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https://www.readbyqxmd.com/read/28531243/increased-postural-sway-during-quiet-stance-as-a-risk-factor-for-prospective-falls-in-community-dwelling-elderly-individuals
#1
Jonas Johansson, Anna Nordström, Yngve Gustafson, Göran Westling, Peter Nordström
Objective: fall-related injuries constitute major health risks in older individuals, and these risks are projected to increase in parallel with increasing human longevity. Impaired postural stability is a potential risk factor related to falls, although the evidence is inconclusive, partly due to the lack of prospective studies. This study aimed to investigate how objective measures of postural sway predict incident falls. Design, setting and participants: this prospectively observational study included 1,877 community-dwelling individuals aged 70 years who participated in the Healthy Ageing Initiative between June 2012 and December 2015...
May 22, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28525586/prevalence-and-correlates-of-frailty-among-community-dwelling-chinese-older-adults-the-china-health-and-retirement-longitudinal-study
#2
Chenkai Wu, Ellen Smit, Qian-Li Xue, Michelle C Odden
Background.: Frailty is an age-related clinical syndrome of decreased resilience to stressors and is associated with numerous adverse outcomes. Although there is preponderance of literature on frailty in developed countries, limited investigations have been conducted in less developed regions including China-a country that has the world's largest aging population. We examined frailty prevalence in China by socio-demographics and geographic region, and investigated correlates of frailty...
May 19, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28524114/bath-ambience-a-mechatronic-system-for-assisting-the-caregivers-of-bedridden-people
#3
Karolina Bezerra, José Machado, Vítor Carvalho, Marcelo Castro, Pedro Costa, Demétrio Matos, Filomena Soares
The health of older people is receiving special attention and dedication nowadays, with the aim of increasing their general wellbeing and quality of life. Studies into different aspects of the care of the elderly have found that emphasis should be given to solving problems related to bathing in different situations and environments. In particular, it is important to develop new assistive technologies to streamline and ease the burden of a caregiver's daily tasks. Generally-speaking, in the case of bedridden patients, bathing is typically carried out manually by a caregiver, using towels, sponges, and a water basin...
May 18, 2017: Sensors
https://www.readbyqxmd.com/read/28520944/multiple-causes-of-syncope-in-the-elderly-diagnostic-outcomes-of-a-dutch-multidisciplinary-syncope-pathway
#4
Susanne C de Ruiter, Johan F H Wold, Tjeerd Germans, Jaap H Ruiter, René W M M Jansen
Aims: To assess the diagnostic outcomes of a multidisciplinary pathway for elderly syncope patients. Methods and results: Observational cohort study at a Fall and Syncope Clinic, including consecutive syncope patients aged ≥65 years between 2011 and 2014. Measurements: The sort, number, and accuracy of diagnoses resulting in syncope. Secondary outcomes: reliability of the medical history and the number of electrocardiogram (ECG) abnormalities. The 117 included patients (72% females) had a mean age of 80 ± 6...
May 17, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28513411/-injuries-resulting-from-accidents-and-violence-in-the-netherlands-results-of-an-emergency-department-register
#5
E F van Beeck, M J M Panneman, S Polinder, B Blatter
- Injuries from accidents and violence are amongst the most important public health issues in the world, including in Europe and the Netherlands.- Using the Dutch Injury Surveillance System and the Dutch Burden of Injury Model, we describe the incidence and costs associated with injuries in the Netherlands that are registered via Emergency Departments (ED). We also map the main causes of injury by age category.- Annually, 700,000 patients attend the ED of a hospital with an injury; 1 in 6 attendees is admitted...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28513119/low-borderline-levels-of-serum-vitamin-b12-may-predict-cognitive-decline-in-elderly-hip-fracture-patients
#6
Eliyahu H Mizrahi, Emilia Lubart, Arthur Leibovitz
BACKGROUND: The progression from cognitive impairment to dementia is a multifactorial process that involves genetic and environmental factors. Vitamin B12 deficiency can be an important factor in the progress from cognitive decline to dementia. OBJECTIVES: To examine the relationship between borderline low level of vitamin B12 (≤ 350 pg/ml) and cognitive decline among a group of elderly hip fracture patients. METHODS: This retrospective chart review study was conducted in a geriatric rehabilitation ward of a university-affiliated referral hospital...
