to avoid the consequences of falls", and 3 categories with 7 subcategories...
August 9, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28746559/factors-associated-with-the-risk-of-falls-in-hospitalized-adult-patients
#7
Vivian Lemes Lobo Bittencourt, Sandra Leontina Graube, Eniva Miladi Fernandes Stumm, Iara Denise Endruweit Battisti, Marli Maria Loro, Eliane Roseli Winkelmann
OBJECTIVE: Analyzing factors related to the risk of falls in hospitalized adult patients. METHOD: A cross-sectional, analytical and quantitative study, developed in Clinical and Surgical Hospitalization Units from June to August 2015. Data collection instruments were sociodemographic and clinical forms, and the Morse Scale. Data were obtained with the patients and from medical records. Absolute and relative frequencies were used in the univariate statistical analysis, and chi-square test in the bivariate analysis...
July 20, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28745181/praise-for-mental-health-staff-despite-safety-fears
#8
Matthew Mckew
A fall in the number of mental health nurses has been linked to increased risk to patient safety, in an England-wide Care Quality Commission (CQC) report.
July 26, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28744041/the-relationship-between-physical-function-in-the-elderly-and-judgment-error-in-walking-speed
#9
Yumi Sakamoto, Yukari Ohashi
[Purpose] "Judgment error," defined as a difference between the actual and the imagined performance, is often observed in elderly persons. The aims of this study were to assess subjective judgment errors in elderly persons, and to evaluate the relationship between physical function and judgment error in walking speed. [Subjects and Methods] A total of 106 community-dwelling elderly individuals participated. Subjects observed video footage of a model walking an obstacle course, and were asked to subjectively compare the model's gait speed with their own gait speed...
July 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28735370/gait-and-cognitive-impairments-in-multiple-sclerosis-the-specific-contribution-of-falls-and-fear-of-falling
#10
Alon Kalron, Gilles Allali
Our goal was to identify the specific contribution of fear of falling (FoF) and falls with quantitative gait impairments and cognition capabilities in multiple sclerosis (MS) patients. Patients were separated into four individual subgroups as to the presence of FoF and falls (i.e., fearless/non-fallers, fearless/fallers, FoF/non-fallers and FoF/fallers). The Falls Efficacy Scale International questionnaire was used to assess the level of concern of falling. Participants were defined as "fallers" and "non-fallers" based on their fall history...
July 22, 2017: Journal of Neural Transmission
https://www.readbyqxmd.com/read/28731510/the-association-of-lower-urinary-tract-symptoms-with-incidental-falls-and-fear-of-falling-in-later-life-the-community-health-survey
#11
Kyu Shik Kim, Ji Won Nam, Bo Youl Choi, Hong Sang Moon
AIM: To evaluate the association between lower urinary tract symptoms (LUTS) and incidental falls and fear of falling. METHODS: We used data obtained from the 2011 Korean Community Health Survey (KCHS) conducted between August and October 2011 in South Korea. The survey was carried out to estimate patterns of disease prevalence and morbidity in men >40 years old. The trained interviewers performed face-to-face sociodemographic questionnaires using computer-assisted personal interviewing (CAPI) software, the International Prostate Symptom Score (IPSS), the Quality of Life score (EQ-5D), and a questionnaire about past falls and fear of falling...
July 21, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28721431/depressive-symptoms-falls-and-fear-of-falling-in-old-korean-adults-the-korean-longitudinal-study-on-health-and-aging-klosha
#12
Y Park, N-J Paik, K W Kim, H-C Jang, J-Y Lim
Fall is a common cause of disability and death in old adults, and much research has been focused on identifying risk factors and developing preventive measures. Yet the majority of preceding research has been focused on physical performance. This study aims to evaluate the association between fall and depressive symptoms in community-dwelling elderly. Cross-sectional data of 431 men and 546 women was collected from old Korean adults living in Seongnam, Korea. Geriatric fall assessment was conducted by self-report questionnaires...
2017: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/28721429/frailty-and-fear-of-falling-the-fistac-study
#13
M Esbrí-Víctor, I Huedo-Rodenas, M López-Utiel, J L Navarro-López, M Martínez-Reig, J A Serra-Rexach, L Romero-Rizos, P Abizanda
OBJECTIVE: To analyze the association between frailty and Fear of Falling (FoF) in a cohort of older adults with previous falls. DESIGN: Cross-sectional study (FISTAC). SETTING: Falls Unit, Complejo Hospitalario Universitario of Albacete (Spain). PARTICIPANTS: 183 adults older than 69 years, from the Falls Unit, with a history of a previous fall in the last year. MEASUREMENTS: FoF was assessed at baseline using the Falls Efficacy Scale International (FES-I) and three questions previously validated...