May 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28508437/characteristics-and-consequences-of-falls-among-older-adult-trauma-patients-considerations-for-injury-prevention-programs
#7
Tracy Chippendale, Patricia A Gentile, Melissa K James
BACKGROUND/AIM: Health promotion and prevention is an important component of occupational therapy practice. Falls are one of the most common causes of ER visits among older adults and injurious falls requiring trauma care can have a significant impact on the health and quality of life of elders. The aim of this study was to compare characteristics and consequences of falls among older adult trauma patients across different age groups with an eye towards informing injury prevention programs...
May 15, 2017: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/28506013/the-effects-of-physical-training-without-equipment-on-pain-perception-and-balance-in-the-elderly-a-randomized-controlled-trial
#8
Antonino Patti, Antonino Bianco, Bettina Karsten, Maria Alessandra Montalto, Giuseppe Battaglia, Marianna Bellafiore, Daniela Cassata, Fabio Scoppa, Antonio Paoli, Angelo Iovane, Giuseppe Messina, Antonio Palma
BACKGROUND: Research supports a link between exercise and falls prevention in the older population. OBJECTIVES: Our aims were to evaluate pain perception and balance skills in a group of elderly subjects and to examine the consequences of a standardized equipment-free exercise program intervention on these variables. The study utilized a randomized controlled trial method. METHODS: 92 subjects were recruited from a rural Sicilian village (Resuttano, Sicily, Italy)...
May 6, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28503457/the-association-between-fall-history-and-physical-performance-tests-in-the-community-dwelling-elderly-a-cross-sectional-analysis
#9
Jin Chul Kim, Jinmann Chon, Hee Sang Kim, Jong Ha Lee, Seung Don Yoo, Dong Hwan Kim, Seung Ah Lee, Yoo Jin Han, Hyun Seok Lee, Bae Youl Lee, Yun Soo Soh, Chang Won Won
OBJECTIVE: To evaluate the association between baseline characteristics, three physical performance tests and fall history in a sample of the elderly from Korean population. METHODS: A total of 307 participants (mean age, 76.70±4.85 years) were categorized into one of two groups, i.e., fallers and non-fallers. Fifty-two participants who had reported falling unexpectedly at least once in the previous 12 months were assigned to the fallers group. Physical performance tests included Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Timed Up and Go test...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28503199/the-aachen-fall-prevention-app-a-smartphone-application-app-for-the-self-assessment-of-elderly-patients-at-risk-for-ground-level-falls
#10
Peter Rasche, Alexander Mertens, Christina Bröhl, Sabine Theis, Tobias Seinsch, Matthias Wille, Hans-Christoph Pape, Matthias Knobe
BACKGROUND: Fall incidents are a major problem for patients and healthcare. The "Aachen Fall Prevention App" (AFPA) represents the first mobile Health (mHealth) application (app) empowering older patients (persons 50+ years) to self-assess and monitor their individual fall risk. Self-assessment is based on the "Aachen Fall Prevention Scale," which consists of three steps. First, patients answer ten standardized yes-no questions (positive criterion ≥ 5 "Yes" responses). Second, a ten-second test of free standing without compensatory movement is performed (positive criterion: compensatory movement)...
2017: Patient Safety in Surgery
https://www.readbyqxmd.com/read/28500017/tablet-based-well-being-check-for-the-elderly-development-and-evaluation-of-usability-and-acceptability
#11
Pradeep Ray, Junhua Li, Arni Ariani, Vasvi Kapadia
BACKGROUND: Many elderly people prefer to live at home independently. One of the major concerns raised by the family members is the safety and well-being of their elderly family members when living independently in a home environment. To address this issue, assistive technology solutions have been available in the market. Despite their availability and proliferation, these types of solutions are not popular with the elderly due to their intrusive nature, privacy-related issues, social stigma, and fear of losing human interaction...
May 12, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28492772/life-and-health-conditions-among-elderly-results-of-the-epifloripa-idoso-cohort-study
#12
Susana Cararo Confortin, Ione Jayce Ceola Schneider, Danielle Ledur Antes, Francieli Cembranel, Lariane Mortean Ono, Larissa Pruner Marques, Lucélia Justino Borges, Rodrigo de Rosso Krug, Eleonora d'Orsi
OBJECTIVE: to identify sociodemographic, behavioral and health changes in a follow-up of participants in the health survey EpiFloripa Idoso. METHODS: this is a population-based longitudinal study with elderly individuals in Florianópolis-SC, Brazil. RESULTS: 1,702 elderly individuals were interviewed in 2009-2010 and 1,197 in 2013-2014 (response rate: 89.1% and 70.2%, respectively); among followed-up individuals, most of them remained with a partner (53...
April 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28492520/an-ecologically-controlled-exoskeleton-can-improve-balance-recovery-after-slippage
#13
V Monaco, P Tropea, F Aprigliano, D Martelli, A Parri, M Cortese, R Molino-Lova, N Vitiello, S Micera
The evolution to bipedalism forced humans to develop suitable strategies for dynamically controlling their balance, ensuring stability, and preventing falling. The natural aging process and traumatic events such as lower-limb loss can alter the human ability to control stability significantly increasing the risk of fall and reducing the overall autonomy. Accordingly, there is an urgent need, from both end-users and society, for novel solutions that can counteract the lack of balance, thus preventing falls among older and fragile citizens...
May 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28490560/nursing-home-team-care-deprescribing-study-a-stepped-wedge-randomised-controlled-trial-protocol
#14
Chong-Han Kua, Cindy Ying Ying Yeo, Cheryl Wai Teng Char, Cheryl Wei Yan Tan, Poh Ching Tan, Vivienne Sl Mak, Shaun Wen Huey Lee, Ian Yi-Onn Leong
INTRODUCTION: An ageing population has become an urgent concern for Asia in recent times. In nursing homes, polypharmacy has also become a compounding issue. Deprescribing practice is an evidence-based strategy to provide a better outcome in this group of patients; however, its implementation in nursing homes is often challenging, and prospective outcome data on deprescribing practice in the elderly is lacking. Our study assesses the implementation of team-care deprescribing to understand the benefits of this practice in geriatric setting and to explore the factors affecting deprescribing practice...
May 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28489888/a-two-question-tool-to-assess-the-risk-of-repeated-falls-in-the-elderly
#15
Alejandro Rodríguez-Molinero, César Gálvez-Barrón, Leire Narvaiza, Antonio Miñarro, Jorge Ruiz, Esther Valldosera, Natalia Gonzalo, Thalia Ng, María Jesús Sanguino, Antonio Yuste
INTRODUCTION: Older adults' perception of their own risk of fall has never been included into screening tools. The goal of this study was to evaluate the predictive validity of questions on subjects' self-perception of their own risk of fall. METHODS: This prospective study was conducted on a probabilistic sample of 772 Spanish community-dwelling older adults, who were followed-up for a one year period. At a baseline visit, subjects were asked about their recent history of falls (question 1: "Have you fallen in the last 6 months?"), as well as on their perception of their own risk of fall by using two questions (question 2: "Do you think you may fall in the next few months?" possible answers: yes/no; question 3: "What is the probability that you fall in the next few months?" possible answers: low/intermediate/high)...