2017: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/28714802/binocular-vision-disorders-and-visual-attention-associations-with-balance-and-mobility-in-older-adults
#14
Mohammed M Althomali, Susan J Leat
Understanding which aspects of vision are related to falls is important. We examine the associations between tests of balance, mobility, fear of falling (FES-1) and aspects of vision in 72 adults aged 70+. Balance and mobility were examined using the One Legged Stance test (OLST), the Sit to Stand test (STST) and the 5 Meter Walking test (5MWT). Visual measures included visual acuity (VA), contrast sensitivity, stereoacuity, binocular vision (BV) measurements, Useful field of View (UFV) and Attended Field of View (AFOV)...
July 17, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28706543/a-comparison-of-the-effect-of-education-through-video-versus-demonstration-on-fear-of-falling-in-nursing-home-residents-of-mashhad-iran
#15
Zohre Najafi, Milad Barghi, Hadi Kooshyar, Hossein Karimi-Mounaghi, Marzieh Zebardast Rodi
BACKGROUND: Fear of falling is one of the most serious potential health problems. This issue is of high importance in the elderly with serious consequences such as limitations in daily activities, gait imbalance, social isolation, and increased risk of falling. One way to resolve this problem is the use of modern teaching methods such as demonstration and videos. The present study aimed at comparing the effect of education through video versus demonstration on fear of falling in nursing home residents of Mashhad city, Iran...
May 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/28706105/how-people-with-dementia-and-carers-understand-and-react-to-social-functioning-changes-in-mild-dementia-a-uk-based-qualitative-study
#16
David Singleton, Naaheed Mukadam, Gill Livingston, Andrew Sommerlad
OBJECTIVES: To analyse people with dementia and their family carers' attribution of social changes in dementia and the consequences of these attributions. DESIGN: Qualitative study, using a semi-structured interview guide. Individual interviews continued to theoretical saturation. Two researchers independently analysed interview transcripts. SETTING AND PARTICIPANTS: People with mild dementia and family carers purposively selected from London-based memory services for diverse demographic characteristics to encompass a range of experiences...
July 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28697791/blood-transfusion-in-elderly-patients-with-chronic-anemia-a-qualitative-analysis-of-the-general-practitioners-attitudes
#17
Sylvain Le Calvé, Dominique Somme, Joaquim Prud'homm, Aline Corvol
BACKGROUND: Blood transfusion in chronic anemia is not covered by guidelines specific to older adults. When they consider that this treatment is necessary in elderly patients, French general practitioners (GPs) contact a hospital specialist to plan a transfusion. METHODS: Twenty French GPs were questioned individually regarding their approach to blood transfusion using semi-structured interviews. Each interview was recorded, typed up verbatim and then coded using an inductive procedure by theme, in a cross-over design (two researchers) in two phases: analysis and summary, followed by grouping of the recorded comments...
July 11, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28697038/sleep-quality-and-its-association-with-postural-stability-and-fear-of-falling-among-spanish-postmenopausal-women
#18
Fidel Hita-Contreras, Noelia Zagalaz-Anula, Antonio Martínez-Amat, David Cruz-Díaz, Indalecio Sánchez-Montesinos, Agustín Aibar-Almazán, Rafael Lomas-Vega
OBJECTIVE: To analyze the association of sleep quality with postural balance, as measured with objective stabilometric parameters, and fear of falling (FoF), among Spanish postmenopausal women. METHODS: In all, 250 women (60 ± 8 years) took part in this cross-sectional study. Sociodemographic and anthropometric data were collected, as well as information concerning history of falls and FoF. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale, and the Pittsburgh Sleep Quality Index was used to analyze sleep quality...
July 10, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28695318/-subjective-gait-stability-in-the-elderly
#19
Theresa Hirsch, Jasmin Lampe, Katrin Michalk, Lotte Röder, Karoline Munsch, Jonas Marquardt
BACKGROUND: It can be assumed that the feeling of gait stability or gait instability in the elderly may be independent of a possible fear of falling or a history of falling when walking. Up to now, there has been a lack of spatiotemporal gait parameters for older people who subjectively feel secure when walking. OBJECTIVE: The aim of the study is to analyse the distribution of various gait parameters for older people who subjectively feel secure when walking. MATERIALS AND METHODS: In a cross-sectional study, the gait parameters stride time, step time, stride length, step length, double support, single support, and walking speed were measured using a Vicon three-dimensional motion capture system (Plug-In Gait Lower-Body Marker Set) in 31 healthy people aged 65 years and older (mean age 72 ± 3...
July 10, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28689568/falls-in-the-aging-population
#20
REVIEW
Kareeann S F Khow, Renuka Visvanathan
The number of people living beyond 65 years of age is increasing rapidly, and they are at increased risk of falls. Falls-related injuries and hospitalizations are steadily increasing. Falls can lead to fear of falling, loss of independence, institutionalization, and death, inevitably posing a significant burden to the health care system. Therefore, screening of people at risk of falls and comprehensive assessment of older people at high risk of falls are critical steps toward prevention. This review evaluates the current knowledge relating to falls, with particular focus on rapid screening, assessment, and strategies to prevent falls in the community...
August 2017: Clinics in Geriatric Medicine
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