2017: PloS One
https://www.readbyqxmd.com/read/28486231/decrease-of-horizontal-canal-vestibulo-oculomotor-reflex-gain-in-the-elderly-with-dysequilibrium-without-lifetime-vertigo
#16
Roberto Teggi, Matteo Trimarchi, Omar Gatti, Francesco Fornasari, Mario Bussi
BACKGROUND/AIMS: Unsteadiness in the elderly is a frequent complaint and a strong predictor of falls and psychological distress. Although there is a general consensus that it is a multifactorial condition, recent studies have focused on the role of aging of the vestibular system as a possible cofactor. The aim of our work was to assess horizontal canal function in the elderly. METHODS: We evaluated the gain of horizontal vestibulo-ocular reflex (VOR) with a video head impulse test on a sample of 58 subjects aged >70 years without lifetime episodes of vertigo and correlated the value with different clinical conditions (hypertension, diabetes, prior cardiovascular and vascular disorders of the central nervous system, and falls)...
May 10, 2017: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/28482748/robotic-and-sensor-technologies-for-mobility-in-older-people
#17
Lazaros Penteridis, Grazia D'Onofrio, Daniele Sancarlo, Francesco Giuliani, Francesco Ricciardi, Filippo Cavallo, Antonio Greco, Ilias Trochidis, Alexander Gkiokas
BACKGROUND: Maintaining independent mobility is fundamental to independent living and to the quality of life of older people. Robotic and sensor technologies may offer a lot of potential and can make a significant difference in the lives of older people and to their primary caregivers. AIM: To provide a presentation of the methods that are used up till now for analysis and evaluation of human mobility utilizing sensor technologies. To give the state of the art in robotic platforms for supporting the older people with mobility limitations...
May 8, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/28479561/a-hybrid-algorithm-for-fall-detection
#18
Serkan Turkeli, Fikri Elmas, Huseyin Tanzer Atay, Kenan Kaan Kurt, Remzi Yalın Sonmez
Falling is a major problem among the people globally, frequently due to some health problems including vision loss or balance disorder as a consequence of aging. As a result of the falling in elder people; injuries, complications, neurological problems and mortality are generally occurred. This situation also affects the patients' families psychologically. A large number of studies show that significant fractures, injuries and in some cases death are commonly encountered in elderly. Nonetheless, in the immediate intervention, the rate of damage is reduced and the life quality can be significantly restored...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28475669/stabilized-incidence-in-proximal-humeral-fractures-of-elderly-women-nationwide-statistics-from-finland-in-1970-2015
#19
Pekka Kannus, Seppo Niemi, Harri Sievänen, Jari Parkkari
Background: Low-trauma fractures of elderly women are a major public health concern. Methods: We determined the current trend in the absolute number and incidence (per 100,000 persons) of fresh low-trauma fractures of the proximal humerus among 80-year-old or older Finnish women by taking into account all women who were admitted to Finnish hospitals for primary treatment of such a fracture between 1970 and 2015. Results: The number of low-trauma fractures of the proximal humerus among 80-year-old or older Finnish women rose continuously between 1970 (32 fractures) and 2015 (568 fractures), whereas the age-adjusted fracture rate (showing a clear rise from 87 fractures per 100,000 persons in 1970 to 304 fractures in 1995) became stabilized between 1995 and 2015 (297 fractures per 100,000 persons in 2015)...
May 5, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28473990/age-and-sex-effects-on-the-active-stiffness-of-vastus-intermedius-under-isometric-contraction
#20
Cong-Zhi Wang, Jing-Yi Guo, Tian-Jie Li, Yongjin Zhou, Wenxiu Shi, Yong-Ping Zheng
Previously, a novel technique was proposed to quantify the relationship between the muscle stiffness and its nonfatigue contraction intensity. The method extended the measured range of isometric contraction to 100% maximum voluntary contraction (MVC) using an ultrasonic shear wave measurement setup. Yet, it has not been revealed how this relationship could be affected by factors like age or sex. To clarify these questions, vastus intermedius (VI) stiffness of 40 healthy subjects was assessed under 11 step levels of isometric contraction...
2017: BioMed Research International
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